Ophthalmic Scribe

Position Summary

The Ophthalmic Scribe is a valuable member of the eye care team, primarily responsible for assisting ophthalmologists and optometrists in documenting patient encounters and ensuring accurate medical records. Their role involves real-time transcription and administrative support during clinical visits. Scribes may assist with patient care as directed by the physician. These duties may include those of an Ophthalmic Assistant and/or Technician.

Roles And Responsibilities

• Document patients accurately and efficiently in electronic health records (EHR) or other designated systems, capturing medical history, chief complaints, examination findings, and treatment plans.
• Strong typing and data entry skills with a focus on accuracy and attention to detail.
• Ensure the accuracy and completeness of patient records by reviewing documentation for inconsistencies, missing information, and proper coding.
• Prepare examination rooms, ensuring they are properly equipped with necessary instruments, supplies, and patient education materials.
• Adhere to legal and regulatory requirements, such as HIPAA (Health Insurance Portability and Accountability) guidelines, to maintain patient confidentiality and privacy.
• Collaborate closely with ophthalmologists/optometrists to transcribe and enter information via verbal or written communication into patient records, ensuring clarity, coherence, and adherence to established protocols.
• Demonstrate knowledge of medical coding and billing processes.
• May perform other duties as necessary.

Experience Requirements

• Completion of a medical scribe training program or previous experience as a medical scribe is preferred but not required.
• Familiarity with medical practice management and electronic medical record software.

Education Requirements

• A high school diploma or GED is preferred.
• IJCAHPO’s Ophthalmic Scribe Certification is preferred but not required.

Physical Demands

• While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear.
• The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl.
• The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to stay focused.

Benefits

• Generous Paid Time Off
• Medical, dental and vision benefits
• Paid Holidays
• Company paid life insurance
• 401(K)
• Paid mileage between practices during work hours
• On-going education available including certification reimbursement
• Discount Programs Including Vision discounts on products and services