Medical Documentation Jobs (NOW HIRING)

Required Experience:  

Medical Scribe: 

• Strong proficiency in English composition, including spelling, grammar, punctuation, and oral communication. 
• Ability to listen to complex medical information and summarize it clearly, completely, and concisely. 
• Understanding medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment protocols. 
• Ability to interpret and expand medical abbreviations appropriately. 
• Strong reasoning and analytical skills, with the ability to apply logic, use reference materials, and problem-solve independently. 
• Proficient computer skills, including Microsoft Word, Excel, email, and internet research. 
• Ability to learn and use Electronic Medical Record (EMR) and transcription systems efficiently. 
• Strong attention to detail and ability to type quickly and accurately. 
• Familiarity with cosmetic and reconstructive procedures preferred. 
• Excellent interpersonal skills and professionalism in all interactions. 

Social Media Support: 

• Experience creating or supporting social media content across platforms such as Instagram or TikTok. 
• Strong written communication skills with the ability to adapt tone for professional and public-facing audiences. 
• Comfort working in a clinical environment while maintaining professionalism and discretion when capturing or supporting content. 

Key Responsibilities:  

Medical Scribe 

• Accurately and thoroughly document all components of medical visits and procedures as performed by the physician. 
• Record patient medical history, physical examinations, procedures, treatments, and education provided by healthcare professionals. 
• Document physician-dictated diagnoses, prescriptions, and follow-up instructions. 
• Prepare referral letters and operative reports as directed by the physician. 
• Perform clerical tasks including faxing, phone calls, and coordination of referrals as assigned. 
• Identify and correct inconsistencies or errors in medical documentation; ensure all addenda are reviewed and signed by the physician. 
• Record all clinical data, test results, and physician interpretations accurately in the medical record. 
• Alert the physician when charts or documentation are incomplete. 
• Maintain strict compliance with HIPAA standards and confidentiality of all patient information. 
• Attend required training sessions related to IT systems, HIPAA, billing, coding, and compliance. 
• Proofread and edit all physician documentation for accuracy, spelling, grammar, and formatting. 
• Quickly learn and adapt to new processes, technologies, and compliance requirements. 
• Demonstrate flexibility with scheduling and workflow demands as needed. 

Social Media Support 

• Support physician social media and digital presence through the creation, editing, and production of approved content, in alignment with organizational branding, professional standards, compliance, and patient privacy requirements. 
• Shadow the physician and clinical team, as appropriate and approved, to capture content while maintaining professionalism in a clinical setting. 
• Assist with filming and content capture for approved platforms, including Instagram and TikTok. 
• Track and report basic engagement metrics and content performance, as requested. 
• Balance clinical documentation and social media responsibilities in alignment with scheduling priorities and operational needs, with clinical documentation taking precedence. 

Disclaimer 

This role is primarily a clinical support position, with core responsibilities centered on accurate, real-time medical documentation and compliance. Social media responsibilities are integrated into the role but must not interfere with patient care, clinic flow, documentation accuracy, or regulatory requirements. All social media activities must be pre-approved, compliant with HIPAA and organizational policies, and conducted only during designated times as determined by leadership. Clinical responsibilities will always take priority, and social media duties may be modified, reassigned, or discontinued based on operational needs. 

Education Requirement:  

• High school diploma or GED required 

Preferred:

• Current enrollment in or completion of one of the following
  • Pre-med/ pre-PA/ pre-NP/ pre- health program
  • Nursing program
  • Medical Assistant program
  • Health Sciences/ Biology/ Public Health
  • Medical Scribe Certification (Optional)

Location: Weekday hybrid scheduled with predetermined hours. Position alternates between Babylon and Garden City locations.