SCRIBE - OPHTHALMOLOGY - DR. GEORGE

Job Title SCRIBE - OPHTHALMOLOGY - DR.
GEORGE Clinic Hours: M-F 8-5 Summary: The Scribe will work with physician to facilitate patient flow and ensure an accurate and complete medical record for each patient.
The Scribe assists the physician by accompanying him during the medical history-taking and exam, recording details of both into the medical record, and coordinating department resources regarding tests, orders, radiology and results.
The Scribe tracks the orders for each patient, records results and notifies provider of results as they arrive.
Duties: Record details of chief complaint, history of present illness, review of symptoms, past medical history, social history, family medical history, disease risk factors, medications and allergies.
2.
Record details of physical exam, including pertinent positives and negatives, noted abnormalities and patient general condition.
3.
Submit orders as desired by medical provider and follow up for results of those orders.
(For items 1-3 and 5, information is obtained directly from the provider - no medical decision making is done by Scribe) 4.
If orders are not completed in a timely fashion or if results are incomplete, troubleshoot for causes and solutions.
5.
Other duties and limitations as delineated by provider.
Qualifications: High School Diploma.
Working knowledge of medical terminology and accepted abbreviations.
Recognition of physical exam process and ability to record exam details.
Legible handwriting and ability to accurately record information.
Computer proficiency and ability to quickly learn new applications.
Communication skills and the ability to coordinate and cooperate with multiple members of the health care team.
Organizational skills with focus on tracking patient care and improving patient flow.
Professional demeanor and recognition of privacy considerations for patients and family members.