Ophthalmic Scribe

Company: Saman F Ghahremani MD PC
Location: Hyattsville
Posted on: July 30, 2022

Job Description:

JOB SUMMARY: This individual is responsible for providing accurate documentation and summarization of the ocular examination and recommendations while maintaining patient flow and communication regarding appointment status.ESSENTIAL SKILLS AND ABILITIES:1. Training and understanding of HIPAA requirements and the importance of maintaining patient confidentiality.2. Strong, professional interpersonal skills.3. Demonstrated respect for staff and patients.4. Excellent verbal and written communication.5. Team-orientation.6. Management of multiple projects simultaneously.7. Strong organization with attention to detail.8. Legible handwriting.9. Computer literacy.10. Minimum keyboarding/typing speed of 45 wpm.11. Ability to educate patients regard instillation of eye drops and other instructions related to physician's treatment plan.RESPONSIBILITIES:1. 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).2. Knows required components of examination for appropriate CPT coding to ensure all elements are accurately completed.3. Understands Medicare and other common insurance requirements for quality reporting in order to help practice comply with payer requirements.4. Observes the patient and the physician and assists when appropriate during the exam, including but not limited to: holding the patient's head in the slit lamp, providing additional medications and/or instruments, following directions in a medical emergency. 5. 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. 6. Ensures patient understands all instructions.7. Accurately documents chart errors according to practice protocols.8. Helps maintain the patient flow by seating patients into empty exam room to prep for physician.9. Remains as close to the physician as possible during the assigned clinic session, and limits time away from the physician and the patient as documentation may be missed. 10. When applicable, prepares accurate eyeglass or contact lens prescriptions and/or medication prescriptions for the physician's signature prior to the completion of the examination. 11. Alerts physician to patient-related forms that need completion.12. When appropriate, and as directed by the physician, completes the superbill or enters billing orders, and/or the check-out form, providing direction to the patient prior to following the physician to the next patient. 13. 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. 14. Learns the personality and preferences of each physician, recognizing differences and abiding by them when working with that particular physician. 15. Becomes affluent in the exact requirements of each examination.16. Accommodates the needs of the patient for the exam:Monitors examination room and any physical limitations the patient may have. a.) Makes sure the patient chair is down before the patient prepares to leave, the equipment is off, the slit lamp is out of the way, equipment is sanitized, etc. b.) Provides patient with their cane, handbag, coat, etc. to expedite patient flow when exiting the exam room.c.) Evaluates the condition of the examination room to ensure adequate supplies are in stock.d.) Notifies physician of changes to the daily schedule, especially emergencies.e.) Facilitates communication between the physician and other staff members as helpful to minimize clinic flow disruptions.f.) Performs other tasks as required and assigned by management.

Keywords: Saman F Ghahremani MD PC, Silver Spring , Ophthalmic Scribe, Other , Hyattsville, Maryland