About this role

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

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

Senior Medical Scribe – Clinical Documentation Virtual Assistant

Key skills