CPT-11084 Medical Scribe / Physician Documentation Assistant

20four7VA

📍 RemoteVA / AdminFull-TimeOutsource

About the role

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Title: Independent Contractor – CPT-11084 Medical Scribe / Physician Documentation Assistant/Business Support/Advanced Level (Remote).
Overview
20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia.
We are seeking a highly experienced Medical Scribe / Physician Documentation Assistant to support a physician with clinical documentation, patient record management, and medical note preparation. A strong medical background is required, with preference given to licensed Medical Doctors due to the complexity and accuracy required in this role.
The ideal candidate must be able to accurately interpret clinical information, understand medical terminology, and efficiently create comprehensive patient progress notes within an Electronic Medical Record (EMR) system with minimal supervision. This role requires strong clinical judgment, speed, accuracy, and the ability to work in a fast-paced medical environment.
The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.
Scope of Services
Contractors will be required to provide services that align with the following client tasks:
Clinical Documentation Support
  • Assist the physician with daily patient documentation and progress notes.
  • Accurately transcribe and organize physician dictations.
  • Prepare structured and complete clinical notes for patient records.
  • Ensure all documentation is medically accurate and professionally formatted.
  • Draft assessment and plan content based on the clinical information reviewed for physician validation
  • Ensure information documented in the subjective section is appropriately reflected in the assessment and plan
  • Incorporate relevant findings from nursing and skin assessments, including behavior changes, medical events, acute changes, wounds, ulcerations, or changes in medical condition, into the appropriate sections of the clinical note
  • Complete assigned clinical documentation within 24 hours to maintain the expected workflow and turnaround time
Patient Record Review & Summarization
  • Review and summarize patient concerns and clinical objectives.
  • Analyze vital signs, lab results, and diagnostic data.
  • Review nursing progress notes and incident reports.
  • Track specialist consults, follow-ups, and pending appointments.
  • Maintain clear and organized patient summaries for physician review.
  • Review previous progress notes, HPI, laboratory results, medications, vitals, and orders to identify relevant clinical information for current documentation
  • Compare relevant laboratory results and identify changes or trends that should be reflected in the assessment and plan
  • Review nursing and skin assessments for relevant changes or events and determine information requiring incorporation into the patient record
  • Review clinical information from the current day and/or previous day to ensure relevant developments are captured in the physician documentation
EMR System Management
  • Navigate and update patient records within the PCC EMR system.
  • Ensure all entries are accurate, complete, and properly categorized.
  • Maintain structured documentation across patient charts.
  • Support ongoing EMR workflow efficiency and accuracy.
  • Work across multiple PCC locations using the appropriate login for each location
Real-Time Clinical Support
  • Assist the physician during rounding when real-time documentation is required.
  • Capture and organize clinical updates during patient interactions.
  • Support fast-paced decision-making with accurate documentation.
Compliance & Communication
  • Maintain strict HIPAA compliance and patient confidentiality at all times.
  • Collaborate with the physician through Microsoft Teams and other communication tools.
  • Ensure all communication and documentation follow medical and legal standards.
Each engagement is based on a defined scope of work and is governed by an independent contractor agreement. Services must be performed professionally, with adherence to any timelines, guidelines, and deliverables agreed upon in writing.
Skills
The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:
  • Strong clinical background with experience in medical documentation.
  • Deep understanding of medical terminology, patient care workflows, and clinical processes.
  • Experience using Electronic Medical Record (EMR) systems is required.
  • Ability to accurately interpret physician dictation with minimal supervision.
  • Ability to accurately update labs, medications, vitals, and dates of service.
  • Strong attention to detail and a high level of accuracy.
  • Ability to work quickly and efficiently while maintaining quality and productivity.
  • Excellent written English communication skills.
  • Ability to work independently, take ownership of assigned tasks, and manage responsibilities with minimal supervision.
  • Ability to work effectively in a high-pressure medical environment.
  • Prior experience as a Medical Scribe or Clinical Documentation Specialist is a strong advantage.
  • Familiarity with patient rounding workflows is preferred.
  • Ability to synthesize information from multiple areas of a patient chart and connect relevant findings to the assessment and plan
  • Ability to compare laboratory results and recognize relevant changes or trends for documentation purposes
  • Ability to identify and incorporate relevant findings from nursing and skin assessments into physician documentation
  • Ability to meet a 24-hour documentation turnaround expectation
IDEAL CANDIDATE
  • Highly proactive, organized, and detail-oriented.
  • Able to work with urgency in a fast-paced clinical environment.
  • Strong critical thinking and comprehension of medical data.
  • Requires minimal training due to advanced medical knowledge.
  • Professional, dependable, and capable of maintaining strict confidentiality.
  • Able to independently review the patient chart comprehensively and determine which information is relevant to the physician’s current assessment and plan
  • Able to connect clinical findings, laboratory results, orders, and nursing observations when preparing documentation for physician review
  • Comfortable working across multiple patient locations within the EMR while maintaining accurate documentation
APPLICATION SOFTWARE KNOWLEDGE / REQUIRED TOOLS
Category
Tools / Platforms
EMR System
PCC EMR (or similar systems)
Communication
Microsoft Teams
Documentation
EMR charting systems, clinical documentation tools
Clinical Data
PCC EMR
Lab results, patient records, medical reports
Ability to work across multpile locations/accounts or logins
Work Schedule
  • Contracted Hours per Week: 30 Hours
  • Scheduled Working Days: Thursday through Monday (unless otherwise mutually agreed in writing)
  • Daily Working Time: 8:00 AM-2:00 PM Pacific time
Note: The Company will make reasonable efforts to align the Assigned VA’s schedule with the Client’s preferred hours as set forth above. However, availability may vary based on time zones, capacity, and the contracted hours set in this SOW. Any changes must be mutually agreed to in writing through a revised SOW.
Terms of Engagement
  • Contractors will operate under a Master Services Agreement and a Statement of Work
  • This is not an offer of employment; contractors are not employees of 20four7VA or any client
  • All compensation is processed through 20four7VA according to the terms of the engagement
Role Summary & Requirements
  • REQUIRED SERVICE: Business Support
  • REQUESTED EXPERIENCE TIER LEVEL: Advanced Level
  • Contracted Hours per Week: 30 hours/week
  • Daily Working Time: 8:00 AM - 2:00 PM Pacific time
  • Scheduled Working Days: Thursday-Monday
  • REPORTING TO/POC: To Be Determined
  • Number of VAs: 1
  • GENDER PREFERENCE: None
  • LANGUAGES SPOKEN/PREFERENCE: English
  • ACCENT PREFERENCE: Neutral
  • REGION PREFERENCES: Any
What we offer
  • Competitive rates
  • Weekly payments
  • Various open roles are available
  • Free training and upskilling
  • Constant support and guidance
  • A vibrant community always ready to support you
  • And more!

How to apply

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