Medical Assistant (10180)
JOB SUMMARY Under the supervision of a Medical Provider, the Medical Assistant will provide clinical and clerical support to promote the delivery of high-quality patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES Interacts with patients and members of the care team to provide a range of patient care services. The essential duties and responsibilities of a Medical Assistant is dependent on demonstrated competency. Medical Assistants are tiered based on clinical skills, certification, competency, and experience. Medical Assistants may be required to travel to other NOTCH sites on an as needed basis. Specific duties and responsibilities are listed below. NOTCH Administration has the right to waive tiering requirements and the Medical Assistant may perform functions outside their tiering if demonstrating competency. Medical Assistant Tier I Medical Assistant Tier I is trained in a limited number of duties and skills and only able to practice autonomously in those duties/skills when demonstrating competency in that area. Medical Assistant Tier II Completion of orientationAdministrative duties:Greets patients and visitorsComplies with HIPAA regulationsFields and evaluates telephone calls and in-person encounters and directs callers and visitors to the appropriate personnelSecures necessary information and documentation from patients to process visitReviews and updates patient data, medical records, and registration forms with patientAssists patient to fill out paperwork if patient is unable to completeSchedules patient appointments according to established office proceduresAdvises patient with routine non-medical instructions in preparation for appointment as per established protocolsAnswers non-medical questions within practice guidelinesRequests payment at time of serviceUpdates medical data, medications, and health problems in chartsChecks charts for insurance changes and patient informationCopies patient chartsMonitors fax machine and distributes faxesParticipates in training sessions, monthly and daily staff meetingsKnowledge of OSHA manual and standards, including appropriate hazardous waste handling and disposalAbility to juggle multiple tasks and prioritize workloadStrong communication and interpersonal skillsComputer skillsAbility to function within a team environment to achieve stated objectivesHandles referrals and phone calls to other provider offices for appointments; makes callbacks or follow ups for medical concerns as necessaryEnsures accurate and timely documentationParticipates in quality initiativesTranscribes telephone messages from prescription lineClinical DutiesPatient roomingPatient intakeInfection control including but not limited to:Hand washingPersonal Protective EquipmentVital Signs including pulse oximetryMaintains sanitation of exam rooms and equipment (wipes down thermometers, otoscopes, exam tables, etc)CLIA waived lab tests including but not limited to the following as applicable per clinic:UrinalysisUrine HCGUrine Drug ScreenHemoglobinHemoglobin A1cRapid Flu A&BStrep AFecal Occult Blood TestPT/INRGlucoseAdministers Influenza VaccinationsVenipuncture and phlebotomyCollects specimens for outside laboratory testing including but not limited toBlood drawsCulturesUrine Drug ScreenCompletes in house orders including but not limited to:EKGNebulizer treatmentsSpirometry/PFTPeak flowOxygen walk testMay execute organization approved standing orders per written procedureMay initiate and/or execute age appropriate preventive care measure (within scope of practice) as detailed in the NOTCH Medical Practice Guideline.Updates medical data including medications and allergiesPerforms other duties as assignedMaintains billing standards include complete documentation of the electronic superbillFollows NOTCH procedures and policiesParticipates in NCQA and HRSA quality improvement initiativesComplies with HIPAA and 42 CFR Part 2 regulationsSupports the clinic with Provider order tracking and follow upParticipates in pre-visit planningEnters child vaccinations on Vermont Department of Health website Medical Assistant Tier III Competency demonstrated in Tier II duties and responsibilitiesOne-year experience as a Primary Care Medical Assistant or Certification in Medical Assisting AND 6 months experience as a Primary Care Medical Assistant at NOTCHDiabetic foot checks as directed by the ProviderPPD readTriages telephone calls regarding medical concernsAdministers Injections and VaccinationsEar irrigationAssist Providers in procedures including but not limited to:Setting up a sterile fieldSuture and/or staple removalWound careEngages patients in self-management action planning as appropriateAssists Providers with patient education and instructions, self-management tools, and counseling on healthy behaviorsAssist Providers with patient education and instructionsPrepares prior authorizations including but not limited to medications and diagnostic imagingContributing to the assessment, but not independently assessing a patients health statusEffectively communicates with patients using techniques such as motivational interviewing when appropriateCompletes refrigerator temperature logs (vaccine supply integrity)Reviews inventory for expired medical supplies on crash cart and in clinic Medical Assistant Tier IV Competency demonstrated in Tier III duties and responsibilitiesThree years experience as a Primary Care Medical Assistant or 2 years experience as a Primary Care Medical Assistant and Certification in Medical Assisting AND one-year experience as a Primary Care Medical Assistant at NOTCHFunctions as a preceptor for students and new hiresParticipates in Quality Improvement projects under the direction of the NOTCH Clinical Leadership Team. Participation may include: participating in a new process or change, providing feedback to the tests of change, and providing suggestions for the next tests of changeManagement and/or complete understanding of the Vermont Department of Health Vaccination program including storage and ordering Medical Assistant Tier V Competency demonstrated in Tier IV duties and responsibilitiesFive years experience as a Primary Care Medical Assistant or 4 years experience as a Primary Care Medical Assistant and Certification in Medical Assisting AND two years experience as a Primary Care Medical Assistant at NOTCHProvides leadership in the clinical settingAdvocate and aids in implementation of NCQA Patient Centered Medical Home initiativesa. Advocate and aids in implementation of HRSA Uniform Data Set initiativesParticipation in organizational initiatives such as but not limited to:Shared governanceCommitteesLeads quality improvement activitiesMay supervise staff as directed by the NOTCH Clinical Leadership TeamMay coordinate appropriate staffing levels as directed by the NOTCH Clinical Leadership TeamMay contribute to staff performance evaluationsMay monitor clinical staff performance and documents job performance as appropriate EDUCATION High School Diploma EXPERIENCE Varies CERTIFICATE/LICENSE Medical Assistant Certification or Degree in Medical Assisting preferred PHYSICAL DEMANDS AND WORK ENVIRONMENT The description of the physical demands and the work environment characteristics here represent those that must be met by an employee to successfully perform and those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is constantly required to talk and hear. The employee is frequently required to sit and type. The employee is often required to stand and walk. The employee is occasionally required to lift, carry, push, pull, stoop, kneel, crouch, hold objects, and perform repetitive motions. The employee is rarely required to climb, balance, crawl, reach or grasp. The employee must be able to regularly perform light lifting and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is occasionally exposed to x-ray machines and blood-borne pathogens. The employee is often exposed to patients with infectious diseases. MACHINERY AND EQUIPMENT USED Personal computer, multi-line telephone system, facsimile machine, copier, ECG, stethoscope, scales, blood pressure monitor, needles/syringes, various CLIA waived laboratory testing kits and urinalysis, glucose, and hemoglobin machines.