Ophthalmic Scribe

The Ophthalmic Scribe works closely with eye care providers to accurately document patient examinations in the electronic health record (EHR) and support efficient patient flow throughout the clinic. Prior ophthalmology experience is required for this position. In addition to scribing, this role may assist with ophthalmic testing, patient histories, triage, procedure and surgery coordination, return appointment scheduling, and other clinical support functions as directed by the provider.

Essential Duties And Responsibilities

• Accurately document all elements of the patient examination in the EHR, including findings, procedure orders, medication information, treatment plans, and return-to-clinic instructions.
• Work closely with providers to ensure documentation is complete and accurate and encounters are signed and closed in a timely manner.
• Schedule return appointments, procedures, surgeries, and referrals to outside providers as directed by the provider.
• Greet patients and guests according to company standards and provide a professional, respectful, and patient-centered experience throughout the visit.
• Obtain complete patient histories, including chief complaint, ocular and medical history, family history, allergies, and medications.
• Perform ophthalmic testing as needed, including visual acuity, applanation tonometry, pachymetry, visual fields, corneal topography, OCT, lensometry, and other testing as directed.
• Calibrate diagnostic equipment and perform instrument cleaning and sterilization as required.
• Provide patient and family education as directed, including preparation of medication grids and instructions.
• Assist with patient triage as needed.
• Dispense medication and/or over-the-counter product samples as directed.
• Review chart notes and correspondence to ensure accuracy and completeness and support documentation consistent with ICD-10 requirements.
• Assist providers with e-prescribing and other EHR-related functions within the scope of the position.
• Obtain patient signatures on consent documents for in-lane and surgical procedures.
• Prepare exam rooms according to provider preferences and maintain clean, stocked, and organized exam lanes and clinical work areas.
• Assist with specimen collection processes, including preparation of culture documentation, proper specimen storage, and coordination of laboratory pickup.
• Maintain compliance with HIPAA and all requirements related to Protected Health Information (PHI).
• Respond to internal communications in a timely and professional manner.
• Travel between clinic locations as scheduled.
• Perform other duties as assigned.

This is an in-office position. Remote work is not available. Job Qualifications To perform this job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily, with or without reasonable accommodation. The requirements below represent the minimum knowledge, skills, and abilities required.

Knowledge, Skills, And Abilities

• Previous ophthalmology or optometry clinical experience required.
• Working knowledge of ophthalmic terminology, testing, and clinical workflow required.
• Previous experience working with electronic health record (EHR) systems required.
• Strong typing and computer skills required.
• Ability to accurately document provider findings and instructions in a fast-paced clinical environment.
• Ability to perform common ophthalmic testing and operate and calibrate ophthalmic equipment.
• Knowledge of medical terminology required; ophthalmic terminology strongly preferred.
• Strong attention to detail and ability to maintain accurate clinical documentation.
• Strong communication, organization, and patient service skills.
• Ability to work collaboratively with physicians, clinical staff, and administrative team members.
• Bilingual skills are a plus.

Education And Experience

• High school diploma or equivalent required.
• Minimum of one (1) year of experience working in an ophthalmology or optometry practice required.
• Previous ophthalmic scribing experience strongly preferred.
• Experience performing ophthalmic testing and/or technician duties strongly preferred.

CERTIFICATES, LICENSES, AND REGISTRATIONS

Medical Scribe Certification and Aptitude Test (MSCAT) certification preferred but not required.

SUPERVISORY RESPONSIBILITY

This position has no direct reports or supervisory responsibilities.

TRAVEL REQUIREMENT

This position is primarily based in Sunnyvale, Texas , with occasional travel to our Richardson, Texas location based on clinic and provider needs. Reliable transportation is required. Mileage reimbursement is provided for eligible work-related travel between clinic locations in accordance with company policy.

Sweeney Eye Associates is an equal opportunity employer. We are committed to providing equal employment opportunities to all qualified applicants and employees without regard to any status protected by applicable federal, state, or local law.