Experienced Medical Scribe - U.S. Pain Clinic - eCW Preferred

We are a physician-led interventional pain management clinic in the U.S. Midwest seeking one experienced remote Medical Scribe and Clinical Documentation Specialist. This is a live, synchronous, camera-on role during real U.S. patient encounters. It is not after-visit transcription, a general VA position, or an entry-level training role.

SCHEDULE AND PAY
- Full time, Monday-Friday, 9:00 AM-5:00 PM U.S. Central Time
- 40 hours per week
- $6.50-$8.50 USD per hour, based on verified experience
- This is an overnight shift in the Philippines and requires a stable long-term night-work routine

REQUIRED QUALIFICATIONS
- At least 1 year of real medical-scribe experience for a U.S. clinic; 2 or more years is strongly preferred
- Live, real-time scribing during patient encounters, not only transcription after visits
- Clinical background as a nurse, physical therapist, or physician/medical graduate, with degree or license information that can be verified
- Fluent spoken English and excellent written English
- Strong medical terminology and ability to document HPI, relevant physical-exam findings as directed, assessment, plan, medications, allergies, prior treatment, imaging, and procedure response
- Strong Microsoft Word, Excel, Outlook, and Teams skills
- Fast and accurate typing; 60 WPM or higher is preferred
- Professional webcam presence, reliable computer, private workspace, primary and backup internet, and backup power
- Ability to work independently, accept feedback, ask focused questions, and avoid invented or copied-forward information

STRONGLY PREFERRED
- Hands-on eClinicalWorks experience
- Pain management, PM&R, spine, orthopedics, neurology, psychiatry, Workers' Compensation, IME, prior authorization, or medical-record-review experience
- Experience creating or improving templates, macros, favorites, or structured documentation

PRIMARY RESPONSIBILITIES
- Document live patient encounters accurately and efficiently
- Prepare organized HPI, relevant history, medication reconciliation, exam findings stated by the physician, assessment, and plan
- Review prior notes, imaging, treatments, and procedure response without carrying forward outdated information
- Flag missing, unclear, or contradictory facts for physician review
- Prepare notes promptly for physician review and signature
- Help with record summaries, prior authorizations, medical records, templates, and other clinical-administrative work when clinic volume allows

DOCUMENTATION AND HIPAA RULES
You must never invent symptoms, findings, diagnoses, medication use, treatment response, medical decision-making, restrictions, or plans. You document only what the patient reports, what the physician observes or states, and what the physician directs.

Do not save patient information to personal devices or accounts. Do not upload patient information to ChatGPT, Claude, Gemini, or any outside AI service without written authorization. Do not record visits, take unapproved screenshots, share logins, or let another person view patient encounters. Do not submit PHI in an application or work sample.

DIRECT INDIVIDUAL HIRE AND DEDICATED SHIFT
We hire only the individual who applies and personally performs the work. We will not hire through an agency, BPO placement firm, staffing company, outsourcing firm, subcontracting team, or substitute-worker arrangement.

Outside work must be disclosed and must not overlap or interfere with this position. During our paid 9:00 AM-5:00 PM Central Time shift, you may not:
- Work for or monitor another employer, client, or agency
- Keep another client's work computer or messages active
- Attend another client's calls or meetings
- Run another time tracker
- Delegate or subcontract work
- Share logins or allow another person to cover the shift
- Use mouse jigglers, fake activity, or time padding

Time Doctor or similar time tracking, screenshots, screen sharing, and daily output reports may be required.

HOW TO APPLY
The first line of your application must be:
PAIN SCRIBE - ECW WORKFLOW

Include:
1. Your current resume.
2. A 60-90 second Loom video with camera on. State your clinical background, years of live U.S. scribing, specialties, and the EHRs you used.
3. Specific answers to every question below:

- List each U.S. clinic where you worked as a live scribe, dates, specialty, and whether encounters were synchronous.
- State whether you are a nurse, physical therapist, or physician/medical graduate, and identify the degree or license that can be verified.
- Which employer used eClinicalWorks, for how long, and what screens, templates, or functions did you personally use?
- Explain how you prevent copy-forward, template, medication, and physical-exam errors.
- State your typing speed and the Microsoft products you use in daily work.
- List every current employer, client, agency, or freelance project, exact hours, and whether any work overlaps this shift.
- Confirm the required Central Time schedule, camera use, private workspace, equipment, backup internet and power, willingness to use time tracking, and requested hourly rate.

MINI DOCUMENTATION TEST
Use only the facts provided. Do not invent findings.

A patient reports 8 months of low-back pain radiating down the right leg, failed physical therapy, tried NSAIDs and gabapentin, has an MRI showing lumbar disc herniation, and previously obtained 70% relief for 6 weeks from an epidural steroid injection.

Outline:
- HPI
- Prior treatment
- Medication items to confirm
- Physical-exam items that must wait for the physician
- Assessment
- Plan
- Medical-necessity facts
- Authorization records needed

Merely listing eClinicalWorks does not prove working knowledge. Incomplete or generic applications may not be reviewed.