Ophthalmic Scribe

Summary The Scribe assists the doctors with documentation of the patient exam into the patient's electronic health record (EHR). The Scribe will also assist with facilitation of surgery and procedure scheduling and scheduling of return appointments as directed by the provider. Partners with other clinic staff to facilitate efficient clinic flow and ensure quality patient care. Essential Duties And Responsibilities Greet all patients and guests according to company standards, anticipate and address service needs, assist individuals with disabilities, and thank others with genuine appreciation. Treat each patient with respect by greeting them by name, introducing yourself, and ensuring that the patient understands what will happen during the exam. Document patient exam in EHR, scribing all elements of the patient exam including procedure orders, e-prescribing medications and scheduling the return to clinic. Ensure all entries are accurate by the team. Respond to internal communications in a timely manner. Perform the following as needed: Obtain complete patient histories including chief complaint, past ocular/medical history, family medical/ocular history and history of allergies and medications. Perform ophthalmologic tests including visual acuity, applanation tonometry, pachymetry, visual fields, corneal topography, OCTs, lensometry, and other tests as directed within the prescribed timeline. Calibrate diagnostic equipment and perform instrument sterilization as needed. Provide patient and family counseling/education as needed, including the creation of medication grids. Assist in triage. Dispense medication and/or over the counter product samples as directed. Review all chart notes and correspondence daily to ensure accuracy and completeness. Ensure chart documentation meets ICD-10 requirements. Work with doctors to sign and close encounters and transmit ERx. Obtain patient signature on consent documents for in lane and surgical procedures. Set up exam rooms per provider preference, keep exam rooms stocked and clean between patients; cleaned at end of each workday; assist in maintaining public spaces for professional appearance. Partner with providers to prepare culture documents, ensure proper storage of specimens, contact lab for pickup and ensure specimen is in the lockbox for pick up. Attend trainings and stay current on requirements for HIPAA compliance and Protected Health Information (PHI). Ensure opening and closing of special testing rooms. Maintain stocking of exam lane and maintain order in working areas. Schedule return appointments as ordered by the provider, including referrals to outside providers. Travel between clinics as scheduled. Ensure company COVID protocols are followed. This is an in-office position, remote work is not available Other duties as assigned JOB QUALIFICATIONS To perform the job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily with or without reasonable accommodation. The requirements below are representative of the minimum knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. Knowlede/Skills/Abilities Typing and computer knowledge required Previous experience with EHR systems required and ophthalmology experience highly preferred Bilingual a plus Knowledge of medical terminology, Ophthalmology preferred Ability to perform ophthalmic tests and calibrate equipment per manufacturer guidelines. Education And/Or Experience High schedule diploma or equivalent Minimum of one (1) year experience in a medical office, ophthalmic experience preferred CERTIFICATES, LICENSES, REGISTRATIONS Medical Scribe Certification and Aptitude Test (MSCAT) preferred. SUPERVISORY RESPONSIBILITY This position has no direct reports or supervisory responsibilities TRAVEL REQUIREMENT This role is primarily based in Sunnyvale, with occasional travel to our Richardson location as needed. Reliable transportation is required. Mileage reimbursement is provided for all work-related travel between locations. Summary The Scribe assists the doctors with documentation of the patient exam into the patient's electronic health record (EHR). The Scribe will also assist with facilitation of surgery and procedure scheduling and scheduling of return appointments as directed by the provider. Partners with other clinic staff to facilitate efficient clinic flow and ensure quality patient care. Essential Duties And Responsibilities Greet all patients and guests according to company standards, anticipate and address service needs, assist individuals with disabilities, and thank others with genuine appreciation. Treat each patient with respect by greeting them by name, introducing yourself, and ensuring that the patient understands what will happen during the exam. Document patient exam in EHR, scribing all elements of the patient exam including procedure orders, e-prescribing medications and scheduling the return to clinic. Ensure all entries are accurate by the team. Respond to internal communications in a timely manner. Perform the following as needed: Obtain complete patient histories including chief complaint, past ocular/medical history, family medical/ocular history and history of allergies and medications. Perform ophthalmologic tests including visual acuity, applanation tonometry, pachymetry, visual fields, corneal topography, OCTs, lensometry, and other tests as directed within the prescribed timeline. Calibrate diagnostic equipment and perform instrument sterilization as needed. Provide patient and family counseling/education as needed, including the creation of medication grids. Assist in triage. Dispense medication and/or over the counter product samples as directed. Review all chart notes and correspondence daily to ensure accuracy and completeness. Ensure chart documentation meets ICD-10 requirements. Work with doctors to sign and close encounters and transmit ERx. Obtain patient signature on consent documents for in lane and surgical procedures. Set up exam rooms per provider preference, keep exam rooms stocked and clean between patients; cleaned at end of each workday; assist in maintaining public spaces for professional appearance. Partner with providers to prepare culture documents, ensure proper storage of specimens, contact lab for pickup and ensure specimen is in the lockbox for pick up. Attend trainings and stay current on requirements for HIPAA compliance and Protected Health Information (PHI). Ensure opening and closing of special testing rooms. Maintain stocking of exam lane and maintain order in working areas. Schedule return appointments as ordered by the provider, including referrals to outside providers. Travel between clinics as scheduled. Ensure company COVID protocols are followed. This is an in-office position, remote work is not available Other duties as assigned #J-18808-Ljbffr Minnesota Eye Consultants