Medical Transcription Documentation Assistant
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.
Education Qualifications :
- 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
Experience Qualifications :
1 year Transcription / scribe / MA or PCT experience PreferredExperience typing or transcribing conversations. RequiredExperience in a medical setting working with providers. RequiredExperience with medical terminology and procedures. RequiredSkills and Abilities :
Conscientious regarding care of equipment, utilization of supplies and personal time. (Required proficiency)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. (Required proficiency)Knowledgeable of and follows correct techniques in the ordering, collection, and labeling specimens; in assisting providers in clean or sterile procedures. (Required proficiency)Possess the ability to organize and prioritize assigned work duties and have a desire to interact with patients in a professional and empathetic manner. (Required proficiency)Licenses and Certifications :
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. RequiredWhat you will do :
Implements identified plan through coordination of care with interdisciplinary care team to employ strategies to promote health and wellness.Communicate pertinent data and information relative to the patient, situation, or setting in a timely manner.Promote infection prevention through use of standard precautions, proper procedure in dressing changes, wound care, hand hygiene and cleanliness of the patient rooms / department.Provide assistance with activities of daily living (ADL'S), accurate measurement and recording of weight, height, vital signs and report any changes to assigned nurse.All documentation assistant entries must contain an entry made by the provider that : Affirms the providers presence during the time the encounter was recorded, verifies provider reviewed the information, verifies of the accuracy of the information with 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.Delivers care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect.Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.Demonstrates advocacy in all roles and settings.Practices Diversity, Equity and Inclusion principles in their daily work by respecting others' uniqueness, perspectives, backgrounds or beliefs.Communicates effectively in all areas of professional practice.Mentors PCT's new to their role for the purpose of ensuring successful enculturation, orientation, competence, and emotional support. Supports students to enhance their knowledge, skills, and abilities.Commits to lifelong learning through critical thinking, self-reflection, and inquiry for personal growth and development.Demonstrates willingness to participate in process of evolution the scope of the Stormont Vail Health professional practice modelUtilizes appropriate resources to provide, and sustain evidence-based nursing services that are safe, effective, and financially responsible, and used judiciouslyRequired for All Jobs :
Complies with all policies, standards, mandatory training and requirements of Stormont Vail HealthPerforms other duties as assignedPatient Facing Options :
Position is Patient FacingRemote Work Capability :
On-Site; No RemoteScope :
No Supervisory ResponsibilityNo Budget ResponsibilityPhysical Demands :
Balancing : Occasionally 1-3 HoursCarrying : Occasionally 1-3 HoursClimbing (Ladders) : Rarely less than 1 hourClimbing (Stairs) : Rarely less than 1 hourCrawling : Rarely less than 1 hourCrouching : Occasionally 1-3 HoursDriving (Automatic) : Rarely less than 1 hourDriving (Standard) : Rarely less than 1 hourEye / Hand / Foot Coordination : Frequently 3-5 HoursFeeling : Occasionally 1-3 HoursGrasping (Fine Motor) : Frequently 3-5 HoursGrasping (Gross Hand) : Occasionally 1-3 HoursHandling : Occasionally 1-3 HoursHearing : Frequently 3-5 HoursKneeling : Occasionally 1-3 HoursLifting : Occasionally 1-3 Hours up to 25 lbsOperate Foot Controls : Rarely less than 1 hourPulling : Occasionally 1-3 Hours up to 25 lbsPushing : Occasionally 1-3 Hours up to 25 lbsReaching (Forward) : Occasionally 1-3 Hours up to 25 lbsReaching (Overhead) : Occasionally 1-3 Hours up to 25 lbsRepetitive Motions : Frequently 3-5 HoursSitting : Frequently 3-5 HoursStanding : Frequently 3-5 HoursStooping : Rarely less than 1 hourTalking : Occasionally 1-3 HoursWalking : Frequently 3-5 HoursWorking Conditions :
Burn : Rarely less than 1 hourChemical : Rarely less than 1 hourCombative Patients : Occasionally 1-3 HoursDusts : Rarely less than 1 hourElectrical : Rarely less than 1 hourExplosive : Rarely less than 1 hourExtreme Temperatures : Rarely less than 1 hourInfectious Diseases : Occasionally 1-3 HoursMechanical : Rarely less than 1 hourNeedle Stick : Occasionally 1-3 HoursNoise / Sounds : Occasionally 1-3 HoursOther Atmospheric Conditions : Rarely less than 1 hourPoor Ventilation, Fumes and / or Gases : Rarely less than 1 hourRadiant Energy : Rarely less than 1 hourRisk of Exposure to Blood and Body Fluids : Occasionally 1-3 HoursRisk of Exposure to Hazardous Drugs : Rarely less than 1 hourHazards (other