Job Title: Medical Assistant
Job Summary:
The Clinical Support Specialist is a versatile role that supports the healthcare team through real-time medical documentation (scribing) and basic clinical intake. This position is designed for professionals who provide essential clinical and administrative assistance but do not hold a national medical assistant certification. The primary goal is to enhance provider efficiency and ensure accurate documentation of the patient’s encounter.
Duties and Responsibilities:
- Accompany the provider into the exam room to document the clinical visit in real time in the Electronic Health Record (EHR).
- Accurately transcribe the History of Present Illness (HPI), physical exam findings, and the provider’s assessment and plan.
- Ensure all clinical documentation is completed promptly for provider review and signature, maintaining high standards for grammar and medical terminology.
- Escort patients from the waiting area to the examination room.
- Obtain and record accurate vital signs (blood pressure, pulse, temperature, O2 saturation, height, and weight).
- Update basic patient information in the EHR, including the reason for the visit and current pharmacy information.
- Prepare exam rooms between patients, ensuring surfaces are disinfected and supplies are restocked.
- Assist providers with non-invasive patient care tasks such as handing instruments or positioning patients for exams.
- Prepare laboratory requisition forms and label specimens (e.g., urine or swabs) for processing or transport.
- Monitor provider schedules to maintain efficient patient flow.
- Route simple patient messages to the appropriate clinical staff via the EHR "In-Basket."
- Assist with patient check-out by providing printed summaries and scheduling follow-up appointments.
Professional Requirements:
- Ensures that appearance and personal conduct are professional at all times.
- Excellent attendance record.
- Wears appropriate clothing for job functions. Wears ID badge.
- Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
- Represents the organization positively and professionally in the community.
- Maintains patient confidentiality at all times.
- Complies with all organizational policies regarding ethical business practices.
- Arrives at work on time and ready to start the report. Manages time wisely throughout the shift and is prepared to leave work when the bedside report is complete.
- Demonstrates the Healing Model.
Regulatory Requirements:
- Education: High School Diploma or equivalent required.
- Experience: Previous experience in a healthcare setting (hospital, clinic, or nursing home) or completion of a Medical Assistant or CNA training program is preferred.
- Current Basic Life Support (BLS) / CPR certification.
- Typing Proficiency for Scribing: Ability to type 60+ WPM with high accuracy while listening to the provider-patient interaction.
- Medical Literacy: Strong understanding of medical terminology, anatomy, and common medications.
- Confidentiality: Strict adherence to HIPAA Privacy Rules regarding all patient data.
- Technology: Proficient in using EHR platforms (e.g., Epic, Athena, or Cerner) and standard office software.
