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