clinical documentation specialist

Adventist Health

<div><p>Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
<br>
<br>
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
</p><p>Job Summary:
</p><p>Reviews, evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record and ensure it is in compliance with government and other regulations. Works on problems of moderate to diverse scope requiring some interpretation of policies and guidelines. Applies working knowledge of the techniques, principles, theories and concepts to complete routine and non-routine assignments. Runs program(s) with moderate budget/impact.
</p><p>Job Requirements:
</p><div><p>Education and Work Experience:
</p><ul><li>Associate's/Technical Degree or equivalent combination of education/related experience: Required
</li><li>Bachelor's Degree: Preferred
</li><li>Three years' clinical experience: Required
</li><li>Two years' clinical documentation experience: Required
</li></ul></div><div><p>Licenses/Certifications:
</p><ul><li>Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner Certificate (DIP): Required
</li><li>Current licensed RN, medical provider or equivalent: Required
</li></ul></div><div><p>Essential Functions:
</p><ul><li>Evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record. Performs coding, working DRG assignment and enters all review activity into tracking software.
</li><li>Analyzes and interprets medical records and clinical documentation and formulates appropriate physician queries. Performs follow up on incomplete physician queries to obtain an answer while the patient is still in house. Updates &acirc;&euro;&oelig;working DRG&acirc;&euro;&quot; as documentation supports, or physician query answer supports a change in the DRG assignment.
</li><li>Reviews quality of medical record and communicates when conflicting data are found, the clinical documentation integrity specialist (CDIS) conveys deficiencies to the department lead for more information to resolve the conflict.
</li><li>Keeps abreast of regulatory changes related to documentation, coding and communicate these changes to appropriate staff. Follows documentation guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Attends ongoing education sessions.
</li><li>Acts as a liaison between the medical staff and the coding department. Works collaboratively with physicians and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate clinical diagnosis and level of severity is captured for the level of service rendered to all patients. Attends scheduled physician and care management meetings as requested and reviews requested cases prior to the meetings.
</li><li>Performs other job-related duties as assigned.
</li></ul></div><div><p>Organizational Requirements:
</p><p>Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
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Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.</p></div></div>

Clinical Documentation Integrity Specialist - HYBRID - Bakersfield

Sarasota Memorial Hospital

<div>Job Summary:
<div>
The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acute inpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. The Specialist is also responsible for querying physicians on specificity of diagnosis or procedures performed in order to ensure the account appropriately reflects the patient&rsquo;s acuity and resources used to care for the patient resulting in complete and accurate profiling and reporting outcomes. In addition, the Specialist will provide documentation and coding education as needed.</div>
Required Qualifications:
<ul><li>Require a Bachelor&rsquo;s degree (preferably BSN). Associate degree in Nursing (ASN) and two (2) years of relevant work experience in an acute or post-acute setting can substitute for the required degree.</li><li>Require a minimum of three (3) years of clinical experience in the area of hire (CDIS, SNF, IRF, or LTCH).</li><li>Require an active Florida Registered Nurse (RN) license or Medical Doctor (MD) equivalent.</li></ul>
Preferred Qualifications:
<ul><li>Prefer the ability to communicate verbally and in writing.</li><li>Prefer the ability to multi-task, shift priorities, and demonstrate decision-making ability.</li><li>Prefer the ability to work independently and collaboratively in a team environment.</li><li>Prefer certification as Certified Documentation Improvement Professional (CDIP) or Certified Clinical Documentation Specialist (CCDS).</li><li>Prefer Certified Rehabilitation Registered Nurse (CRRN) Certification.</li></ul>
- Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility &ndash; Case Mix Group (CMG); Long Term Care Hospital &ndash; MS-LTC-DRG).<br>
<ul><li>Prefer proficiency in Adobe Acrobat and Microsoft Office suite, specifically Excel, PowerPoint, and Word.</li></ul>
Work Days/Shift/Start Time:
<div><b>
Reputation. Community. Impact. Growth.</b></div><div><b><br>
</b></div><div><b>Every day, our patients at Sarasota Memorial Health Care System</b> receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.</div><div><b><br>
</b></div><div><b>Sarasota Memorial Hospital</b> was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national &quot;standout&quot; hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet&reg; recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an &quot;A&quot; grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.</div><div><b><br>
</b></div><div><b>The benefits of being the best:
</b></div><div>Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:</div><div></div><div><b><br>
Total Rewards Package</b></div><ul><li>
Paid Time Off (start earning PTO on day one of employment)</li><li>
Tuition Reimbursement</li><li>
Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full &amp; Part-Time Employees</li><li>
Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars</li><li>
Life Insurance</li><li>
Disability Insurance</li><li>
Retirement Savings Plan: 403b
</li><li>Sarasota Campus for now - Discounted Child Care &amp; Before and After School Program and Summer Camp!</li><li>
Bereavement Leave</li><li>
Free Parking</li><li>
On Campus Dining w/ a 10% discount</li><li>
Credit Union w/ teller machines on campus</li><li>
Direct Deposit</li><li>
Free Wellness Screening</li><li>
Free confidential counseling services</li><li>
Employee Discount Programs</li><li>
Recognition Programs
</li><li>Referral Programs
</li><li>Tremendous growth opportunities for hard workers!</li></ul><br>
<div></div>
Employment Screening Requirements: As part of Sarasota Memorial Health Care System&rsquo;s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/</div>

