Ambient AI vs AI Scribe: What’s the Difference?

Commure Team
 | 
May 29, 2025

Learn the difference between AI Scribes and Ambient AI, and how the right solution can streamline workflows and reduce burnout.

The healthcare industry is experiencing a rapid shift in how clinical documentation is handled, driven by mounting pressure to reduce clinician burnout, close revenue gaps, and streamline operations at scale. Traditional approaches like manual note-taking and point-solution scribes no longer meet the demands of modern healthcare delivery.

AI-powered documentation tools have been gaining traction to help relieve that burden. But not all solutions are equal. Two terms frequently used in this space—AI Scribe and Ambient AI—describe fundamentally different approaches. One offers a tactical fix; the other, a platform-level upgrade.

This post breaks down the difference between the two, how each functions, and why more health systems are shifting to ambient AI that integrates deeply with EHRs, ties into revenue workflows, and delivers measurable impact across both the front line and back office.

What Is an AI Scribe?

An AI Scribe is a digital tool that uses speech recognition and natural language processing to generate clinical documentation from doctor-patient conversations. These tools are typically standalone apps that record the visit, transcribe the audio, and produce a draft note for the provider to review and sign.

Most AI Scribes are built to assist only during the visit. They don’t integrate deeply with EHRs, they don’t support pre-visit preparation, and they don’t automate downstream tasks like coding, quality reporting, or referrals. As a result, they operate outside the core clinical and financial systems, requiring providers to make manual edits to ensure accuracy or completeness.

For many health systems, AI Scribes serve as an entry point into ambient-style documentation. But because they are disconnected from broader workflows, they’re difficult to scale and often add parallel processes that limit enterprise-wide impact.

What Is Ambient AI in Healthcare?

Ambient AI in healthcare is technology that automatically generates clinical documentation and supports provider workflows before, during, and after the visit, without requiring manual note-taking.

Unlike AI Scribes, which focus solely on transcription, Ambient AI is designed to support the entire clinical workflow. It integrates directly with the EHR to enable real-time documentation, pre-visit context gathering, and post-visit automation like coding and referrals.

This level of integration turns Ambient AI into more than a documentation tool by drafting notes, surfacing relevant patient data, suggesting codes, and reducing manual overhead for providers. Across the industry, clinicians using ambient AI tools report time savings of anywhere from 25% in the case of A&A Women's Health to 41% for Dignity Health. Burnout levels are also decreasing, with one industry report noting a 60% drop in self-reported burnout after adoption (which correlates directly to increased retention).

Where AI Scribes offer a point solution, Ambient AI functions as an operational layer that can scale across departments, connect with downstream systems, and drive long-term efficiency across both clinical and financial workflows.

AI Scribe vs. Ambient AI: A Side-by-Side Comparison

Now that we've outlined what each tool does, here’s how they compare directly. The table below breaks down the major differences between AI Scribes and Ambient AI across common decision-making factors:

At Commure, we’ve developed a tiered approach to Ambient AI that gives health systems flexibility based on their needs, workflows, and desired level of support. The chart below outlines the differences between our three tiers so teams can see exactly what each level offers in terms of time savings, automation, and human-in-the-loop services.

Why Ambient AI Is the Right Tool for the Future

The documentation burden isn’t going away, nor is the pressure on health systems to improve efficiency, reduce burnout, and operate with leaner resources. While AI Scribes can help with note-taking, they don’t address the broader workflow challenges. Ambient AI goes further, streamlining documentation and tightly integrating with the systems clinicians already use.

A platform-powered approach to Ambient AI is what unlocks its full potential. When ambient tools are embedded within the EHR and connected to back-office functions like autonomous coding and revenue cycle workflows, they save time while helping to close the loop between documentation, billing, and reimbursement. This end-to-end visibility and automation is essential for health systems trying to scale care while maintaining financial stability.

If your organization is still relying on narrow scribe tools, it may be time to evaluate whether they’re built for where healthcare is headed. The next wave of documentation technology is already here—and it’s ambient.

Explore how Commure Ambient AI can help your team work more efficiently, reduce burnout, and deliver better care.

See How Ambient AI is Different

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