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NE
NJ EYE AND EAR
Ophthalmic Scribe
Career Insights for Medical Records / Health Information Technician
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Based on New Jersey data
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What they do
A Medical Records or Health Information Technician works with data from medical records to process, maintain, compile, analyze and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system and reporting standards
$57,458 / year median in New Jersey
+8% projected growth
Job Description
Overview We are seeking a dedicated and detail-oriented Ophthalmic Scribe to join our healthcare team. The ideal candidate will possess a strong foundation in medical documentation, clinical confidentiality, and ophthalmology-specific knowledge. As an Ophthalmic Scribe, you will play a vital role in supporting ophthalmologists by accurately transcribing patient encounters, managing electronic health records (EHR), and ensuring seamless clinical workflows. This position offers an excellent opportunity for individuals passionate about healthcare, medical terminology, and advancing their careers in ophthalmology. Responsibilities Accurately transcribe detailed clinical notes during patient examinations, including patient history, symptoms, and physician observations. Assist ophthalmologists by documenting procedures, diagnoses, and treatment plans in real-time within electronic health record (EHR) systems. Maintain comprehensive and precise medical records in accordance with HIPAA regulations and clinical confidentiality policies. Support the collection and organization of patient data, ensuring all information is up-to-date and accessible for ongoing care. Collaborate with healthcare providers to ensure accurate documentation of medical terminology, anatomy, physiology, and ophthalmic procedures. Manage electronic health records (EHR/EHR systems), ensuring compliance with data security standards and achieving HIPAA compliance at all times. Demonstrate proficiency in medical transcription, typing speed, and understanding of medical records management to enhance clinic efficiency. Uphold professional standards of confidentiality while handling sensitive patient information in high-pressure environments such as emergency room settings when applicable. Requirements Proven experience in medical office settings with a focus on ophthalmology or related healthcare fields. Strong knowledge of medical terminology, anatomy, physiology, and ophthalmic procedures. Experience with electronic health records (EHR/EHR systems) and medical transcription tools. Familiarity with HIPAA regulations and commitment to maintaining clinical confidentiality policies. Excellent typing skills combined with attention to detail for accurate medical documentation. Background in achieving HIPAA compliance within healthcare environments. Prior experience in emergency room settings or fast-paced clinics is advantageous but not mandatory. Ability to work collaboratively within a multidisciplinary team while managing multiple priorities efficiently. Join our team as an Ophthalmic Scribe to contribute directly to quality patient care through precise documentation and support of clinical excellence!