Scribe

Ocular Examination Documentation Specialist

This individual is responsible for providing accurate documentation and summarization of the ocular examination and recommendations while maintaining patient flow and communication regarding appointment status.

Responsibilities

Essential job duties will include (but not limited to):

• Correctly summarizes and documents what the physician says 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).
• Observes the patient and the physician and assists when appropriate during the exam, including but not limited to: holding the patient's head in the slit lamp, 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 necessitate the writer repeating information, providing written instructions, and/or patient education materials for the patient to review at home.
• Ensures patient understands all instructions.
• Remains as close to the physician as possible and limits time away from the physician and the patient.
• When applicable, prepares accurate eye glass or contact lens prescriptions and/or medication prescriptions for the eye physician's signature prior to the completion of the examination.
• Alerts eye physician to patient-related forms that need completion.
• When appropriate, completes the superbill and/or the check-out form, providing direction to the patient prior to following the physician.
• Guides patient to front desk after completion of exam and ensures proper follow-up appointments are made.
• Learns the personality and preferences of each physician, recognizing differences and abiding by them when working with that particular physician.
• Accommodates the needs of the patient for the exam:
• Monitors examination room and any physical limitations the patient may have.
• Makes sure the patient chair is down before the patient prepares to leave, the equipment is off, the slit lamp is out of the way, etc.
• Provides patient with cane, handbag, coat, etc. to expedite patient flow.
• Evaluates the condition of the examination room to ensure adequate supplies are in stock.
• Notifies physician of changes to the daily schedule, especially emergencies.
• Performs other tasks as required.

Qualifications

Education and experience required:

• 1+ years of experience in medical office
• High school diploma
• Fluency in English, bilingual (Spanish) preferred but not required
• Excellent spelling ability

You must be able to:

• Maintain confidential patient information
• Have strong professional interpersonal skills.
• Demonstrate respect for staff and patients.
• Possess excellent verbal and written communication skills
• Be team-oriented
• Management of multiple projects simultaneously.
• Have strong organization with attention to detail.
• Demonstrate proficiency on the computer

Physical requirements:

Must be able to walk and stand for eight hours

Must be able to type or write legibly in a dimly-lit setting

Must be able to hear softly spoken words

Pre-med/Pre Nursing Students Ideal For This Role

Min

USD $22.00/Hr.

Max

USD $25.00/Hr.