About The Position

This position spends a high percentage of time performing medical transcription duties as a "real time" Documentation Assistant for a specific physician. Time is spent routing and processing documentation and delivering reports to physicians for review in a timely manner. Core responsibility is to capture accurate and detailed documentation of the patient encounter in a real time manner. Member uses acquired, office-based skills to assist physicians and nursing personnel to maintain smooth working order of the offices, continuity of patient care and client satisfaction.

Requirements

  • Successfully completed first semester in an accredited nursing program. Required or Successfully completed a medical assistant or patient care technician program. Required or A Certified Clinical Medical Assistant, Certified Medical Assistant, Registered Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician may be substituted for the educational requirement. Required
  • 1 year Transcription/scribe/MA or PCT experience Preferred
  • Experience typing or transcribing conversations. Required
  • Experience in a medical setting working with providers. Required
  • Experience with medical terminology and procedures. Required
  • Conscientious regarding care of equipment, utilization of supplies and personal time.
  • Knowledgeable of correct set-up and procedures to safely perform ear irrigation, monitor oxygen via mask and nasal cannula, assist with suture care and removal.
  • Knowledgeable of and follows correct techniques in the ordering, collection, and labeling specimens; in assisting providers in clean or sterile procedures.
  • Possess the ability to organize and prioritize assigned work duties and have a desire to interact with patients in a professional and empathetic manner.
  • Active certification to practice in Kansas as either Certified Clinical Medical Assistant, Certified Medical Assistant, Registered Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician is required as a substitute for education qualifications. Required

Responsibilities

  • All documentation assistant entries must contain an entry made by the provider that - Affirms the providers presence during the time the encounter was recorded -Verification that provider reviewed the information - Verification of the accuracy of the information - Provider authentication including date and time
  • Assist the provider in navigating the EHR.
  • Respond to various EHR messages as directed by the provider.
  • Enter information into the EHR as directed by the provider.
  • Relay all advisories or alerts that appear while scribing to obtain guidance from Provider on proper response.
  • Ensure that all entries in the EHR by the Documentation Assistant are authenticated by the Documentation Assistant including date and time.
  • Locate information for review (i.e. previous notes, reports, results, etc.).
  • Obtains vital signs, medication list, allergies, simple patient history information accurately.
  • Knowledgeable of correct set-up and procedures to safely perform ear irrigation, monitor oxygen via mask and nasal cannula, assist with suture care and removal.
  • Receives telephone messages and appropriately relays these messages to the physicians and nurses.
  • Assists with callbacks as indicated to deliver prompt, prioritized patient care (patient, pharmacies, insurance companies, etc.).
  • Schedules consults and follow up appointments.
  • Complete In basket work such as result notes at direction of provider, order information, and patient schedule.
  • Relay all advisories or alerts that appear while scribing to obtain guidance from Provider on proper response.
  • Obtain medication and procedure prior authorizations.
  • Applies proper techniques with hand washing, instrument handling and care, care and cleaning of exam rooms and equipment and determination of when and how to use personal protective clothing/equipment.
  • Assists with simple patient teaching: procedures, laboratory tests, medications, etc.
  • Maintains exam rooms with necessary supplies and materials.
  • Prepares list of supplies needed.
  • Checks expiration dates.
  • May assist with wound care and cast care.
  • Assists with Code Blue events and transfers to hospital.
  • Efficiently documents medical information using the appropriate electronic applications and/or forms.
  • Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
  • Performs other duties as assigned

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What This Job Offers

Job Type

Part-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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