Post-Acute Clinical Documentation Integrity Specialist

DEVX

<p>Clinical Research Procedures &amp; Documentation Specialist</p><p><b>Medical Device &ndash; Orthopedics Required</b><br/><b>Contract Role Through End of 2026 (Potential Extension)</b></p><p>Position Overview</p><p>We are seeking an experienced <b>Clinical Research Procedures &amp; Documentation Specialist</b> with direct experience supporting <b>orthopedic medical device clinical trials</b>.</p><p>This role is focused on <b>clinical study execution processes, SOP development, and work instruction writing</b> within orthopedic device studies. The selected candidate will work closely with Clinical Operations, Biostatistics, and Data Management teams to revise and harmonize clinical procedures to reflect real-world orthopedic study execution workflows.</p><p>This is not a medical writing role (CER/PMCF/PMS).</p><p>Key Responsibilities</p><ul><li>Collaborate with Clinical Operations SMEs to review and update clinical research procedures specific to <b>orthopedic device studies</b></li><li>Draft, redline, and finalize SOPs and work instructions that govern study execution activities</li><li>Ensure procedures align with actual orthopedic trial workflows (site start-up, enrollment, device accountability, monitoring, close-out)</li><li>Facilitate cross-functional discussions to gather feedback and drive alignment</li><li>Develop and manage project timelines to keep procedural updates on track</li><li>Route finalized documents through appropriate document management and approval systems</li><li>Support inspection readiness and ensure compliance with FDA, ICH-GCP, and applicable medical device regulations</li><li>Contribute to procedural harmonization initiatives related to organizational changes</li></ul><p>Required Qualifications</p><ul><li>Minimum 5+ years of experience in clinical research within the <b>medical device industry</b></li><li><b>Direct experience supporting or managing orthopedic device clinical trials</b></li><li>Demonstrated experience drafting or revising:</li><li>Clinical Operations SOPs</li><li>Work Instructions</li><li>Study execution processes</li><li>Strong understanding of the orthopedic device study lifecycle (start-up through close-out)</li><li>Experience working cross-functionally with Clinical Operations teams</li><li>Experience using document management systems and routing documents for approval</li><li>Strong organizational and project coordination skills</li></ul><p>Preferred Qualifications</p><ul><li>Experience with joint replacement, spine, trauma, or sports medicine device trials</li><li>Experience supporting audit and inspection readiness</li><li>Familiarity with FDA and MDR requirements for orthopedic devices</li><li>Experience in change management or procedural harmonization initiatives</li></ul><p>This Role Is Not:</p><ul><li>Not a CER / PMCF / PMS medical writing role</li><li>Not a site-only CRC position</li><li>Not a pharmacovigilance-only position</li></ul><p>Job Type: Contract</p><p>Pay: $34.39 - $41.41 per hour</p><p>Expected hours: 40 per week</p><p>Work Location: Remote</p>

