Medical Records Assistant

1 month ago

Lumberton, North Carolina, United States Southeastern Integrated Care LLC Full time

Summary:

The Medical Assistant (MA) performs administrative and certain clinical duties under the direction of physicians and managers. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding for insurance purposes. Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician. Promotes the Mission and Vision of Southeastern Integrated Care, to include the delivery of chronic care, collaborative care and remote patient monitoring services.

Essential Duties and Responsibilities:

Must be able to perform the essential functions of the job. Provide a high level of customer service to patients, patient's families and other employees. Follow and implement SEIC policies and procedures. Assume responsibility for compliance with federal, state and local regulations within the clinic. Document all patient encounters, phone calls, and treatments in the patient's health record. Prepare and administer medications or treatments as ordered by SEIC providers. Maintain strict confidentiality of all patient information. Maintain a neat, clean, professional appearance. Assure personal compliance with infection control, personal protection equipment, blood borne pathogens and hazardous material handling. Arriving on time for shift to ensure patients are checked into exam rooms and ready for providers to see at scheduled appointment time. Assist other MA's to cover lunches, room patients Review medications and allergies with every patient appointment, paying great detail to medication name, dose and frequency. Entering medication and allergy information into electronic medical record. Clean exam rooms after every visit. Give injections and provide treatments ordered by SEIC providers, as necessary. Stock exam rooms, as necessary. Obtain lab specimens including venipuncture as ordered by SEIC providers Obtain a full set of vitals, weight, and smoking status with each patient appointment. Return and address patient phone calls, lobby visits or faxes by the end of the day. Make specialist appointments and referrals in a timely manner. Document immunizations for all vaccines given. Document all medication administered documenting the name of medication, dose, NDC# and route in patient's health record. Clean and sterilize instruments. Attend and participates in staff meetings and in-services as assigned. Adhere to and support SEIC's policies, practices and procedures. Accept assigned duties in a cooperative manner and perform all other related duties as assigned by Supervisor. Work scheduled shifts Assists in the maintenance and/or modification of client data collection in the agency EHR system to ensure information remains as up to date as possible. Maintains appropriate interpersonal relationships with employees, peers, and consumers; Receives and screens visitors and/or telephone calls, providing general and specialized information; Mentors new team members; Designs, organizes and maintains specialized and custom forms, records, reports, files and logs to support technical work processes in areas of assigned responsibility; Reviews all documentation for accuracy, neatness, and compliance with necessary processes and procedures; Other duties as assigned. Must be able to demonstrate a working knowledge of computers, fax, phone and other office machines. The MA must have excellent communication skills, be able to cope with mental and emotional stress related to the position, function independently, and have flexibility and personal integrity. Employee must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers. Bilingual preferred (Spanish) Supervisory Responsibilities:

This position does not oversee staff.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

High school diploma or general equivalency diploma (GED), medical assistant diploma from an accredited vocational institution, or a community college course in medical assisting. Appropriate certificate indicating passing grade for specific specialty if working in specialty department; e. g. , pediatric medical assistant exam.

Experience

Minimum 2 years in a clerical or administrative role; Knowledge of healthcare and clinical terminology, regulations, and best practices; A combination of education and experience may be acceptable. Minimum one year of recent experience working in a medical facility as a medical assistant and/or documented evidence of externship completed in a medical office. Electrocardiogram (EKG), vital signs, venipuncture, capillary, and injection current experience. Required Skills/Abilities Ability to problem solve and work both independently and in a team; Excellent communication and organizational skills; Demonstrated proficiency with Microsoft Office/Google Workspace applications; Ability to maintain confidentiality; Sensitivity to the needs of persons with MH/SA/DD concerns; Ability empathetically interact with beneficiaries and their families. Certificates, Licenses, Registrations Preferred national certification for the registered medical assistant (RMA) through the American Medical Technologists (AMT) or for the certified assistant through the American Association of Medical Assistants (AAMA). Must possess a current CPR certification and current health records with the appropriate immunizations to work in the health care field (hepatitis B and tuberculosis). And 'other duties as assigned. ' Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The work is typically performed in an office environment, with a moderate noise level.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Regularly required to use hands to handle or feel; talk; see; and/or hear. Specific vision abilities required by this job include close vision and color vision. Abilit.

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