Remote Medical Scribe / Clinical Documentation Specialist - Pain Management - eCW Preferred

Genesis Pain Clinic is a US-based interventional pain management clinic looking for a full-time Remote Medical Scribe / Clinical Documentation Specialist.

This is a live, synchronous, camera-on clinical documentation role.

This is not a general VA role.
This is not an entry-level admin role.
This is not asynchronous transcription.
This is not just typing after the visit.

You will work directly with the physician during real patient encounters and help document clear, accurate, medically appropriate notes inside eClinicalWorks.

We are looking for a long-term tea ---------- mber who can become the physician's clinical documentation partner.

--------------------------------------------------
SCHEDULE
--------------------------------------------------

Monday-Friday
9:00 AM-5:00 PM US Central Time
40 hours per week

This is an overnight/graveyard shift in the Philippines.

Approximate Philippines schedule:
10:00 PM-6:00 AM during US daylight saving time
11:00 PM-7:00 AM during US standard time

Important schedule note:

This role requires a stable overnight work routine. Please apply only if you have successfully worked night shift/graveyard shift before, or if you are confident you can maintain this schedule long term.

We respect that night work is difficult. Because this role requires significant training, please do not apply if you are actively looking for a daytime job, cannot maintain a night schedule, or expect to leave after a short period.

We are looking for someone who can reasonably commit to at least 6 months.
A 12-month commitment is preferred.

--------------------------------------------------
PAY
--------------------------------------------------

$6.50-$8.50 USD per hour depending on verified experience.

Higher pay may be considered for a candidate with strong experience in:

- Live medical scribing
- eClinicalWorks
- Pain management
- PM&R / orthopedics / spine
- Psychiatry or behavioral health documentation
- Workers' Compensation evaluations
- Independent Medical Evaluations
- Prior authorizations
- Medical record review

Performance review may be considered after 90 days.

--------------------------------------------------
ABOUT THE ROLE
--------------------------------------------------

You will assist the physician during live patient encounters.

Your primary job is to create accurate, organized, medically useful documentation.

You will help document:

- Chief complaint
- History of present illness
- Past medical history
- Past surgical history
- Medication reconciliation
- Allergies
- Social history when relevant
- Review of systems when relevant
- Physical exam findings
- Imaging and diagnostic history
- Prior treatment history
- Assessment / medical diagnoses
- Treatment plan
- Medication plan
- Procedure plan
- Follow-up plan
- Medical necessity support

You must be able to listen carefully, understand clinical information, and turn the encounter into a clean note that the physician can quickly review, edit, and sign.

--------------------------------------------------
WHO WE ARE LOOKING FOR
--------------------------------------------------

The ideal candidate may have a background as a:

- Experienced medical scribe
- Registered Nurse
- Physical Therapist
- Pharmacist
- Physician / medical graduate
- Medical Technologist
- Healthcare BPO professional with clinical documentation experience
- Medical transcriptionist with live scribing experience
- Clinical documentation specialist

A license is not strictly required.

Strong clinical understanding, excellent English, fast typing, accuracy, professionalism, and ability to learn the physician's documentation style are more important than the title alone.

--------------------------------------------------
REQUIRED EXPERIENCE
--------------------------------------------------

Please apply only if you have most of the following:

- At least 1 year of medical scribing or clinical documentation experience
- Strong medical terminology
- Strong written English
- Strong spoken English
- Ability to understand fast physician-patient conversations
- Ability to document HPI, exam, assessment, and plan
- Typing speed of at least 60 WPM preferred
- Comfortable working live during patient visits
- Comfortable being on camera during clinical encounters
- Comfortable using templates, macros, favorites, and structured notes
- Strong computer skills
- Ability to use dual monitors
- Ability to navigate multiple tabs and systems at the same time
- Reliable wired internet
- Backup internet
- Backup power source
- Quiet private workspace
- HIPAA-level confidentiality

--------------------------------------------------
STRONGLY PREFERRED EXPERIENCE
--------------------------------------------------

Strong preference will be given to candidates with experience in:

- eClinicalWorks
- Pain management
- PM&R
- Orthopedics
- Spine care
- Neurology
- Psychiatry or behavioral health
- Medication reconciliation
- Prior authorizations
- Medical necessity documentation
- Workers' Compensation evaluations
- Independent Medical Evaluations
- Personal injury documentation
- Medical record summaries
- Imaging review summaries
- Procedure documentation
- Template creation or template modification

--------------------------------------------------
PAIN MANAGEMENT DOCUMENTATION
--------------------------------------------------

Pain management experience is a major advantage.

