California Retina Consultants
Ophthalmic Scribe (Healthcare)
Responsibilities & Duties
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 mannerAccurate ICD10 and CPT coding in patient chartsObserves the patient and 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 emergencyMaintains 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 homeCleans and prepares exam rooms before each clinic session according to upcoming physician's preferences for all needed drops, medications, instruments, forms, and educational materialsAble to perform OCT, OCT-A, Fundus Photography, and Microperimetry; possesses basic knowledge and skills to perform B-Scans when necessaryKnowledge of practice management system, including but not limited to: scheduling a new and existing patient, viewing scheduled appointments and insurance information, and printing a fee ticket and patient demographicsEnsures patient understands all instructionsAccurately documents amendments to patient charts according to practice protocolsMaintains the patient flow of the clinic to include confirmation of insurance authorization prior to treatmentProvides support to the clinic by helping execute Ophthalmic Technician duties as neededAlerts physician to patient-related forms that need completionGuides 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 leavesUnderstands and utilizes drug inventory system for including but not limited to: dispensing and removing medications, performing end-of-day drug inventory count, and running basic reportsEvaluates the condition of the examination room to ensure patient can safely enter and exit the roomNotifies physician of changes to the daily schedule, especially emergenciesFacilitates communication between the physician and other staff members as helpful to minimize clinic flow disruptionsAble to perform on-call duties with assigned physicians after hours and on weekendsPerforms other duties as assigned