Retina Consultants of Texas · 1 day ago
Ophthalmic Clinic Scribe
Retina Consultants of Texas (RCTX) is seeking an Ophthalmic Scribe to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for providing 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 the Brenham and Cypress Clinics.
Health CareMedical
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
Qualification
Required
High school diploma required
At least 6 months experience in a medical office, preferably an ophthalmology office
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
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
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
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
Preferred
Bachelor's degree preferred
Scribe certification (certified ophthalmic assistant), preferred
Bilingual preferred
Benefits
Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions both Roth and Traditional options starting date of hire.
Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off and (8) paid holidays + (1) floating holiday annually.
Company
Retina Consultants of Texas
Retina Consultants of Texas (formerly Retina Consultants of Houston) is the largest retina-only ophthalmology practice in Southeast Texas and one of the most respected in the U.S.