Medical Scribe - In-Person

**Project Description:** Medical Scribe **Location:** In\-Person, with Remote Support as Needed **Reports To:** Supervising Physician and Practice Manager **Job Type:** Full\-Time (40 hours/week) **About Us** Grass Valley Radiation Oncology Physicians Group and CureRays work together as a collaborative team of dedicated healthcare professionals providing compassionate, patient\-centered cancer care. The Radiation Oncology Physicians Group is our medical practice, while CureRays is our outpatient treatment center, offering non\-invasive therapies for skin cancer, arthritis, Dupuytren’s contracture, and more. Together, we provide patients with complete and integrated care experience, from diagnosis and treatment to recovery and survivorship. **Position Summary** We are seeking a reliable, detail\-oriented Medical Scribe to provide direct documentation support to the supervising physician. The ideal candidate is based in or near Grass Valley, California, and has a strong understanding of medical terminology and clinical documentation. This role is responsible for supporting accurate, complete, and timely documentation of patient encounters, allowing the physician to remain focused on patient care. This is primarily an in\-person position in Grass Valley, with work performed primarily in the hospital outpatient setting and, as needed, at the CureRays office. When the supervising physician is working remotely, the Medical Scribe must be available to provide support remotely. **Scope of Work** The Medical Scribe will provide clinical documentation support to the supervising physician at Grass Valley Radiation Oncology and CureRays. The Medical Scribe will be responsible for real\-time entry and review of patient data into the Electronic Health Record (EHR), supporting accurate documentation, timely completion of records, and compliance with California and federal privacy regulations. **Responsibilities:** **1\. Clinical Documentation** * Accurately transcribe live or recorded provider\-patient interactions, including in\-person, phone, or video encounters. * Enter and update patient information such as medical histories, physical exams, assessment plans, and procedures in the Electronic Health Record (EHR). * Document prescribed medications, diagnostic test results, referrals, and discharge instructions as dictated by the provider. * Apply accurate clinical terminology and approved medical abbreviations throughout all entries. * Review and finalize patient charts promptly; flag any incomplete, inconsistent, or unclear documentation for provider attention. **2\. Quality and Compliance** * Ensure all documentation complies with HIPAA and organizational standards. * Follow strict privacy protocols for accessing and transmitting patient information. * Identify inconsistencies or missing elements in documentation and flag them appropriately. * Complete records on time to support accurate billing and continuity of care. **Requirements:**