Ophthalmic Clinic Scribe

Retina Consultants of Texas

Key Responsibilities

• Accurately summarize and document physician's verbalizations during examinations, including charting, chief complaint additions, assessment, recommendations, and justification.
• Ensure timely closing of patient charts.
• Perform accurate ICD10 and CPT coding in patient charts.
• Assist during patient examinations by providing support to the patient, handing out medications/instruments, and following emergency directions.
• Monitor patient and physician communication to reiterate instructions, provide written materials, and distribute patient education resources.
• Ensure patient comprehension of all instructions.
• Document amendments to patient charts per practice protocols.
• Maintain clinic patient flow, including confirming insurance authorization prior to treatment.
• Support clinic operations by assisting with Ophthalmic Technician duties as needed.
• Alert physicians to patient-related forms requiring completion.
• Guide patients to the front desk and communicate follow-up appointment details.
• Assess examination room conditions for adequate supplies and safe patient entry/exit.
• Notify physicians of daily schedule changes, particularly emergencies.
• Facilitate communication between physicians and staff to minimize clinic disruptions.
• Perform other assigned tasks.

Requirements & Tech Stack

• Knowledge of required examination components for appropriate CPT coding.
• Understanding of Medicare and other common insurance requirements for quality reporting.
• Training and understanding of HIPAA requirements and 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 on eye drop instillation and other treatment plan instructions.
• Understanding of medical terminology and/or ophthalmic terminology.

Qualifications

• High school diploma required, bachelor’s degree preferred.
• At least 6 months of experience in a medical office, preferably an ophthalmology office.
• Scribe certification (certified ophthalmic assistant), preferred.

Physical Abilities

• Must be able to walk and stand for the entire work shift.
• Must be able to move frequently between standing and sitting.
• 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.

Work Environment

• Travel to various clinics is required.
• Clinic hours: Monday through Friday, 6:30 am - 6:30 pm.
• Schedules provided weekly, based on provider clinic, patient, and surgery schedules.
• Opportunity for weekend hours if available.