Clinical Research Procedures & Documentation Specialist

Eventus WholeHealth

<div><div><b>Clinician Support Specialist</b></div><br>
<div></div>
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<div><b>Position Summary:</b></div>
<div>Eventus WholeHealth delivers an integrated model that provides holistic care for medically vulnerable adults achieving extraordinary outcomes for the people we serve. We do this through a value driven framework of excellence, integrity, person-centeredness, stewardship and teamwork. This care is provided to adults who reside in skilled nursing, assisted living facilities and private residences through a network of healthcare providers including Physicians, Nurse Practitioners, Physician Assistants, Psychologists, Licensed Clinical Social Worker, Clinical and Administrative Support Staff.</div>
<div></div>
<div>The Clinician Support Specialist is responsible for enhancing the performance of the clinical care team through supporting and facilitating clinical services with their assigned providers. The Clinician Support Specialist is required to work in the field with the assigned provider as directed by Lead Clinician Support Specialist or Manager/Supervisor. You may be asked to travel to facilities up to 60 miles from your home.</div>
<div></div>
<div><div>Hours: Mon-Fri - 8-hour dayshift</div>
<div>Fuel Card to assist with commutes</div>
</div>
<div></div><div><b>Provider Support</b></div>
<ul><li>Ensure that the clinical provider in the assigned building is able to focus on taking care of their patients for the day</li>
<li>Ensure that each patient is seen as medically necessary per clinical protocol.</li>
<li>Serve as a &ldquo;buffer&rdquo; between provider and families/staff to facilitate proper patient management.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>If scheduling is assigned: Scheduling rosters should be updated daily to ensure accuracy and schedules sent timely.</li>
<li>Assist with any day-of changes to the scheduled visits due to acute needs, hospitalizations, admissions, or discharges</li>
<li>Prepare clinical documentation for assigned providers each day</li>
<li>Complete basic opening of encounter note as per discipline protocol</li>
<li>Perform medication reconciliation on all scheduled patients each encounter</li>
<li>Enter appropriate facility chart data on all scheduled patients each day into patient encounter notes and assign to provider</li>
<li>Enter lab and other diagnostic study results into patient encounter and assign to provider as per guidelines</li>
<li>Assist with collection and sorting of all clinical paperwork needed for clinician review and ensure completion each day</li>
<li>Host telehealth sessions for providers as assigned by manager/supervisor, both routine and acute visits</li>
</ul>
<div></div><div><b>Facility Support</b></div>
<ul><li>When scheduling is an expectation for your role:
<ul><li>Share patient schedules with key facility staff as needed.</li>
</ul></li><li>Assist with any triage needs as directed by assigned provider (whether they are in or out of the building that day)</li>
<li>Assist with triage documentation as needed.</li>
<li>Ensure that all needed paperwork is routed for the facility to Eventus providers, office, or families.
</li><li>Assist with consents for any services needed.</li>
<li>Attend stand up meetings to report any needed information from the facility to Eventus providers and vice versa if allowed by facility.</li>
<li>Assist with discharge planning of clinical services as needed.</li>
<li>Ensuring check in and out each day with facility staff regarding patients seen, status, etc.</li>
</ul>
<div></div><div><b>Patient Support</b></div>
<ul><li>Maintain patient confidentiality at all times.</li>
<li>Document appropriate encounter and time for CCM and BHI services</li>
<li>Check all forms of communication several times daily to ensure patient needs are met.</li>
<li>Inform patient and family of recent visits, new orders and defer to provider when needed</li>
<li>Communicate transitions of care to CCM team to enhance patient care and education.</li>
</ul><div>Additional Duties and Responsibilities</div>
<div><ul><li>Clinician Support Specialists are expected to be knowledgeable and adhere to Eventus WholeHealth standards, policies and procedures and outlined in employee handbook including HIPAA rules and regulations.</li>
<li>Clinician Support Specialists should adhere to the Eventus WholeHealth dress code policy i.e. clean, wrinkle-free, matching scrubs with appropriate, closed-toed footwear and name badge.</li>
<li>When duties are completed ahead of scheduled workday, report to your Lead Clinician Support Specialist for any additional assignments.</li>
<li>Clinician Support Specialists should seek further training if uncertain how to proceed with any assignment.</li>
</ul>
</div><div></div><div><b>Qualifications/Education:</b></div>
<div>High School Diploma or equivalency</div>
<div>Must have a valid driver's license and reliable transportation</div>
<div>Expected to travel up to 1 hour from home address</div>
<div>Certified Clinician Support Specialist degree a plus</div>
<div>Typing speed of 45wpm or greater</div>
<div>Medical Scribing experience preferred</div><br>
<div></div>
<div></div>
<div><b>WHAT WE OFFER</b></div>
<div>Our full-time positions offer provide:</div>
<div>A chance to be part of a growing and emerging culture</div>
<div>Fuel card to assist with commutes</div>
<div>Paid time off benefits</div>
<div>Holidays</div>
<div>Health benefits (medical, dental vision)</div>
<div>Short &amp; Long-term disability options</div>
<div>Employer Contribution to 401k Retirement</div>
<div><br>
About Eventus WholeHealth:<br>
Eventus WholeHealth was founded in 2014 to provide physician-led healthcare services for residents and patients of skilled nursing and assisted living facilities. With our highly trained team of physicians, psychiatrists, nurse practitioners, physician assistants, psychotherapists, podiatrists, optometrists, audiologists, and support staff, our comprehensive, evidence-based model provides collaborative interdisciplinary care with the seamless and vital integration of a wide range of specialties. Our differentiated approach not only empowers the facilities to reach their own goals and objectives but also ensures better patient outcomes. For more information, please visit www.eventuswholehealth.com.</div></div>

