Complete Guide

What is a Medical Scribe?

Medical scribes document patient encounters so physicians can focus on care. Learn about in-person, virtual, and AI scribe options—plus costs, benefits, and how to choose.

Medical scribe documenting patient encounter

What is a Medical Scribe?

A medical scribe is a healthcare professional who specializes in documenting patient encounters in real-time. While the physician focuses on examining and treating the patient, the scribe captures the clinical information and enters it into the electronic health record (EHR).

Medical scribes emerged as a solution to the documentation burden that came with EHR adoption. Studies show physicians spend 2+ hours on documentation for every hour of patient care. Scribes help reclaim that time, allowing doctors to see more patients, reduce burnout, and actually look at patients instead of screens.

The Documentation Problem

2+ hrs

Documentation time per hour of patient care

62%

Of physicians cite EHR burden as top stressor

4,000+

Mouse clicks per shift for some doctors

Types of Medical Scribes

Medical scribes come in three forms: in-person, virtual, and AI-powered. Each has distinct advantages depending on your practice needs.

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In-Person Scribe

A trained professional who physically accompanies the physician during patient encounters.

PROS

  • Real-time documentation
  • Can assist with tasks
  • Immediate clarification
  • Personal relationship

CONS

  • Highest cost ($2,500-4,000/mo)
  • Scheduling challenges
  • Training required
  • Staff turnover

Best for: High-volume practices, teaching hospitals, complex specialties

$20-30/hour

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Virtual Scribe

Remote scribe who joins visits via video/audio connection and documents in real-time.

PROS

  • Lower cost than in-person
  • No office space needed
  • Flexible scheduling
  • Larger talent pool

CONS

  • Technology requirements
  • Audio quality issues
  • Less personal
  • Latency possible

Best for: Telehealth practices, multi-location practices, cost-conscious providers

$1,500-2,500/month

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AI Medical Scribe

Software that uses AI to automatically transcribe and structure clinical documentation.

PROS

  • Lowest cost (from $50/mo)
  • Available 24/7
  • No training needed
  • Instant notes
  • Scales infinitely

CONS

  • Requires review
  • Learning curve
  • May miss nuance
  • Technology dependent

Best for: Solo practices, cost-sensitive, tech-forward providers, high-volume

From $50/month

Medical Scribe Duties & Responsibilities

Medical scribes handle a wide range of documentation and administrative tasks. Here's what they typically do during a shift.

Documentation

  • Document chief complaint and HPI
  • Record physical exam findings
  • Enter vital signs and measurements
  • Document procedures performed
  • Record assessment and plan
  • Update problem and medication lists

EHR Management

  • Navigate electronic health records
  • Input orders as directed
  • Manage in-basket messages
  • Schedule follow-up appointments
  • Prepare referral letters
  • Update patient demographics

Clinical Support

  • Review prior notes before visits
  • Prepare patient summaries
  • Track quality metrics
  • Assist with prior authorizations
  • Compile information for referrals
  • Flag abnormal results

Benefits of Using a Medical Scribe

Research consistently shows that medical scribes deliver significant ROI for practices of all sizes.

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2-3 hours

More Patient Time

Saved daily on documentation, allowing physicians to see more patients or leave on time.

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10-20%

Increased Revenue

Higher patient volume and better documentation leads to improved reimbursement.

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60%

Reduced Burnout

Of physicians report documentation as a major source of burnout. Scribes alleviate this.

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95%

Better Documentation

Accuracy rates with trained scribes, improving compliance and reducing audit risk.

AI vs Human Medical Scribes

AI scribes are rapidly improving and offer compelling advantages for many practices.

FeatureAI ScribeHuman Scribe
Availability✓24/7, unlimited visitsLimited by schedule/hours
Cost✓From $50/month$1,500-5,000/month
Scalability✓Instant, unlimitedRequires hiring/training
Note SpeedInstant after visitReal-time during visit
Nuance/ContextImproving rapidly✓Excellent understanding
EHR NavigationLimited integration✓Full EHR assistance
Training Required✓None2-4 weeks
Consistency✓Highly consistentVaries by individual

The Verdict

For most practices, AI scribes offer the best value in 2026. They cost 90% less than human scribes, work around the clock, and produce consistent documentation. Human scribes still excel in complex specialties where contextual understanding is critical, or when you need additional EHR support beyond documentation.

Medical Scribe Cost Comparison

Understanding the true cost of each scribe option helps you make the right decision for your practice.

TypeMonthlyAnnualPer Visit

In-Person Scribe

Includes salary, benefits, training, turnover costs

$3,000-5,000$36,000-60,000$15-25

Virtual Scribe

Service contract, no benefits/training costs

$1,500-2,500$18,000-30,000$8-15

AI Scribe (PatientNotes)Best Value

Cheapest AI scribe, unlimited visits included

From $50$600/year<$1

AI Scribe (Others)

Varies by provider, may have visit limits

$99-300$1,200-3,600$1-3

Try an AI Medical Scribe Today

PatientNotes uses AI to automatically document your patient encounters. Just talk naturally—we'll generate the note.

$50

/month (annual)

Cheapest AI scribe

Unlimited

visits included

7 days

free trial

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No credit card required • HIPAA compliant • Cancel anytime

Frequently Asked Questions

What is a medical scribe?

A medical scribe is a trained professional who assists physicians by documenting patient encounters in real-time. They enter information into the electronic health record (EHR) during patient visits, allowing doctors to focus on patient care rather than typing. Scribes can work in-person, virtually, or be AI-powered software.

How much does a medical scribe cost?

In-person medical scribes cost $20-30/hour or $2,500-4,000/month for a full-time employee. Virtual scribe services range from $1,500-2,500/month. AI medical scribes are the most affordable—PatientNotes starts at just $50/month on the annual plan, making it the cheapest AI scribe on the market with unlimited visits included.

What are the benefits of using a medical scribe?

Medical scribes help physicians see more patients, reduce documentation time by 2-3 hours daily, decrease burnout, improve work-life balance, and often increase revenue by 10-20%. They also improve documentation quality and allow physicians to maintain eye contact with patients during visits.

What is an AI medical scribe?

An AI medical scribe is software that uses artificial intelligence and speech recognition to automatically generate clinical documentation from physician-patient conversations. It listens to the encounter, transcribes the conversation, and produces structured notes in formats like SOAP notes. AI scribes work 24/7, require no training, and cost significantly less than human scribes.

Do I need HIPAA compliance for medical scribes?

Yes, all medical scribes must be HIPAA compliant. In-person and virtual scribes must sign BAAs and complete HIPAA training. AI scribe software must be HIPAA compliant with encrypted data storage and transmission. Always verify HIPAA compliance before using any scribe service.

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