Job Description
Position Status:
Full time
Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America)
Hours per week:
40
Job Information
Exemption Status: Non-Exempt
A Brief Overview
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 Preferred
- Experience typing or transcribing conversations. Required
- Experience in a medical setting working with providers. Required
- Experience with medical terminology and procedures. Required
Skills 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. Required
What you will do
- Implements identified plan through coordination of care with interdisciplinary care team to employ strategies to promote health and wellness. Collaborative with interdisciplinary care team encompassing strategies to achieve expected outcomes.
- Communicate pertinent data and information relative to the patient, situation, or setting in a timely manner. Relay all advisories or alerts that appear while scribing to obtain guidance from Provider on proper response.
- 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 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 model
- Utilizes appropriate resources to provide, and sustain evidence-based nursing services that are safe, effective, and financially responsible, and used judiciously
Required for All Jobs
- Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
- Performs other duties as assigned
Patient Facing Options
- Position is Patient Facing
Remote Work Guidelines
- Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
- Stable access to electricity and a minimum of 25mb upload and internet speed.
- Dedicate full attention to the job duties and communication with others during working hours.
- Adhere to break and attendance schedules agreed upon with supervisor.
- Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
Remote Work Capability
Scope
- No Supervisory Responsibility
- No Budget Responsibility
Physical Demands
- Balancing: Occasionally 1-3 Hours
- Carrying: Occasionally 1-3 Hours
- Climbing (Ladders): Rarely less than 1 hour
- Climbing (Stairs): Rarely less than 1 hour
- Crawling: Rarely less than 1 hour
- Crouching: Occasionally 1-3 Hours
- Driving (Automatic): Rarely less than 1 hour
- Driving (Standard): Rarely less than 1 hour
- Eye/Hand/Foot Coordination: Frequently 3-5 Hours
- Feeling: Occasionally 1-3 Hours
- Grasping (Fine Motor): Frequently 3-5 Hours
- Grasping (Gross Hand): Occasionally 1-3 Hours
- Handling: Occasionally 1-3 Hours
- Hearing: Frequently 3-5 Hours
- Kneeling: Occasionally 1-3 Hours
- Lifting: Occasionally 1-3 Hours up to 25 lbs
- Operate Foot Controls: Rarely less than 1 hour
- Pulling: Occasionally 1-3 Hours up to 25 lbs
- Pushing: Occasionally 1-3 Hours up to 25 lbs
- Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs
- Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs
- Repetitive Motions: Frequently 3-5 Hours
- Sitting: Frequently 3-5 Hours
- Standing: Frequently 3-5 Hours
- Stooping: Rarely less than 1 hour
- Talking: Occasionally 1-3 Hours
- Walking: Frequently 3-5 Hours
Working Conditions
- Burn: Rarely less than 1 hour
- Chemical: Rarely less than 1 hour
- Combative Patients: Occasionally 1-3 Hours
- Dusts: Rarely less than 1 hour
- Electrical: Rarely less than 1 hour
- Explosive: Rarely less than 1 hour
- Extreme Temperatures: Rarely less than 1 hour
- Infectious Diseases: Occasionally 1-3 Hours
- Mechanical: Rarely less than 1 hour
- Needle Stick: Occasionally 1-3 Hours
- Noise/Sounds: Occasionally 1-3 Hours
- Other Atmospheric Conditions: Rarely less than 1 hour
- Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
- Radiant Energy: Rarely less than 1 hour
- Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours
- Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
- Hazards (other): Rarely less than 1 hour
- Vibration: Rarely less than 1 hour
- Wet and/or Humid: Rarely less than 1 hour
Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.
Job Tags
Full time, Work at office, Shift work, Day shift