Clinician Support Specialist

Oak Street Health, part of CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Title: </b>Medical Scribe</p><p></p><p><b>
Company: </b>Oak Street Health</p><p></p><p><b>
Location:</b> 3833 E Thomas Rd a2 Phoenix, AZ 85018</p><p></p><p>
This position is full time, M-F from 8am to 5pm</p><p></p><p><b>
Role Description:</b></p><p></p><p>
The purpose of a Clinical Informatics Specialist (CIS or 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.</p><p></p><p>
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.</p><p></p><p>
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.</p><p></p><p><b>
Responsibilities:</b></p><ul><li>
Documenting Patient Encounters ~ 80%<ul><li>
Joining the provider in the exam room to observe patient visits</li><li>
Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam</li><li>
Assigning appropriate CPT and ICD-10 codes</li><li>
Preparing After Visit Summaries</li><li>
Consulting with provider to ensure accurate and specific documentation</li></ul></li><li>
Clinical Documentation Improvement ~ 10%<ul><li>
Requesting and reviewing medical records</li><li>
Leveraging Oak Street's population health tools to support clinical documentation improvement</li><li>
Preparing for and supporting Daily Huddles and Clinical Documentation Reviews</li><li>
Consulting with provider on clinical documentation opportunities</li></ul></li><li>
Administrative support for your provider and care team ~ 10%<ul><li>
Placing orders and referrals</li><li>
Addressing tasks</li><li>
Supporting the care team with additional responsibilities related to clinical documentation</li></ul></li><li>
Other duties as assigned</li></ul><p></p><p><b>
What we're looking for</b></p><p></p><p><b>
Knowledge</b></p><ul><li>
Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required]</li><li>
Prior clinical experience, including shadowing and/or volunteering [strongly preferred]</li><li>
Prior scribe or transcription experience [preferred but not required]</li></ul><p></p><p><b>
Skills</b></p><ul><li>
Advanced listening and communication skills [required]</li><li>
Strong computer literacy and ability to learn new technical workflows [required]</li><li>
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated]</li></ul><p></p><p><b>
Abilities</b></p><ul><li>
Ability to adapt to new workflows and to quickly learn new concepts and skills [required]</li><li>
Ability to type 70+ words per minute [strongly preferred]</li><li>
Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required]</li><li>
Ability to be a self-starter within your role scope</li><li>
Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required]</li><li>
Ability to commit to at least 1 year in role (2+ is ideal) [required]</li><li>
Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required]</li><li>
Compliance with hospital and Oak Street Health policies, including HIPAA [required]</li><li>
US work authorization [required]</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$17.00 - $28.46<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 04/17/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Medical Scribe

