Medical Scribe

Medical Scribe PositionA medical scribe accompanies the doctor during patient visits to document interactions directly into the electronic medical record (EMR), allowing clinicians to focus fully on patient care. The medical scribe is responsible for real-time documentation of patient history, diagnoses, treatment plans, and other medical documentation as dictated by the assigned doctor for which the scribe is assisting. A medical scribe participates in patient care indirectly by working alongside the doctor or surgeon.Essential SkillsBasic knowledge of ophthalmic and optometric exams, procedures, pharmacology, and terminology can be obtained via on-the-job training. Basic competency expected to develop within the first ninety (90) days. Advanced knowledge of proper coding procedures is expected to develop within the first six (6) months of hire. Medical Scribes require basic medical, ophthalmology and optometry knowledge as well as specific knowledge preferences/requirements based on doctor subspecialty and patient types.In addition, a medical scribe is expected to have a typing speed of > 60 words per minute, advanced active listening skills, time management skills, and strong attention to detail. A medical scribe must maintain confidentiality and professionalism at all times.Essential DutiesClinicalReal-time documentation of patient history, physical exams, diagnoses, treatment plans, lab/imaging results, and prescriptions during consultations.Assist with EMR/EHR navigation, entering orders, updating charts, and generating referral letters or prescriptions.Reviews patient chart to ensure completeness and accuracy of information; ensure documentation meets compliance standards (HIPAA, audits, etc.).Assist with patient education regarding conditions as requested by the treating doctor or surgeonMaintains cleanliness and orderliness of exam rooms during the workday.Complies with all practice procedures and protocols. Complies with all State and Federal regulations.Determine if documentation supports E/M vs/ Eye Code, match applicable ICD-10 codes, and appropriately code in-office procedures based on documentation.AdministrativeReport inventory and supply needs to leadership timely and as needed for supply orderingParticipate in daily team huddles and regularly scheduled meetings as planned and required.Understand and accept responsibility to report potential or suspected errors to supervisor or Compliance OfficerContribute to the team effort by completing additional tasks or projects as needed.Maintain positive attitude consisting of cooperation, self-motivation, courtesy, and professionalismQualificationsHigh School Diploma or equivalentPrior experience with medical terminology, documentation, and training in an EMR software preferredStrong communication and interpersonal skillsAbility to work in a fast-paced clinical environment.Company BenefitsMedicalDentalVision401k w/ MatchHSA/FSATelemedicineGenerous PTO PackageWe also offer the following benefits for FREE:Employee Discounts and PerksEmployee Assistance ProgramGroup Life/AD&DShort Term Disability InsuranceLong Term Disability InsuranceEyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.