Medical Transcriptionist

Compass Connections•San Antonio, TX

1d•Onsite

About The Position

The Medical Transcriptionist role at Compass Connections is a critical administrative and medical support position within a healthcare setting, primarily focused on Spanish/English medical transcription. This role requires strict adherence to federal and state regulatory guidelines and standards. Key responsibilities include effective communication with Certified Nurse Practitioners, RN Managers, and other medical staff, serving as a liaison between medical and residential services divisions. The transcriptionist is responsible for maintaining electronic medical health care records and the federal Medical Portal, assisting with daily MAR audits, reporting medication errors, compiling and distributing daily medical lists, and supporting the medical intake process. Maintaining confidentiality of health care records and Protected Health Information (PHI) in compliance with HIPAA and company protocols is paramount. The position demands flexibility, including adherence to scheduled hours, availability for on-call scheduling, and working evenings, weekends, and holidays as needed. The role also involves applying positive behavior management techniques, recognizing and reporting signs of abuse or neglect, and demonstrating compassionate and professional interaction with children. Further duties include participating in meetings, planning and prioritizing daily work, implementing safety protocols, and upholding Compass Connections' professional and ethical standards. The transcriptionist will ensure all referrals and orders from Certified Nurse Practitioners are completed, schedule specialty appointments, attend on-site medical appointments to assist with translation of patient history and symptoms, and accurately transcribe all documentation into electronic medical record platforms. Additionally, the role encompasses general administrative duties for the clinic, administering assigned medical services as prescribed, and completing accurate documentation in accordance with agency policies and regulatory requirements.

Requirements

Full English and Spanish Fluency.
High school diploma or equivalent.
Current BLS certification.
First aid certification.
CPR certification.
Two (2) years of experience performing professional administrative work in a health care setting, including medical scribe/healthcare documentation specialist experience, and providing Spanish/English transcription of medical documentation.
Pass a pre-employment drug screen and random drug screens throughout employment.
Provide proof of work eligibility status upon request.
Pass a pre-employment and biennial criminal background check.
Demonstrate the ability to respond sensitively and competently to the service population’s cultural and socio-economic characteristics.
Demonstrate the ability to work collaboratively with other staff members, service providers, and professionals.
Demonstrate the ability to communicate effectively in writing and verbally in English.
Demonstrate the ability to work in a fast-paced environment and maintain emotional control and professional composure at all times, and make decisions based on the needs of the program and service population.
Maintain computer literacy required to meet the responsibilities of the position.
Demonstrate the ability to work effectively and without intensive supervision both independently and as a member of a multidisciplinary team.
Demonstrate a working knowledge of all Compass Connections policies and procedures.
Complete and sign Operations Policy and Procedure review and certification.
Provide current physical-medical release and provide proof of immunizations, titers, or declinations for MMR, Varicella, HepB, HepA, Tetanus, and PPD.
Be able to perform physical activity such as extensive walking, lifting of patients, stretching, and bending.
Be able to work in a team environment.
Be able to maintain professional people skills, including oral, written, listening, and non-verbal communication skills.
Receive an annual Influenza vaccination or obtain an approved exemption as a medical or religious accommodation.

Nice To Haves

Possess a degree in Community Health or Medical Services equivalent.
PALS certification.
Meningococcal immunization.

Responsibilities

Meet and maintain all federal and state regulatory guidelines and standards applicable to this position.
Communicate effectively with Certified Nurse Practitioner, RN Manager, and other medical staff regarding care for the service population and be a liaison between the medical and residential services divisions.
Maintain electronic medical health care records and the federal Medical Portal.
Assist in daily MAR audits, ensuring proper documentation.
Report all medication errors to the RN Manager.
Compile daily medical lists and distribute to all designated staff.
Assist in the medical intake process in collaboration with other medical staff.
Maintain confidentiality of health care records and information in keeping with HIPAA, Protected Health Information (PHI) requirements, and Compass Connections' confidentiality protocol and procedures.
Adhere to scheduled hours of position, remain available for on-call scheduling, and work evenings, weekends, and holidays as needed, requested, or deemed appropriate by the Deputy Executive Director, Medical Services and Executive Director.
Know, understand, and apply positive behavior management techniques including verbal redirection, de-escalation, and containment.
Know and recognize the signs of abuse, neglect, exploitation, and sexually provocative behavior and implement professional response, reporting and documenting procedures.
Show appreciation and affection toward children in a manner that is compassionate and professional, minimizing cultural misinterpretations.
Participate in scheduled meetings and in team decisions and operations.
Plan, organize, and prioritize daily work using sound judgment.
Implement Compass Connections safety protocols, including evacuating with children and other staff in case of an emergency.
Maintain confidentiality in all areas of the service population and program operations.
Maintain Compass Connections' professional and ethical standards of conduct outlined in Compass Connections' employee handbook, including demonstrating respect for agency staff, children, and community members and complying with the required dress code at all times.
Ensure all referrals and orders initiated by Certified Nurse Practitioners are completed, and specialty appointments are scheduled.
Attend and participate in all on-site medical appointments in the exam room with Certified Nurse Practitioner (i.e., initial medical exam, sick calls, and follow-up appointments).
Assist Certified Nurse Practitioner with translation of verbally reported past medical history, history of present illness, and signs and symptoms as needed.
Transcribe all written documentation for Certified Nurse Practitioner into applicable electronic medical record platforms in compliance with federal and licensing standards.
Perform all administrative duties of the clinic or designated site(s) in accordance with Compass Connections federal policies and procedures.
Administer and execute assigned medical services for service population as prescribed by an advanced practice provider or physician and applying best practice guidelines to include but not limited to medication administration, and well and sick child visits.
Complete accurate documentation of activities performed in accordance with agency policies and procedures, contract and regulatory requirements and standards and program timeline requirements.
Meet all pre-determined deadlines required by program and federal partners.
Other duties as assigned.