Medical Scribe at Optalis

Omaha, Nebraska, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Aug, 26

Salary

20.0

Posted On

11 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Documentation, Medical Transcription, Medical Terminology, Active Listening, Written Communication, Typing (40-50 WPM), EHR Systems, HIPAA Compliance, Wound Assessment Documentation, Organization

Industry

Description

Medical Scribe Cityscape Healthcare | Nebraska’s Exclusive Independent Wound Care Partner About Us: Cityscape Healthcare is a medical group redefining care. As a participating provider of Methodist Health Partners and Nebraska’s only independent wound care center, we offer a full spectrum of healthcare services—from advanced wound care to chronic condition management and transitional care. Our team combines hands-on clinical expertise and high-quality care directly to the patient—where they live and heal best. Position Overview We are seeking a detail-oriented Medical Scribe to support our provider team in a fast-paced wound care environment. This role is responsible for real-time clinical documentation, ensuring accurate and timely medical records while allowing providers to focus on patient care. Responsibilities: * Provide real-time documentation support during patient visits * Accurately document patient history, physical exam findings, wound assessments and measurements, treatment plans, and provider orders * Maintain pace with clinic flow and document encounters in the order received * Transcribe field provider reports into complete and accurate clinical notes * Follow up with providers to clarify information as needed to ensure documentation accuracy * Ensure all clinical documentation meets required standards and is completed within designated timeframes * Track outstanding documentation items and communicate updates to the Director of Clinical Operations * Maintain strict patient confidentiality and adhere to all HIPAA regulations * Support additional office-based administrative tasks as needed Other duties as assigned What We’re Looking For * High school diploma or equivalent required; coursework in a health-related field preferred * Strong written communication and active listening skills * Ability to type accurately at a minimum of 40–50 WPM * Proficient in computer systems and communication platforms * Highly organized, professional, and self-motivated * Comfortable working with medical terminology, including detailed wound descriptions * Prior experience as a medical scribe or in a clinical documentation role preferred * Familiarity with electronic health record (EHR) systems preferred Compensation & Schedule * Pay: Starting at $18-20/hour * Full-time opportunity with consistent daytime scheduling * Possible travel throughout the Omaha and surrounding areas required Cityscape Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training

Responsibilities

Provide real-time clinical documentation during patient visits, including history, physical exams, and wound assessments. Ensure all medical records are accurate, timely, and compliant with HIPAA regulations.