Medical Scribe for Ophthalmic Practice

EyeSouth Partners LLC; Cincinnati (OH); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k w/ Match

HSA/FSA

Telemedicine

Generous PTO Package

Employee Discounts and Perks

Employee Assistance Program

Group Life/AD&D

Short Term Disability Insurance

Long Term Disability Insurance

Job summary

EyeSouth Partners is seeking a Medical Scribe for the MidWest Eye Center in Cincinnati, OH. The role supports clinicians by documenting patient encounters in real time within the EMR, capturing history, diagnoses, treatment plans, and orders as dictated by the physician.

The ideal candidate has knowledge of ophthalmic terminology, strong typing speed, and excellent communication skills to ensure accurate charting and patient education while maintaining HIPAA compliance.

Qualifications

• Knowledge of ophthalmic and optometric terminology obtained via on-the-job training.
• Basic medical terminology, documentation, and EMR familiarity.
• Strong communication and interpersonal skills.
• Ability to work in a fast-paced clinical environment.

Responsibilities

• Real-time documentation of patient history, physical exams, diagnoses, treatment plans, lab/imaging results, and prescriptions during consultations.
• Assist with EMR/EHR navigation, entering orders, updating charts, and generating referral letters or prescriptions.
• Reviews patient chart to ensure completeness and accuracy of information; ensure documentation meets compliance standards (HIPAA, audits, etc.).
• Assist with patient education regarding conditions as requested by the treating doctor or surgeon.
• Maintains cleanliness and orderliness of exam rooms during the workday.
• Complies with all practice procedures and protocols. Complies with all State and Federal regulations.
• Determine if documentation supports E/M vs Eye Code, match applicable ICD-10 codes, and appropriately code in-office procedures based on documentation.

Skills

Medical terminology

Typing 60 wpm

Active listening

Time management

Attention to detail

Communication skills

Education

High School Diploma or equivalent

Tools

EMR/EHR software

Job description

Company Overview

At MidWest Eye Center, we are committed to your total eye care. Our staff provides an innovative and integrated approach, using state-of-the-art technology, combined with the upmost in personal attention and service. Whether it’s performing Lasik or treating retina conditions or removing cataracts, you can be sure of the quality of vision care provided by our team of skilled, caring professionals. MidWest Eye Center has a complete roster of board-certified Ophthalmologists, Retina Specialists and Optometrists, offering diagnosis along with surgical and non-surgical treatment for eye diseases MidWest Eye Center’s Cincinnati, Ohio and Northern Kentucky locations are easily accessible from the surrounding Tri-state area.

Position Summary

A medical scribe accompanies the doctor during patient visits to document interactions directly into the electronic medical record (EMR), allowing clinicians to focus fully on patient care. The medical scribe is responsible for real-time documentation of patient history, diagnoses, treatment plans, and other medical documentation as dictated by the assigned doctor for which the scribe is assisting. A medical scribe participates in patient care indirectly by working alongside the doctor or surgeon.

Responsibilities

ESSENTIAL SKILLS

Basic knowledge of ophthalmic and optometric exams, procedures, pharmacology, and terminology can be obtained via on-the-job training Basic competency expected to develop within the first ninety (90) days. Advanced knowledge of proper coding procedures is expected to develop within the first six (6) months of hire. Medical Scribes require basic medical, ophthalmology and optometry knowledge as well as specific knowledge preferences/requirements based on doctor subspecialty and patient types.

In addition, a medical scribe is expected to have a typing speed of 60 words per minute, advanced active listening skills, time management skills, and strong attention to detail.

A medical scribe must maintain confidentiality and professionalism at all times.

ESSENTIAL DUTIES

Clinical

• Real-time documentation of patient history, physical exams, diagnoses, treatment plans, lab/imaging results, and prescriptions during consultations.
• Assist with EMR/EHR navigation, entering orders, updating charts, and generating referral letters or prescriptions.
• Reviews patient chart to ensure completeness and accuracy of information; ensure documentation meets compliance standards (HIPAA, audits, etc.).
• Assist with patient education regarding conditions as requested by the treating doctor or surgeon
• Maintains cleanliness and orderliness of exam rooms during the workday.
• Complies with all practice procedures and protocols. Complies with all State and Federal regulations.
• Determine if documentation supports E/M vs/ Eye Code, match applicable ICD-10 codes, and appropriately code in-office procedures based on documentation.

Administrative

• Report inventory and supply needs to leadership timely and as needed for supply ordering
• Participate in daily team huddles and regularly scheduled meetings as planned and required.
• Understand and accept responsibility to report potential or suspected errors to supervisor or Compliance Officer
• Contribute to the team effort by completing additional tasks or projects as needed.
• Maintain positive attitude consisting of cooperation, self-motivation, courtesy, and professionalism

Qualifications

• High School Diploma or equivalent
• Prior experience with medical terminology, documentation, and training in an EMR software preferred
• Strong communication and interpersonal skills
• Ability to work in a fast-paced clinical environment.

Company Benefits

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSA
• Telemedicine
• Generous PTO Package

We also offer the following benefits for FREE:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

NO NIGHTS, NO WEEKENDS.

#IND