Ophthalmic Clinic Scribe

Retina Consultants of Houston•Sugar Land, TX

7d•Onsite

About The Position

Retina Consultants of Texas (RCTX) is seeking an Ophthalmic Scribe to join their innovative team. This position will be responsible for accurate documentation, summarization of the ocular examination and recommendations, ICD10 coding and CPT in patient charts, while maintaining patient flow and communication regarding appointment status at their Sugar Land Clinic. Candidates must be able to travel to various clinics to meet the needs of the patients and providers, and support the Clinic hours of Monday through Friday between the hours of 6:30am-6:30pm. Schedules are provided weekly and are based on the provider's clinic, patient and surgery schedules. Clinic staff are provided with the opportunity for weekend hours if available. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States, consisting of 26 world-renowned physicians. RCTX invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser and diagnostic capabilities. The company emphasizes core values of Hard Work, Authentic Care and Innovation. They believe in investing in their people to empower them to provide the highest quality patient experience.

Requirements

Knows required components of examination for appropriate CPT coding to ensure all elements are accurately completed.
Understands Medicare and other common insurance requirements for quality reporting in order to help practice comply with payer requirements.
Training and understanding of HIPAA requirements and the importance of maintaining patient confidentiality.
Strong, professional interpersonal skills.
Excellent verbal and written communication.
Team-orientation.
Ability to multi-task.
Strong organization with attention to detail.
Computer literacy.
Ability to spell accurately while charting
Basic math skills
Fluency in English, bilingual preferred.
Ability to educate patients regarding instillation of eye drops and other instructions related to physician’s treatment plan.
Understanding of medical terminology and/or ophthalmic terminology.
High school diploma required
At least 6 months experience in a medical office, preferably an ophthalmology office.
Must be able to walk and stand for entire work shift.
Must be able to move frequently from standing and sitting depending on exam room configuration during clinic sessions.
Must be able to type or write legibly in a dimly-lit setting.
Must be able to hear softly spoken words.
Lifting required up to 30 pounds.

Nice To Haves

bachelor’s degree preferred
Scribe certification (certified ophthalmic assistant), preferred

Responsibilities

Correctly summarizes and documents what the physician verbalizes 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 and closing patient charts in a timely manner.
Accurate ICD10 and CPT coding in patient charts
Observes the patient and the physician and assists when appropriate during the exam including but not limited to; providing assistance to the patient as needed, 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 be necessary for the scribe to repeat information, provide written instructions, and/or hand out patient education materials for the patient to review at home. Ensures patient understands all instructions.
Accurately documents amendments to patient charts according to practice protocols.
Maintains the patient flow of the clinic to include confirmation of insurance authorization prior to treatment
Provides support to the clinic by helping execute Ophthalmic Technician duties as needed
Alerts physician to patient-related forms that need completion.
Guides patients to front desk after completion of exam and ensures proper follow-up appointments are communicated to the front desk to be made before the patient leaves.
Evaluates the condition of the examination room to ensure adequate supplies are in stock and patient can safely enter and exit the room
Notifies physician of changes to the daily schedule, especially emergencies.
Facilitates communication between the physician and other staff members as helpful to minimize clinic flow disruptions.
Performs other tasks as assigned.