03/07/2022
Essential Duties and Responsibilities Other Duties May Be Assigned
Correctly summarizes and documents the patient exam for the physician including but not limited to, proper charting of the examination, documenting additions to the chief complaint, assessment, and recommendations for treatment.
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, and providing additional medications and/or instruments.
Maintains an awareness of the patients verbal and non-verbal communication when the physician is providing instructions and reviewing patient education materials.
Prepares and ensures all consent forms are complete and accurate prior to in-office procedures.
Prepares referral letters as directed by the physician, via dictation or summary of the medical record.
Ensures that referral letters and copies of pertinent reports or tests are sent daily to all referring physicians involved in the patients care.
Performs preliminary testing assessing visual health of patient.
Assists with minor procedures.
Prepares and cleans room after procedure.
Provides quality patient care for all patients, directly or indirectly.
Maintains patient confidentiality.
Reviews all data for errors and misspellings.
Ability to adapt to frequent changes within the clinic without loss of efficiency or composure.
When not in exam room, the scribe may assist with various secretarial duties including but not limited to, answering phone calls, scheduling appointments, refilling prescriptions with doctor consent, and answering various questions pertaining to the practice.
Other duties as assigned based on business operational needs.
Skills and Abilities:
Excellent computer skills
Excellent verbal and written communication
Strong organizational skills with attention to detail
Ability to spell well
Ophthalmic Coding a plus
Education and Experience
High school diploma or GED.
Knowledge of medical and ophthalmic terminology preferred.
1 Year of Scribe Experience needed.
