Ophthalmic Scribe (Medical Scribe)

Job Description

Job Description

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Ophthalmic Clinic Scribe

As our Ophthalmic Clinic Scribe, you will work side by side with our industry leading physicians, assisting with patient exams and emergency procedures. You will be an important part in the smooth start to finish experience we provide for our patients at their office visits. Check out the full position details below and see if joining California Retina Consultants is the right fit for you!

Responsibilities & Duties

• 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
• Observes the patient and 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 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
• Cleans and prepares exam rooms before each clinic session according to upcoming physician's preferences for all needed drops, medications, instruments, forms, and educational materials
• Able to perform OCT, OCT-A, Fundus Photography, and Microperimetry; possesses basic knowledge and skills to perform B-Scans when necessary
• Knowledge of practice management system, including but not limited to : scheduling a new and existing patient, viewing scheduled appointments and insurance information, and printing a fee ticket and patient demographics
• Ensures patient understands all instructions
• 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
• Provides support to the clinic by helping execute Ophthalmic Technician duties as needed
• 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
• Understands and utilizes drug inventory system for including but not limited to : dispensing and removing medications, performing end-of-day drug inventory count, and running basic reports
• Evaluates the condition of the examination room to ensure patient can safely enter and exit the room
• Notifies physician of changes to the daily schedule, especially emergencies
• Facilitates communication between the physician and other staff members as helpful to minimize clinic flow disruptions
• Able to perform on-call duties with assigned physicians after hours and on weekends
• Performs other duties as assigned