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California Retina Consultants · 2 weeks ago

Ophthalmic Scribe (Retina & Uveitis)

Santa Clarita, CA

Full-time

Onsite

New Grad, Entry Level

$24/hr - $29/hr

0+ years exp

California Retina Consultants is one of the largest, most highly respected retina-only ophthalmology groups in the United States and is committed to providing state-of-the-art treatments. The Ophthalmic Scribe (Retina & Uveitis) will assist physicians in examinations and procedures, accurately document patient examinations, and coordinate complex workflows for medical retina and uveitis patients.

Health CareMedical

Diversity & Inclusion

Hiring Manager

Whitney Andresen

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 when appropriate and closing patient charts according to practice protocols and payer documentation standards in a timely manner

Prepares charts for new and established retina and uveitis patients for physician review

Performs accurate ICD-10 and CPT coding in patient charts in accordance with practice protocols and payer requirements

Observes the patient and physician and assists when appropriate during the exam, including but not limited to; aiding with the patient as needed, providing additional medications and/or instruments, and following directions in a medical emergency

Reinforces physician instructions by assessing patient understanding, monitoring verbal and non-verbal cues, repeating and clarifying information as needed, and providing written instructions and patient education materials to support safe and effective care at home

Prepares and maintains examination rooms to ensure patient safety and readiness for care, including cleaning, stocking supplies, preparing medications and instruments, and verifying equipment functionality according to the upcoming physician's preferences and clinic standards

Provides support to the clinic by performing Ophthalmic Clinic Technician duties as needed, including patient workup, assistance with injections and procedures, and ophthalmic diagnostic testing such as OCT, OCT-A, fundus photography, fundus autofluorescence, microperimetry, and B-scan ultrasonography when required

Coordinates uveitis-specific imaging workflows, including scheduling and patient preparation for diagnostic imaging and angiography as directed by the physician, and standardizing image pre-loading to support efficient physician review in alignment with clinic workflow

Maintains efficient clinic flow by coordinating scheduling and patient throughput, confirming insurance authorizations prior to treatment, communicating daily schedule changes to physicians, prioritizing acute visits with attention to the timing requirements for uveitis therapies and intravitreal injections, and guides patients to the front desk to ensure follow-up appointments and testing are arranged before the patient leaves

Understands and utilizes the drug inventory system including but not limited to: dispensing and removing medications; performing end-of-day drug inventory counts; and running basic reports, particularly for uveitis-related medications and implants

Coordinates diagnostic workups under physician direction, including laboratory testing and imaging, and tracks completion of these studies

Triages patients when scheduled

Supports systemic therapy and biologic medication workflows by maintaining updates medication and safety lab results as directed by the physician

Helps coordinate multidisciplinary care by communicating and exchanging information with referring providers and external stakeholders

Assists with generation and distribution of timely visit summaries and letters to referring providers for new and established retina and uveitis patients in alignment with existing workflow

Participates in quality improvement efforts

Able to perform on-call duties with assigned physicians after hours and on weekends, as needed, for uveitis and retina patients

Travel between clinics required

Performs other duties as assigned

Qualification

Ophthalmic examination codingEHR documentationICD-10CPT codingHIPAA complianceMedical terminologyFluency in SpanishBasic math skillsPatient educationInterpersonal skillsCommunication skillsOrganization skills

Required

High school diploma or equivalent required

At least 6 months' experience in a medical office, preferably an ophthalmology or optometry practice

All applicants considered for this role must be able to travel to other nearby locations

Preferred

Knows required components of the ophthalmic examination for appropriate CPT coding to ensure all elements are accurately completed and documented

Understands Medicare and other common insurance requirements for quality reporting in order to help the practice comply with payer requirements

Training and understanding of HIPAA requirements and the importance of maintaining patient confidentiality

Demonstrates strong professional interpersonal skills, excellent verbal and written communication abilities, and a team-oriented approach to patient care

Ability to multi-task and prioritize in a high-volume, multi-site specialty environment

Strong organization with attention to detail

Computer literacy, including with EHRs, practice management systems, and basic office software

Ability to spell accurately while charting

Basic math skills

Ability to educate patients regarding instillation of eye drops, systemic medication instructions, and other aspects of the physician's treatment plan

Understanding of medical terminology and/or ophthalmic terminology

Fluency in English and Spanish (Required)