Medical Scribe

We are seeking an individual who will be responsible for providing accurate documentation and summarization of the ocular examination and recommendations while maintaining patient flow and communication regarding appointment status within a high volume practice. Candidate will work exclusively within the EMR system (NextGen) supporting the providers as they interact with the patient.

Candidate must be able to travel to multiple clinics (travel reimbursement is provided) to meet the needs of the patients and providers, and support the clinic's variable hours (Monday - Friday, 6:30 am to 6:30 pm). Schedules are provided weekly and are based on the physician's clinic, patient and surgery schedules. Clinic staff are also provided the opportunity for weekend hours if available.

Location - Kingwood TX
Pay - 19 to 20 an hour, weekly pay, direct deposit
Flexible during Monday to Friday 6:30am-6:30pm. May work 5-10 hours of overtime per week.

*Must have in person Medical Scribe experience and be able to work onsite in Kingwood TX*

Overview
- Review patient charts and documents from referring physicians in an effort to obtain knowledge of the patients disease and order diagnostics related to the patient care plan
- Effectively communicate with all practitioners related to the patient care plan
- Clearly assess and document special requirements related to patient treatments, ie A/C tap for patients with lesions close to the nerve
- Ensure drug and diagnostic tools are available at each location based on patients appointment
- 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
- Communicate which patients need to be dilated to clinic staff and have the ability to dilate children with drops
- 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.
- Effectively communicate with patients based on their diagnosis and answer any patient questions
- 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
- Facilitates communication between the physician and staff to minimize clinic flow disruptions. This includes review of patients who may need to be rescheduled
- 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.
- Performs other tasks as assigned.

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For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.