Medical Scribe: Job Duties, Skills and Salary 2025

What Does a Medical Scribe do?

A Medical Scribe is responsible for documenting patient encounters in real-time, allowing healthcare providers to focus more on patient care.

They work closely with physicians and other healthcare professionals to accurately record patient histories, physical exams, diagnoses, treatment plans, and follow-up instructions. Medical Scribes ensure that all clinical data is entered into the electronic health record (EHR) system efficiently and accurately. They play a crucial role in improving the workflow of healthcare facilities by reducing the administrative burden on physicians, allowing for more timely and effective patient care.

Their work is essential in maintaining accurate and comprehensive medical records, which are critical for patient care, legal documentation, and healthcare billing.

Key Duties & Responsibilities

Medical Scribes in the Healthcare field handle essential tasks and contribute significantly to achieving team and organizational goals. Here are some of their primary responsibilities:

• Document patient encounters in real-time during medical exams and procedures.
• Record patient histories, physical exams, diagnoses, and treatment plans in the EHR system.
• Assist physicians with charting and documentation tasks, allowing them to focus on patient care.
• Ensure that all clinical data is accurately entered and updated in the patient’s medical records.
• Prepare and organize medical documentation for review and approval by healthcare providers.
• Follow up on medical orders and ensure that patient follow-up instructions are documented correctly.
• Maintain patient confidentiality and adhere to HIPAA regulations and healthcare standards.
• Collaborate with healthcare teams to streamline documentation processes and improve efficiency.

How to Become a Medical Scribe

Launching a career as a Medical Scribe requires a specific education. We outline the essential qualifications, skills, and steps to enter this field.

Qualification

• High school diploma or equivalent; some employers may prefer post-secondary education in a healthcare-related field.
• Experience in a medical or healthcare setting is beneficial, particularly in medical documentation.
• Familiarity with medical terminology, anatomy, and electronic health records (EHR) systems.
• Strong typing skills and attention to detail for accurate documentation.
• Basic understanding of healthcare regulations, including HIPAA, is advantageous.

Requirements & Skills

• Excellent written and verbal communication skills to document patient information accurately.
• Strong organizational skills and the ability to manage multiple tasks in a fast-paced environment.
• Ability to work closely with healthcare providers and follow detailed instructions.
• Proficiency in using computers, EHR systems, and medical documentation software.
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare.

Medical Scribe Salary Guide

Wondering what Medical Scribes earn? Explore salary ranges by experience, and career tips to maximize your earning potential.

The average salary for a Medical Scribe in the U.S. is approximately $38,000 per year and can vary from entry-level to senior positions. Medical Scribes may receive a wide range of benefits.

Medical Scribe Salary Career Steps