Medical Scribe

North Georgia Eye Associates has been a premiere eye care provider in North Georgia for over sixty years. Our locations include Gainesville, Braselton, Clayton, Cornelia, Hamilton Mill/Dacula and Cumming. With Board Certified Ophthalmologists and Optometrists, we can service all our patient’s eyecare needs. Our surgery center was recognized as one of America's top ambulatory surgery centers by Newsweek in 2022. Our surgeons offer femtosecond assisted laser cataract surgery. North Georgia Eye Aesthetics offers oculoplastic and reconstructive services. We have a dedicated dry eye clinic which includes state of the art treatments including Lipiflow and IPL.. Whether your patients need an annual eye check or treatment for a specific eye condition, North Georgia Eye Associates can care for their entire family.

A medical scribe accompanies the doctor during patient visits to document interactions directly into the electronic medical record (EMR), allowing clinicians to focus fully on patient care. The medical scribe is responsible for real-time documentation of patient history, diagnoses, treatment plans, and other medical documentation as dictated by the assigned doctor for which the scribe is assisting. A medical scribe participates in patient care indirectly by working alongside the doctor or surgeon.

• Real-time documentation of patient history, physical exams, diagnoses, treatment plans, lab/imaging results, and prescriptions during consultations.
• Assist with EMR/EHR navigation, entering orders, updating charts, and generating referral letters or prescriptions.
• Reviews patient chart to ensure completeness and accuracy of information; ensure documentation meets compliance standards (HIPAA, audits, etc.).
• Assist with patient education regarding conditions as requested by the treating doctor or surgeon
• Maintains cleanliness and orderliness of exam rooms during the workday.
• Complies with all practice procedures and protocols. Complies with all State and Federal regulations.
• Determine if documentation supports E/M vs/ Eye Code, match applicable ICD-10 codes, and appropriately code in-office procedures based on documentation.

• Report inventory and supply needs to leadership timely and as needed for supply ordering
• Participate in daily team huddles and regularly scheduled meetings as planned and required.
• Understand and accept responsibility to report potential or suspected errors to supervisor or Compliance Officer
• Contribute to the team effort by completing additional tasks or projects as needed.
• Maintain positive attitude consisting of cooperation, self-motivation, courtesy, and professionalism

Basic knowledge of ophthalmic and optometric exams, procedures, pharmacology, and terminology can be obtained via on-the-job training Basic competency expected to develop within the first ninety (90) days. Advanced knowledge of proper coding procedures is expected to develop within the first six (6) months of hire.  Medical Scribes require basic medical, ophthalmology and optometry knowledge as well as specific knowledge preferences/requirements based on doctor subspecialty and patient types.

In addition, a medical scribe is expected to have a typing speed of > 60 words per minute, advanced active listening skills, time management skills, and strong attention to detail.

A medical scribe must maintain confidentiality and professionalism at all times.

• High School Diploma or equivalent

• Prior experience with medical terminology, documentation, and training in an EMR software preferred
• Strong communication and interpersonal skills
• Ability to work in a fast-paced clinical environment.