Medical Scribe for Ophthalmic Practice

Midwest Eye Center•West Chester, OH

17h•Onsite

About The Position

A 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.

Requirements

High School Diploma or equivalent
Strong communication and interpersonal skills
Ability to work in a fast-paced clinical environment.
Typing speed of > 60 words per minute
Advanced active listening skills
Time management skills
Strong attention to detail
Maintain confidentiality and professionalism at all times

Nice To Haves

Basic knowledge of ophthalmic and optometric exams, procedures, pharmacology, and terminology
Prior experience with medical terminology, documentation, and training in an EMR software preferred

Responsibilities

Real-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 surgeon
Maintains 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.
Report inventory and supply needs to leadership timely and as needed for supply ordering
Participate 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 Officer
Contribute to the team effort by completing additional tasks or projects as needed.
Maintain positive attitude consisting of cooperation, self-motivation, courtesy, and professionalism