You should be comfortable learning or documenting issues such as:

- Neck pain
- Low back pain
- Radiculopathy
- Spinal stenosis
- Facet-mediated pain
- Sacroiliac joint pain
- Joint pain
- Myofascial pain
- Neuropathy
- Fibromyalgia
- CRPS
- Headache / migraine
- Chronic pain medication management
- Opioid risk documentation
- Failed conservative care
- Physical therapy history
- Imaging correlation
- Functional limitations
- Prior injections and response
- Medical necessity for procedures

Examples of procedures we perform or discuss may include:

- Epidural steroid injections
- Medial branch blocks
- Radiofrequency ablation
- SI joint injections
- Trigger point injections
- Large joint injections
- Ultrasound-guided procedures
- Fluoroscopy-guided procedures
- Medication management
- Ketamine-related care when applicable

--------------------------------------------------
PSYCHIATRY / BEHAVIORAL HEALTH DOCUMENTATION
--------------------------------------------------

Psychiatry or behavioral health experience is helpful.

You should be comfortable documenting relevant history related to:

- Depression
- Anxiety
- PTSD
- Sleep problems
- Mood symptoms
- Functional impairment
- Medication history
- Treatment response
- Safety concerns when discussed by the provider

You are not making psychiatric decisions.
You are documenting accurately under physician direction.

--------------------------------------------------
WORKERS' COMPENSATION / IME EXPERIENCE
--------------------------------------------------

Workers' Compensation or Independent Medical Evaluation experience is strongly preferred.

Helpful experience includes documenting or summarizing:

- Date of injury
- Mechanism of injury
- Work status
- Job duties
- Restrictions
- Prior treatment chronology
- Imaging history
- Procedure history
- Medication history
- Functional limitations
- MMI-related information
- Impairment-related information
- Causation-related history
- Record review summaries
- Contradictions or missing records

You are not expected to make legal or medical conclusions.
You are expected to organize the facts clearly for physician review.

--------------------------------------------------
eCLINICALWORKS EXPERIENCE
--------------------------------------------------

eClinicalWorks experience is strongly preferred.

You should ideally be comfortable with:

- Navigating patient charts
- Reviewing prior notes
- Reviewing medications
- Updating medication lists
- Updating allergies
- Using templates
- Creating or modifying templates
- Creating favorites
- Using structured data when possible
- Drafting HPI, exam, assessment, and plan
- Uploading or organizing records
- Managing orders under provider direction
- Preparing notes for physician review
- Avoiding copy/paste errors
- Avoiding outdated or inaccurate template language

If you do not know eClinicalWorks but have strong medical scribing experience, you may still apply. However, eCW experience is a major advantage.

--------------------------------------------------
LIVE CAMERA REQUIREMENT
--------------------------------------------------

This is a synchronous live clinic role.

During patient encounters and active clinic sessions, you must be on camera and attentive so you can follow the visit, observe the physician's exam instructions, and document accurately.

This is important because the physician may ask you to capture physical exam findings, update the plan, locate prior records, or clarify documentation in real time.

You must be comfortable with professional video presence during the shift.

--------------------------------------------------
IMPORTANT DOCUMENTATION RULES
--------------------------------------------------

You must never invent information.

You must not invent:

- Physical exam findings
- Diagnoses
- Patient symptoms
- Medication use
- Procedure response
- Medical decision-making
- Treatment plan
- Work restrictions
- Functional limitations

You document what the patient says, what the physician says, what the physician observes, and what the physician directs.

The physician reviews and signs the note.

Accuracy is more important than speed.

--------------------------------------------------
SECONDARY CLINICAL ADMIN TASKS
--------------------------------------------------

When patient volume is lower, you may also help with clinical admin tasks such as:

- Prior authorizations for medications or procedures
- Gathering medical records
- Requesting imaging reports
- Organizing outside records
- Summarizing records
- Preparing visit charts
- Preparing medical chronologies
- Uploading documents
- Faxing records
- Tracking missing records
- Helping improve templates
- Helping create structured documentation workflows

Prior authorization experience is preferred but not required on day one.

--------------------------------------------------
TECHNICAL REQUIREMENTS
--------------------------------------------------

You must have:

- Reliable computer
- Dual monitors preferred
- Wired internet preferred
- Stable high-speed internet
- Backup internet
- Backup power source
- Professional headset
- Quiet private workspace
- Webcam
- Ability to use Microsoft Teams or similar video platform
- Ability to use Time Doctor or other time tracking if required

--------------------------------------------------
CONFIDENTIALITY / HIPAA
--------------------------------------------------

This role involves access to sensitive medical information.

You must follow strict confidentiality rules.

You may not:

- Discuss patient information outside work
- Save patient information to your personal computer
- Upload patient information to personal Google Drive, Dropbox, email, or messaging apps
- Upload patient information to ChatGPT, Gemini, Claude, or any outside AI tool without written approval
- Share logins
- Allow another person to view patient encounters
- Record patient visits
- Take screenshots unless specifically approved
- Subcontract the work

A confidentiality agreement and HIPAA/BAA may be required before access is granted.

--------------------------------------------------
FULL-TIME DEDICATED ROLE
--------------------------------------------------

This is a full-time role during scheduled clinic hours.

