Specialist,Clinical Informatics

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health

Title: Medical Scribe (Full-time in Primary Care Setting)

Role Description

The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps.

Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. Internally, we call them CISs (Clinic Informatics Specialists) in recognition of their important role in supporting accurate, specific, and timely clinical documentation. In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding. Scribes use this expertise to help providers identify and help close care gaps. Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care.

Because our patients and providers rely on our Scribes, the ideal candidate should commit at least 1-2 years to this role. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields. 

Check out this pamphlet for a sneak peek into the life of an Oak Street Medical Scribe!

Responsibilities:

• Documenting Patient Encounters ~ 80% 

  • Joining the provider in the exam room to observe patient visits

  • Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam

  • Assigning appropriate CPT and ICD-10 codes

  • Preparing After Visit Summaries

  • Consulting with provider to ensure accurate and specific documentation

• Clinical Documentation Improvement ~ 10%

  • Requesting and reviewing medical records 

  • Leveraging Oak Street's population health tools to support clinical documentation improvement

  • Preparing for and supporting Daily Huddles and Clinical Documentation Reviews 

  • Consulting with provider on clinical documentation opportunities

• Administrative support for your provider and care team ~ 10%

  • Placing orders orders and referrals

  • Addressing tasks

  • Supporting the care team with additional responsibilities related to clinical documentation

• Other duties as assigned

What we're looking for

Knowledge

• Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required]

• Prior clinical experience, including shadowing and/or volunteering [strongly preferred]

• Prior scribe or transcription experience [preferred but not required]

Skills