Job Description
We are a busy surgical podiatry and wound care practice seeking a highly skilled medical scribe / clinical documentation specialist to assist with structured SOAP note documentation inside NextGen EHR.
This is a long-term role for someone comfortable with specialty surgical documentation, wound care terminology, and structured templates
Responsibilities
• Convert physician dictation into structured, high-quality SOAP notes
• Follow established templates for wound care, surgical, and post-operative visits
• Accurately document procedure details (e.g., debridement, tendon repair, grafts)
• Include appropriate clinical reasoning and MDM support language
• Ensure documentation supports CPT/ICD coding standards
• Enter notes directly into NextGen (preferred) or draft for review
• Assist with chart prep and post-visit documentation tasks
Required Qualifications
• Prior experience as a medical scribe (specialty preferred)
• Strong understanding of SOAP documentation
• Comfortable with surgical terminology
• Experience with wound care documentation is a major plus
• Familiarity with CPT / ICD documentation concepts
• Detail-oriented and fast turnaround
• HIPAA-compliant and professional
Please include examples of prior medical documentation experience and specify which EMRs you have worked with.