AI summary: Senior Medical Scribe creates SOAP notes, H&P documentation, and patient charts for healthcare providers while managing clinical records across multiple systems.
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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.
A Nurse Practitioner serving multiple skilled nursing facilities is seeking a highly detail-oriented Medical Scribe & Clinical Documentation Virtual Assistant to assist with patient charting, SOAP note creation, H&P documentation, and medical record review.
The VA will support the provider by gathering patient information from multiple systems, reviewing prior patient documentation, organizing clinical information, and preparing comprehensive patient notes for provider review.
This role requires strong medical terminology knowledge, familiarity with healthcare documentation, and the ability to understand clinical information well enough to create accurate patient notes and assessments.
The ideal candidate will have prior experience as a Medical Scribe, Nurse VA, Physician Assistant Support VA, Medical Documentation Specialist, or similar healthcare support role.
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.
Contractors will be required to provide services that align with the following client tasks:
Create and update SOAP notes for follow-up patient visits
Prepare H&P (History & Physical) notes for new patient admissions
Review prior patient documentation and update notes accordingly
Draft assessment and plan sections based on provider documentation and chart review
Ensure documentation is accurate, organized, and clinically appropriate
Access PointClickCare and other EHR systems to gather:
Vital signs
Medication lists
Recent laboratory results
Medical history
Surgical history
Relevant patient information
Organize and incorporate clinical data into patient documentation
Access provider dictation and notes through Doximity
Review provider observations and clinical comments
Translate dictation into professional medical documentation
Incorporate provider findings into completed patient notes
Access shared patient note repositories
Retrieve previous patient notes from shared folders
Copy and update existing documentation templates as appropriate
Maintain organized patient records and documentation workflows
Follow established documentation standards and templates
Ensure consistency across patient records
Assist with identifying missing information and documentation gaps
Support provider review workflows by preparing notes in advance whenever possible
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.
The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:
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
Prior experience supporting Nurse Practitioners strongly preferred
Clinical background
Strong attention to detail and documentation accuracy
PointClickCare (Preferred)
Doximity
Microsoft OneDrive
Microsoft Teams
Electronic Health Record (EHR) Systems
Medical Documentation Platforms
HIPAA compliance required
Must sign confidentiality and healthcare privacy agreements
Must follow all patient privacy and data protection standards
Secure credential management will be provided through 20four7VA’s IT team and Keeper password management system
VA will access medical systems through approved secure access procedures only
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.