Ophthalmic Clinic Scribe

Retina Consultants of Texas; Bellaire (TX); On-site; USD 27,552 - 38,572; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

HSA contributions

401(k) plan

Paid holidays

Paid time off

Gym membership

Job summary

Retina Consultants of Texas in Bellaire, TX is seeking an Ophthalmic Scribe to document ocular examinations, summarize findings, and code with ICD-10 and CPT while maintaining patient flow at the Bellaire Clinic.

The ideal candidate has at least 6 months in a medical office (ophthalmology preferred), strong English communication, and the ability to multi-task. A high school diploma is required; scribe certification is a plus. Clinic hours are Mon–Fri, 6:30am–6:30pm with potential for overtime.

Qualifications

• Takes accurate documentation of physician verbalizations during examinations.
• Maintains proper charting including assessment, recommendations and treatment details.
• Understands HIPAA requirements and patient confidentiality.

Responsibilities

• Summarizes physician examinations and ensures proper charting.
• Performs ICD10 and CPT coding in patient charts.
• Supports clinic flow and assists during exams as needed.
• Ensures patient understands instructions and follows up as required.
• Maintains documentation amendments per practice protocols.

Skills

CPT coding accuracy

HIPAA compliance

Verbal communication

Written communication

Interpersonal skills

Team oriented

Multitasking

Detail oriented

Medical terminology

English fluency

Education

High school diploma

Bachelor’s degree preferred

Tools

EMR software

ICD-10/CPT coding

Job description

Overview

Retina Consultants of Texas (RCTX) is seeking an Ophthalmic Scribe to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible fir providing accurate documentation, summarization of the ocular examination and recommendations, ICD10 coding and CPT in patient charts, while maintaining patient flow and communication regarding appointment status at the Bellaire Clinic. Candidates must be able to travel to various clinics to meet the needs of the patients and providers, and support the Clinic hours of Monday through Friday between the hours of 6:30am-6:30pm. Schedules are provided weekly and are based on the provider's clinic, patient and surgery schedules. Clinic staff are provided with the opportunity for weekend hours if available. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience.

Pay Rate is $20.00+ per hour and eligible for overtime.

Benefits

In addition to being highly challenged professionally, in joining our practice, the following competitive benefits for full‑time eligible employees after a 60‑day introductory period:

• Employee Paid Benefits such as Medical, Dental, and Vision, short‑term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre‑taxed contributions, 401 (k) retirement savings contributions both Roth and Traditional options starting date of hire.
• Employer Paid Benefits such as long‑term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off and (8) paid holidays + (1) floating holiday annually.

Responsibilities

• 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 manner.
• Accurate ICD10 and CPT coding in patient charts
• Observes the patient and the 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 emergency.
• 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.
• Ensures patient understands all instructions.
• Accurately documents amendments to patient charts according to practice protocols.
• Maintains the patient flow of the clinic to include confirmation of insurance authorization prior to treatment
• Provides support to the clinic by helping execute Ophthalmic Technician duties as needed
• Alerts physician to patient‑related forms that need completion.
• 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.
• Evaluates the condition of the examination room to ensure adequate supplies are in stock and patient can safely enter and exit the room
• Notifies physician of changes to the daily schedule, especially emergencies.
• Facilitates communication between the physician and other staff members as helpful to minimize clinic flow disruptions.
• Performs other tasks as assigned.

Qualifications

Skills/Competencies

• Knows required components of examination for appropriate CPT coding to ensure all elements are accurately completed.
• Understands Medicare and other common insurance requirements for quality reporting in order to help practice comply with payer requirements.
• Training and understanding of HIPAA requirements and the importance of maintaining patient confidentiality.
• Strong, professional interpersonal skills.
• Excellent verbal and written communication.
• Team‑orientation.
• Ability to multi‑task.
• Strong organization with attention to detail.
• Computer literacy.
• Ability to spell accurately while charting
• Basic math skills
• Fluency in English, bilingual preferred.
• Ability to educate patients regarding instillation of eye drops and other instructions related to physician’s treatment plan.
• Understanding of medical terminology and/or ophthalmic terminology.

Education Requirements

• High school diploma required, bachelor’s degree preferred

Experience Requirements

• At least 6 months experience in a medical office, preferably an ophthalmology office.
• Scribe certification (certified ophthalmic assistant), preferred

Physical Abilities

• Must be able to walk and stand for entire work shift.
• Must be able to move frequently from standing and sitting depending on exam room configuration during clinic sessions.
• Must be able to type or write legibly in a dimly‑lit setting.
• Must be able to hear softly spoken words.
• Lifting required up to 30 pounds.

Equal Employment Opportunity

RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law.