During paid working time, you may not:

- Work for another client
- Work for another agency
- Monitor another client's messages
- Keep another work laptop open
- Attend another client's meetings
- Run another time tracker
- Subcontract your work
- Share logins

This role requires real-time attention during live patient encounters.

It is not compatible with double-jobbing, overemployment, mouse jigglers, fake activity, or time padding.

--------------------------------------------------
WHAT SUCCESS LOOKS LIKE
--------------------------------------------------

A successful scribe will be able to:

- Listen carefully during live visits
- Capture accurate HPI details
- Reconcile medications accurately
- Document physical exam findings only as directed
- Draft clean assessment and plan sections
- Understand pain management terminology
- Understand common medications
- Understand basic psychiatry and behavioral health terminology
- Summarize outside records clearly
- Flag missing documentation
- Improve templates over time
- Communicate professionally with the physician
- Ask smart questions when something is unclear
- Finish notes quickly for physician review
- Reduce the physician's documentation burden

--------------------------------------------------
DO NOT APPLY IF
--------------------------------------------------

Please do not apply if:

- You cannot work the overnight/graveyard shift in the Philippines
- You are looking for a daytime job
- You cannot commit to at least 6 months
- You are not comfortable being on camera during live clinic encounters
- You only want transcription work after visits
- You do not have strong English writing skills
- You cannot type quickly and accurately
- You do not understand medical terminology
- You are not comfortable with pain management or psychiatry documentation
- You are not comfortable with eClinicalWorks or learning EHR workflows
- You cannot maintain confidentiality
- You plan to work another job during our shift
- You need constant step-by-step instruction after training
- You are not willing to complete a live documentation test

--------------------------------------------------
SELECTION PROCESS
--------------------------------------------------

Qualified applicants may be asked to complete:

- Written screening questions
- Typing test
- Short video interview
- Live documentation exercise
- Medical terminology test
- eClinicalWorks navigation screen-share if applicable
- Paid trial shift
- 30-day probationary period
- 90-day performance review

We are not hiring based only on interview confidence.

We are hiring based on live documentation skill, clinical understanding, communication, reliability, night-shift readiness, and ability to learn our documentation style.

--------------------------------------------------
HOW TO APPLY
--------------------------------------------------

Your application will only be considered if you follow these instructions.

The first line of your application must be:

PAIN SCRIBE NIGHT SHIFT

Then answer these questions:

1. How many years of medical scribing or clinical documentation experience do you have?

2. What specialties have you scribed for?
Examples: pain management, PM&R, orthopedics, spine, neurology, psychiatry, primary care, urgent care, ER, cardiology, etc.

3. Have you worked as a live real-time scribe during patient encounters, or only as a transcriptionist after visits?

4. What EHR/EMR systems have you used?
Please specifically mention if you have used eClinicalWorks.

5. What is your typing speed in WPM?
Please include a recent typing test result if available.

6. What is your healthcare background?
Examples: RN, PT, Pharmacist, Physician/medical graduate, Medical Technologist, Healthcare BPO, Medical Transcription, Medical Assistant, etc.

7. Describe your experience documenting:
- HPI
- Physical exam
- Assessment
- Treatment plan
- Medication reconciliation

8. Describe your experience with pain management, spine, orthopedics, PM&R, or neurology.

9. Describe your experience with psychiatry or behavioral health documentation, if any.

10. Describe your experience with Workers' Compensation evaluations, Independent Medical Evaluations, or medical record summaries, if any.

11. Have you helped with prior authorizations, medication authorizations, procedure authorizations, referrals, or gathering medical records?

12. Have you created or modified templates, macros, favorites, or structured data inside an EHR?

13. Have you worked graveyard shift/night shift in the Philippines before?
If yes, how long did you do it successfully?

14. Confirm that you can work Monday-Friday, 9:00 AM-5:00 PM US Central Time, which is overnight in the Philippines.

15. Confirm that you can reasonably commit to at least 6 months if selected.

16. Confirm that you are comfortable being on camera during live patient encounters and active clinic sessions.

17. Confirm that you have stable internet, backup internet, backup power, headset, webcam, and a quiet private workspace.

18. Are you currently working for any other client, employer, agency, or freelance project?
If yes, list your exact schedule and confirm whether it overlaps with our clinic hours.

19. What is your requested hourly rate in USD?

20. Why are you the right person to become the physician's long-term remote medical scribe?

--------------------------------------------------
MINI TEST QUESTION
--------------------------------------------------

A patient presents for chronic low back pain radiating down the right leg. The patient reports pain for 8 months, failed physical therapy, tried NSAIDs and gabapentin, had an MRI showing lumbar disc herniation, and previously had an epidural steroid injection with 70% relief for 6 weeks.

The physician performs a focused spine exam and discusses repeat lumbar epidural steroid injection.

Write a short sample note outline showing what you would document under:

- HPI
- Relevant past treatment
- Medication reconciliation items you would confirm
- Physical exam items you would wait for the physician to state
- Assessment
- Treatment plan
- Medical necessity details
- Prior authorization or records needed