About The Position

Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas. Lodi is known for its small-town charm, extensive vineyards and delicious local restaurants and bakeries. The allure of Lodi's close-knit community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as a quick drive to Lake Tahoe or the Northern California coast. Job Summary: Assists physicians in clinic setting to efficiently compile complete and detailed electronic medical records/patient charts. Documents medical visits and procedures as they are being performed by physician including, but not limited to, patient medical history and physical exam, procedures/treatments performed by healthcare professionals, including nurses and physician assistants, patient education and explanations of risks and benefits, physician-dictated diagnoses, and prescriptions and instructions for patient or family members for self care/follow-up. Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife.

Requirements

  • High School Education/GED or equivalent: Required
  • Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required
  • Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Nice To Haves

  • Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
  • Medical Assistant (CMA) or Certified Nursing Assistant (CNA) certification: Preferred
  • Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred
  • Phlebotomy certificate: Preferred

Responsibilities

  • Prepares referral letters as directed by the physician, via dictation or summary, of the medical record.
  • Ensures letters are mailed or faxed on a daily basis to all physicians involved in patient’s care, and with all copies of pertinent reports or tests attached.
  • Researches contact information for referring physicians, coordinates referrals, prepares operative reports, makes phone calls and performs other clerical tasks as assigned.
  • Spots mistakes or inconsistencies in medical documentation and checks to correct information.
  • Ensures all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record.
  • Alerts physician when chart is incomplete.
  • Complies with specific standards and legal/ethical requirements for preparing medical documents and for keeping patient information confidential.
  • Collects, organizes and catalogs data for Physician Quality Reporting System and other quality improvement efforts.
  • Formats for submission.
  • Assists in developing and maintaining systems to track patient follow-up and compliance.
  • Sets up exam rooms and checks in patients.
  • Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers.
  • Obtains vital signs.
  • Reports significant findings and pertinent patient observations to clinic physician.
  • Performs audiometry and vision testing.
  • Performs venipunctures as ordered.
  • Performs other job-related duties as assigned.
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