Medical Assistant Scribe

Job Description

Performs patient care under the physician's / nurse's direct supervision. Duties include, but are not limited to; preparing patient for physician, administering, obtaining and recording diagnostic laboratory test results, entering information into the patient's electronic or written chart. Ensures medical record is accurate, complete and meets medical coding requirements. Assists in coordinating organization of care to meet patient needs.

Job Responsibility

• Collaborates with members of the health care team in coordinating and implementing plans for patient; may record reason for visit and related patient information for practitioner review.
• Enters & documents information from the patient visit into the patient's electronic medical record or written chart
• Performs vital signs, height, weight, and screening procedures which may include, but are not limited to, head circumference, audiometry, and vision testing; documents findings in the medical record.
• Collects and assists providers in collection of specimens, as required, using appropriate protocols such as infection control; completes requisitions, labels and routes specimens according to standard procedure.
• Performs and documents daily controls and calibration of laboratory equipment when needed; informs the supervisor of when inaccurate controls are noted.
• Performs electrocardiograms and phlebotomy in accordance with provider orders; adheres to infection control standards including, but not limited to, hand hygiene, use of PPE, isolation of patient with known infectious disease, and equipment disinfection / sterilization.
• Assists physicians and nurses with special procedures and examinations including, but not limited to lumbar puncture, pelvic exam, etc. following appropriate protocols such as infection control, universal protocol, and patient identification; secures supplies, ensures patient is properly undressed and draped, provides instruments to physicians, holds patient, as required and assists patient after procedure / examination.
• Maintains orderliness and cleanliness of examination rooms; stocks assigned rooms and cupboards and ensures par levels of supplies are maintained; checks and completes required logs and equipment including refrigerator logs, eyewash logs, sample medications, AED, suction and other required checks.
• May participate in pre-visit chart preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical records).

Performs variety of other clerical functions such as filing of paper medical records, processing insurance forms, preparing financial records, photocopying, answering phones, and assuring efficient flow of patients through the suite, etc.

Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

The salary range and / or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and / or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).