United States

An AI scribe built for US clinical documentation

Ambient SOAP drafting with ICD-10 and CPT suggestions — designed for how US clinicians actually chart.

United States clinicians face a documentation load unmatched anywhere else in the world — E/M coding requirements, MIPS reporting, prior authorization narratives and medico-legal scrutiny all funnel through the clinical note. ScribeMDPro's ambient AI produces a structured SOAP note within seconds of a visit ending, complete with suggested ICD-10 and CPT codes for clinician review. It's not a replacement for coding judgement; it's an accelerant, giving physicians a defensible starting draft that can be edited and signed rather than composed from scratch at 8pm.

Documentation challenges we solve

  • E/M documentation requirements make free-text notes long and prescriptive
  • After-hours pyjama-time charting is a leading driver of physician burnout
  • Prior authorization narratives require clinical context that is easy to lose after the visit

What clinicians gain

  • Suggests ICD-10 and CPT codes justified by the transcript — clinician reviews and edits
  • Cuts pyjama-time by generating a defensible draft during the visit itself
  • Works across primary care, urgent care, specialty and telehealth settings

How it works

  1. Step 1
    Sign up from anywhere in the United States

    Create your ScribeMDPro account in minutes — no local IT team required.

  2. Step 2
    Record in the clinic language

    Ambient capture handles English plus common regional languages spoken in the exam room.

  3. Step 3
    Get a structured SOAP note

    Formal clinical English notes generate seconds after the visit ends.

  4. Step 4
    Export to your local EMR

    Copy, download PDF, or push through supported integrations for your health system.

Frequently asked questions

Is ScribeMDPro HIPAA-aligned?

Yes. Data handling follows HIPAA-aligned principles: encryption in transit, no reuse of PHI for model training, and access limited to your authenticated account.

Can it produce codes I can bill from?

Suggested ICD-10 and CPT codes are provided for clinician review — final coding is always the clinician's responsibility, as with any assistive tool.

Does it work with Epic or Athena?

Notes can be copied into any EMR that accepts rich text; native integrations are on the roadmap.

What about telehealth visits?

Ambient capture works over a laptop or phone microphone during a video visit — no extra plugin required.

Related pages

Try ScribeMDPro on your next visit

Start free — no credit card, no install. Sign up in under a minute and record your first ambient SOAP note today.