Description

POSITION TITLE: Medical Assistant / Scribe - Podiatry 

REPORTS TO: Clinic Manager

SUPERVISES: None

POSITION STATUS: Non-Exempt

BENEFITS: Medical, Dental, Vision, Life, 401 (k), PTO, etc.

UPDATED: January, 17, 2024

POSITION SUMMARY:

Receive patients and accompany them to the vital sign area or treatment room to take vital signs and obtain a brief note as to specific patient problems and needs. Enter information into the Electronic Health Records System. Assures that all exam rooms are clean, supplied and ready for daily utilization by providers and patients. Adherence to protocols will be in accordance with HIPAA regulation requirements. Under the supervision of the Site Manager, the Medical Scribe will work with providers as assigned with the primary responsibility of the operation of the electronic health records and electronic dictation system. Other duties include: (1) performing all clerical and information technology functions for a physician in a clinic setting, (2) anticipating provider needs to facilitate the flow of clinic, (3) accurately and thoroughly documenting medical visits and procedures as they are being performed by the provider, (4) dictation/faxing/phone calls and clerical tasks, (5) identifying inconsistencies in medical documentation and checking to correct the information in order to prevent documentation errors, (6) may collect, organize and catalog data for physician quality reporting system and other quality improvement efforts and format for submission, and (7) may attend trainings on information technology, legal, HIPAA and regulatory compliance, billing and coding.

PRIMARY RESPONSIBILITIES: (will include, but not be limited to):

1. SCRIBE-Accompany the medical provider during exams and treatment procedures.
2. SCRIBE-Document and enter the following types of information into the Electronic Health Records system: physical examination findings and procedures as performed by the medical provider; results of laboratory and radiographic studies as dictated by the medical provider; and other patient care activities.
   1. When the medical provider concludes the patient’s encounter, the medical provider will review all documentation completed by the Scribe, make any necessary amendments, and sign the chart.
   2. The medical provider is ultimately responsible for documentation of the patient’s encounter.
3. Greet patients in a professional and caring manner and escort patients to the vital sign area or treatment room where all vitals will be obtained and documented on each of the patients.
4. Obtain and document a brief summary of the patient’s chief complaints or reason for their visit to our medical facility. Enter information into the Electronic Health Records System.
5. Accompany patient to the exam room or treatment room and assist patient in preparing for encounter with medical provider.
6. Utilizing room status indicators Medical Assistant will flag appropriate status of room and patient to alert others as to operational status of all exam rooms.
7. Anticipate as well as follow provider’s orders in obtaining all materials necessary for patient care services.
8. Upon the completion of a patient encounter medical assistant will clean exam room, restock supplies, and prepare room for next patient encounter.
9. Accompany and support all male providers with all female patient care services and examines.
10. With training and proof of competency, perform simple lab tests, UA, FSBS, INR, PT/PTT, HgbA1C, Hemoglobin.
11. Document any/all patient data in Electronic Health Record, concerning client encounter.
12.  The ability to professionally interact with and get along well with others is an essential function of this position.
13. Participate in required in-service activities as required by the Clinic Manager.
14. Assist with maintenance and inventory of medical equipment and supplies.
15. Be familiar with the aims and objectives of the Health Center and express a genuine enthusiasm for its success.
16.  Regular and consistent attendance is an essential function of this position.
17. Performs other duties as assigned.

Qualifications

QUALIFICATIONS:

1. High School Graduate or GED.
2. Formal education and training as a Medical Assistant is required.
3. Prefer at least two (2) years of successful experience working in a medical facility as a Medical Assistant. Preferably in Podiatry. 
4. Must have the ability to communicate effectively orally and in writing; and the ability to follow oral and written instructions. Must possess sufficient written and verbal communication skills to be able to interact with medical professionals, vendors, and agencies in a professional manner, developing rapport and enhancing business relationships. Must have legible handwriting.
5. Must have the ability to work in an independent and self-directed manner and assume individual initiative. Must be willing and have the ability to accept supervision and to follow directions.
6. Experience with and the ability to operate Microsoft Office software is required. Experience working with electronic health record system is preferred. Must possess skill in using computers and other office equipment; in composing correspondence; managing filing systems; gathering and summarizing information; and in planning, organizing, prioritizing, and executing complicated and continuing referral assignments. Must have the ability to correctly enter narratives and data in the Electronic Health Records system.
7. Must have the ability to maintain confidentiality and handle sensitive matters with discretion and tact. Must have a general knowledge of and the ability to maintain HIPAA privacy requirements.
8. Must have the ability to work in a fast-paced and sometimes stressful environment.

PHYSICAL REQUIREMENTS:

Walking, standing and sitting for prolonged periods of time; climbing step-stools, etc.; stooping, kneeling, crouching and reaching; pushing, pulling and lifting up to 50 pounds; raising objects overhead; manual dexterity for operation of computer, phones and small office machines; hearing, talking and good verbal and written communication skills; repetitive motions of the wrists, hands, and fingers.

INDIAN PREFERANCE:

Preference in filling vacancies will be given to qualified Native American or Alaskan Native Applicants, in accordance with the Indian preference Act (Title 25, U.S. Code Section 472 and 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment. In House postings include Tribal Voting Members.

All positions require sensitivity to Indian traditions, customs, and socioeconomic needs, and ability at times to meet and deal effectively with numerous tribes and varied cultures, which requires tact, courtesy, discretion, resourcefulness, and good judgment in handling functions of a sensitive nature.

*Employment is contingent on passing pre-employment TB test, background check and drug testing.

Tuolumne Me-Wuk Indian Health Center is an Equal Opportunity Employer.