Medical Assistant Scribe, Outpatient, FT, Day, Paradise

Adventist Health•Paradise, NV

12d•Onsite

About The Position

Assists physicians in a clinic setting to efficiently compile complete and detailed electronic medical records/patient charts. Documents medical visits and procedures as they are being performed by the physician, including patient medical history, physical exams, procedures/treatments, patient education, physician-dictated diagnoses, and prescriptions. Performs non-invasive, routine, technical support services under the supervision of a licensed physician or other healthcare provider. Prepares referral letters, researches referring physician information, coordinates referrals, and performs other clerical tasks. Ensures accuracy and completeness of medical documentation, including clinical data and test results. Collects and formats data for quality reporting and improvement efforts. Assists in tracking patient follow-up and compliance. Sets up exam rooms, checks in patients, and maintains a patient recall system. Obtains vital signs and reports significant findings to the physician. Performs audiometry, vision testing, and venipunctures.

Requirements

High School Education/GED or equivalent: Required
Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required
Basic Life Support (BLS) certification from approved vendor per AH policy: Required

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

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.
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.
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.