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Title: </b>Medical Scribe</p><p></p><p><b>
Company: </b>Oak Street Health</p><p></p><p><b>
Role Description:</b></p><p></p><p>
The purpose of a Clinical Informatics Specialist (CIS or 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.</p><p></p><p>
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.</p><p></p><p>
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.</p><p></p><p><b>
Responsibilities:</b></p><ul><li>
Documenting Patient Encounters ~ 80%<ul><li>
Joining the provider in the exam room to observe patient visits</li><li>
Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam</li><li>
Assigning appropriate CPT and ICD-10 codes</li><li>
Preparing After Visit Summaries</li><li>
Consulting with provider to ensure accurate and specific documentation</li></ul></li><li>
Clinical Documentation Improvement ~ 10%<ul><li>
Requesting and reviewing medical records</li><li>
Leveraging Oak Street's population health tools to support clinical documentation improvement</li><li>
Preparing for and supporting Daily Huddles and Clinical Documentation Reviews</li><li>
Consulting with provider on clinical documentation opportunities</li></ul></li><li>
Administrative support for your provider and care team ~ 10%<ul><li>
Placing orders and referrals</li><li>
Addressing tasks</li><li>
Supporting the care team with additional responsibilities related to clinical documentation</li></ul></li><li>
Other duties as assigned</li></ul><p></p><p><b>
What we're looking for</b></p><p></p><p><b>
Knowledge</b></p><ul><li>
Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required]</li><li>
Prior clinical experience, including shadowing and/or volunteering [strongly preferred]</li><li>
Prior scribe or transcription experience [preferred but not required]</li></ul><p></p><p><b>
Skills</b></p><ul><li>
Advanced listening and communication skills [required]</li><li>
Strong computer literacy and ability to learn new technical workflows [required]</li><li>
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated]</li></ul><p></p><p><b>
Abilities</b></p><ul><li>
Ability to adapt to new workflows and to quickly learn new concepts and skills [required]</li><li>
Ability to type 70+ words per minute [strongly preferred]</li><li>
Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required]</li><li>
Ability to be a self-starter within your role scope</li><li>
Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required]</li><li>
Ability to commit to at least 1 year in role (2+ is ideal) [required]</li><li>
Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required]</li><li>
Compliance with hospital and Oak Street Health policies, including HIPAA [required]</li><li>
US work authorization [required]</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$17.00 - $28.46<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 04/24/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Title: </b>Medical Scribe</p><p></p><p><b>
Company: </b>Oak Street Health</p><p></p><p><b>
Role Description:</b></p><p></p><p>
The purpose of a Clinical Informatics Specialist (CIS or 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.</p><p></p><p>
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.</p><p></p><p>
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.</p><p></p><p><b>
Responsibilities:</b></p><ul><li>
Documenting Patient Encounters ~ 80%<ul><li>
Joining the provider in the exam room to observe patient visits</li><li>
Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam</li><li>
Assigning appropriate CPT and ICD-10 codes</li><li>
Preparing After Visit Summaries</li><li>
Consulting with provider to ensure accurate and specific documentation</li></ul></li><li>
Clinical Documentation Improvement ~ 10%<ul><li>
Requesting and reviewing medical records</li><li>
Leveraging Oak Street's population health tools to support clinical documentation improvement</li><li>
Preparing for and supporting Daily Huddles and Clinical Documentation Reviews</li><li>
Consulting with provider on clinical documentation opportunities</li></ul></li><li>
Administrative support for your provider and care team ~ 10%<ul><li>
Placing orders and referrals</li><li>
Addressing tasks</li><li>
Supporting the care team with additional responsibilities related to clinical documentation</li></ul></li><li>
Other duties as assigned</li></ul><p></p><p><b>
What we're looking for</b></p><p></p><p><b>
Knowledge</b></p><ul><li>
Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required]</li><li>
Prior clinical experience, including shadowing and/or volunteering [strongly preferred]</li><li>
Prior scribe or transcription experience [preferred but not required]</li></ul><p></p><p><b>
Skills</b></p><ul><li>
Advanced listening and communication skills [required]</li><li>
Strong computer literacy and ability to learn new technical workflows [required]</li><li>
Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve [required where indicated]</li></ul><p></p><p><b>
Abilities</b></p><ul><li>
Ability to adapt to new workflows and to quickly learn new concepts and skills [required]</li><li>
Ability to type 70+ words per minute [strongly preferred]</li><li>
Ability and willingness to take direction and be a member of a team providing patient care, including adapting to the provider's working style [required]</li><li>
Ability to be a self-starter within your role scope</li><li>
Excellent job attendance including ability to work in-person in our clinics (Our providers count on you.) [required]</li><li>
Ability to commit to at least 1 year in role (2+ is ideal) [required]</li><li>
Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required]</li><li>
Compliance with hospital and Oak Street Health policies, including HIPAA [required]</li><li>
US work authorization [required]</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$17.00 - $28.46<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/31/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

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