Senior Medical Scribe – Clinical Documentation Virtual Assistant

Responsibilities

• Assist with patient charting, SOAP note creation, H&P documentation, and medical record review
• Support the provider by gathering patient information from multiple systems
• Review prior patient documentation, organizing clinical information
• Prepare comprehensive patient notes for provider review
• Access PointClickCare and other EHR systems to gather clinical data
• Draft assessment and plan sections based on provider documentation
• Maintain organized patient records and documentation workflows
• Support provider review workflows by preparing notes in advance whenever possible

Requirements

• Prior experience as a Medical Scribe, Healthcare VA, Medical Documentation Specialist, Nurse VA, or similar role
• Strong understanding of SOAP notes and clinical documentation
• Experience creating H&P (History & Physical) notes preferred
• Familiarity with PointClickCare strongly preferred
• Experience reviewing patient charts and medical records
• HIPAA knowledge required
• Clinical background
• Strong attention to detail and documentation accuracy