Clinical Documentation Specialist

Eye Doctor Louisville • New Albany, IN

18h • Onsite

About The Position

We are looking for a dependable and detail-focused Clinical Documentation Specialist to support our providers in delivering outstanding patient care. This team member will work side-by-side with physicians during patient visits, documenting clinical information, assisting with workflow management, and helping ensure a smooth and positive experience for every patient. Role will be similar to a medical scribe. This opportunity is well suited for individuals interested in healthcare, eye care, medical assisting, or clinical support roles who thrive in a busy patient-centered environment.

Requirements

• High school diploma, GED, or equivalent education.
• Strong keyboarding, data-entry, and computer navigation skills.
• Excellent organizational abilities with strong attention to detail.
• Effective interpersonal and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced healthcare setting.
• Professional behavior and commitment to exceptional customer service.

Nice To Haves

• Previous experience in a medical scribe, ophthalmic technician, optometric technician, healthcare assistant, or medical assistant role.
• Familiarity with electronic health record (EHR/EMR) platforms.
• Understanding of basic medical terminology and clinical documentation.
• Prior exposure to ophthalmology, optometry, or related healthcare specialties.
• Certified Ophthalmic Assistant (COA)
• Certified Paraoptometric (CPO)
• Certified Clinical Medical Assistant (CCMA) or equivalent certification

Responsibilities

• Provide real-time documentation of patient visits within the electronic health record system.
• Capture and record patient concerns, medical histories, examination findings, assessments, and treatment recommendations.
• Support providers by accurately entering orders, prescriptions, referrals, and diagnostic testing requests.
• Prepare exam lanes and verify that all necessary equipment, supplies, and patient information are available prior to appointments.
• Assist in coordinating patient movement throughout the clinic to promote efficient scheduling and timely care.
• Explain testing procedures and post-visit instructions as directed by the provider.
• Maintain accurate, complete, and confidential medical records in accordance with HIPAA guidelines.
• Assist with clinical support duties, including technician-related tasks, when needed.
• Collaborate with providers and staff to ensure high-quality patient care and operational efficiency.
• Perform additional administrative or clinical responsibilities as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED