Ophthalmology Scribe

Massachusetts Eye and Ear Associates - MEA; Boston (MA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in Boston seeks a detail-oriented Scribe to support clinical operations. The role involves documenting patient encounters, managing electronic health records, and ensuring accurate medical documentation. Ideal candidates will have strong organizational skills and experience in medical settings. Join a team that values diversity and inclusion, providing essential support to healthcare providers.

Qualifications

• 1-2 years experience in a medical office or hospital required.
• Completion of Medical Terminology course preferred.

Responsibilities

• Facilitates patient flow and ensures accurate medical records.
• Documents physician encounters and procedures during patient visits.
• Assists with clerical activities related to Electronic Health Record.

Skills

Organizational Ability

Attention to Detail

Excellent Penmanship

Multitasking

Computer Proficiency

Knowledge of Medical Terminology

Education

Associate's Degree Related Field of Study

Job description

Responsible for clerical and information technology functions for and under the direction of a provider in a
practice/setting. This includes primary responsibility of the operation of the electronic health records (EHR) and electronic dictation system.
Does this position require Patient Care? No
Essential Functions
-Works to facilitate patient flow and ensure an accurate and complete medical record for each patient.
-Accompanies provider into the patient examination room in order to transcribe a history and physical exam, and accurately document the provider's encounter with the patient and others present following established guidelines for documentation.
-Lists all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
-Scribes document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications and allergies during the visit exam.
-Documents all procedures performed by the physician.
-Scribes document physical examination findings and procedures as performed by the physician.
-Scribes document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
-Scribes may que up orders for the physician to authenticate and initiate. All orders for patient care must be communicated by the physician and not the scribe.
-Scribes do not participate in any patient care and should refer all requests related to patient care to the responsible physician or nursing staff; including, but not limited to transporting specimens, answering phones, assisting patients, calling physicians, etc.
-Assists the provider with all clerical activities related to the Electronic Health Record (EHR) to help support workflow and documentation for medical record coding.
-Ensures good teamwork and effective interpersonal relationships.

Education

• Associate's Degree Related Field of Study required

Can this role accept experience in lieu of a degree?

• No

Licenses and Credentials

• N/A

Experience

• experience working in a medical office, hospital or practice setting 1-2 years required EMR or Medical Terminology experience or completion of Medical Terminology course 1-2 years preferred

Knowledge, Skills and Abilities

• Ability to anticipate physician needs to facilitate the flow of clinic.
• Must be discreet and tactful.
• Good judgment, organizational ability, initiative, attention to detail, and the ability to be self-motivated.
• Excellent and legible penmanship.
• Ability to multitask and consistently communicate in a professional manner and perform duties under pressure.
• Ability to handwrite or key into EHR large amounts of dictated information.
• Adequate knowledge of computer usage and ability to tolerate viewing on computer monitors for extended periods of time.
• Computer proficient and understanding of the functions of an electronic medical record.
• Extensive knowledge of medical terminology.

Physical Requirements

• Standing Occasionally (3-33%)
• Walking Occasionally (3-33%)
• Sitting Constantly (67-100%)
• Lifting Occasionally (3-33%) 20lbs - 35lbs
• Carrying Occasionally (3-33%) 20lbs - 35lbs
• Pushing Rarely (Less than 2%)
• Pulling Rarely (Less than 2%)
• Climbing Rarely (Less than 2%)
• Balancing Occasionally (3-33%)
• Stooping Occasionally (3-33%)
• Kneeling Rarely (Less than 2%)
• Crouching Rarely (Less than 2%)
• Crawling Rarely (Less than 2%)
• Reaching Occasionally (3-33%)
• Gross Manipulation (Handling) Constantly (67-100%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Massachusetts Eye and Ear Associates, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.