Mercy Cedar Rapids·Mount Vernon, Washington
The clinical scribe facilitates patient care by providing real-time charting and documentation in the electronic medical record during clinic visits. They also assist providers with patient preparation, diagnostic procedures, and managing patient communications regarding test results and medications.
Scheduled Weekly Hours: 0
This position supports Mercy’s philosophy of patient centered care by facilitating the delivery of health care services by providing knowledgeable support to the physician or provider in all aspects of patient care. This includes all interactions with patients and their families; in person during the clinic visit, telephonically and electronically. In addition, this position provides real-time charting, ensuring an accurate and completed medical record for each patient visit.
Job Duties
Prepares the progress note for the patient visit by manually bringing in provider-built EPIC documentation tools for the following sections: history of present illness, review of system, physical exam, assessment and plan. Ensures health maintenance section (including quality reporting measures) and immunizations are up to date.
Rooms and prepares the patient for examination. This includes reviewing histories, allergies, medications, reason for visit and taking vitals.
Per established standing orders of provider, orders/administers injections, orders/collects specimens for lab testing (ex. Rapid strep tests) and performs phlebotomy as needed. Provides test results as directed by Provider.
Populates patient-reported information into provider-built EPIC documentation tools for the specific disease states and preventative visits.
Communicates a summary of the patient-reported information to the provider prior to entry of the room or within the room with the patient present.
Accurately and thoroughly documents the encounter with the patient as it is being performed by the provider, which may include documentation in the following sections: problem list, history of present illness, review of systems, physical exam, assessment and plan, procedures and treatments performed by team, patient education, orders, medications, referrals, explanations of risks and benefits, and instructions for self-care and follow-up. Identify the portions of the encounter that were scribed on behalf of the provider using the scribe signature per policy.
Provides patient instruction using pre-approved patient education materials specific to the chief complaint or for the health promotion of observed behaviors known to contribute to poor health, as directed by the provider
Prints after visit summary and completes discharge of patient from exam room. This may include scheduling a follow-up appointment, providing referral information or scheduling patients for testing procedures and providing instructions.
Manages phone calls to patients regarding test/lab results and provides appropriate instruction for treatment, as directed by the provider.
Processes medication requests/changes/refills per established written protocols. This includes having knowledge of medications, including basic dosages, side effects and interactions.
Provides assistance with diagnostic procedures (ex. EKGs) and treatments (ex. Nebulizer treatments) as directed by the provider. This includes obtaining specimens, labeling and disposition to the laboratory and explaining diagnostic procedures to patient as needed.
Prepares the exam and treatment rooms, including instrument, supplies and protective devices for exam and testing.
Performs other duties as assigned.
Follows Mercy's safety guidelines, carries out job-specific safety duties and responsibilities, and promptly reports any unsafe conditions, situations, incidents and injuries.
Registered Nurse
Current certification in Basic Life Support (BLS), in accordance with the American Heart Association required.
Iowa Dependent Adult Abuse and Iowa Child Abuse Mandatory Reporter Training required. Employee must submit certification of completed training to Human Resources prior to start or transfer date.
Mercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.
Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.
Candidates must be a Registered Nurse with current BLS certification and mandatory reporter training. Preferred qualifications include three to five years of relevant experience and proficiency in medical terminology and clinical documentation.
Market context
In Washington, clinical scribe and documentation-support roles are often competitive because clinics value candidates who can move quickly, use medical terminology accurately, and support providers with clean, timely charting. For this role, the strongest fit is a Registered Nurse with current BLS, mandatory reporter training, and experience in clinical documentation; the platform’s job requirements and benefits are AI-summarized from the original posting, saving you research time. Before applying, review the clinic’s documentation workflow and be ready to show how your experience supports accurate, efficient charting.
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