Participates in daily Care Team Huddles to ensure collaborative care is given to each patient on every visit Performs review of patient's medical records for upcoming, scheduled clinic visit. Abstracts pertinent data related to activity within the healthcare system since last visit, quality indicators and the patient's personal clinical goals of therapy. Makes notes as necessary to serve as a reminder of issues that need to be addressed during the clinic visit. Greets and escorts patient to the exam room. Obtains and documents all pertinent vital signs and measurements. Assesses medication regimen in detail to evaluate each medication and dosage currently in the EMR and any newly reported medications or dosages. Notes any discrepancies to discuss with provider. Reconciles allergies. Engages patient in conversation regarding reason for visit and overall health. Assesses for social environment, gaps in care, quality measures and progression and/or barriers to reaching the goals of therapy. Prepares chart with any labs or other data for ease of access for provider, including reminders for quality indicators. Remains in the exam room, enters all findings, including physical exam and assessment provider notes. Enters provider orders and plan of care instructions, including prescriptions. Provides instructions to patient and educational materials based on the exam findings. Informs patient for timing of next visit and directs to check out for scheduling. Documents all activities/interventions, patient/family responses, medication dispensed/prescribed in the electronic medical record. Fulfills other patient care responsibilities as assigned that may include checking schedules and organizing patient flow; assisting patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam; and answering calls. Fulfills clerical responsibilities as assigned. May include sending/receiving medical records and reports; facilitation of referrals; completing forms and requisitions; scheduling appointments; insurance verification and pre-certification activities. Enhances professional growth and development through participation during in-service meetings, educational programs, conferences, and participate in committees as requested. Adheres to applicable states controlled substance regulations. Practices universal precautions and properly handle blood and body fluids and deal with infectious patients. Completes training related to hierarchical condition category (HCC) coding and demonstrate competency by appropriately when transcribing patient visits.