Job Description

We are seeking an Ophthalmic Medical Scribe who will be responsible for providing accurate documentation and summarization of the ocular examination and recommendations while maintaining patient flow and communication regarding appointment status within a high volume practice

• Fast paced environment, seeing 40-75 patients per day
• Travel: must be open to commuting to other sites (Spurs Lane, Stone Oak and Westover)
• At times will also travel to satellite locations in Fredericksburg and Kerrville - for farther locations they offer ride share from the Spurs Lane location and the travel time is paid
• Schedules are built out 2-3 weeks ahead of time
• Shift - Available 6:30am to 6:30pm
• Dress code - scrubs
• Will work exclusively within the EMR system (NextGen) supporting the providers as they interact with the patient

Qualifications:

• High School Diploma
• 1+ year of prior Scribe experience in a fast paced medical environment (in person scribe experience, patient interaction focused)
• Tech savvy - proficient in any computer system (EMR, Microsoft, Google, etc)

Nice to Have Skills:

• Bachelors of Science degree
• Experience from any sort of eye clinic (ophthalmology, retina, etc)
• Able to take initiative
• Professional
• Bilingual in English and Spanish

Overview

• Review patient charts and documents from referring physicians in an effort to obtain knowledge of the patients disease and order diagnostics related to the patient care plan
• Effectively communicate with all practitioners related to the patient care plan
• Clearly assess and document special requirements related to patient treatments, ie A/C tap for patients with lesions close to the nerve
• Ensure drug and diagnostic tools are available at each location based on patients appointment
• Correctly summarizes and documents what the physician verbalizes during an examination including but not limited to; proper charting of the examination, documenting additions to the chief complaint, assessment and recommendations for treatment including justification of decisions reached when appropriate and closing patient charts in a timely manner.
• Accurate ICD10 and CPT coding in patient charts
• Communicate which patients need to be dilated to clinic staff and have the ability to dilate children with drops
• Observes the patient and the physician and assists when appropriate during the exam including but not limited to; providing assistance to the patient as needed, providing additional medications and/or instruments, following directions in a medical emergency.
• Maintains an awareness of the patient’s verbal and non-verbal communication when the physician is providing instructions as it may be necessary for the scribe to repeat information, provide written instructions, and/or hand out patient education materials for the patient to review at home.
• Effectively communicate with patients based on their diagnosis and answer any patient questions
• Accurately documents amendments to patient charts according to practice protocols.
• Maintains the patient flow of the clinic to include confirmation of insurance authorization prior to treatment
• Facilitates communication between the physician and staff to minimize clinic flow disruptions. This includes review of patients who may need to be rescheduled
• Alerts physician to patient-related forms that need completion.
• Guides patients to front desk after completion of exam and ensures proper follow-up appointments are communicated to the front desk to be made before the patient leaves.
• Evaluates the condition of the examination room to ensure adequate supplies are in stock and patient can safely enter and exit the room
• Notifies physician of changes to the daily schedule, especially emergencies.

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