The Medical Assistant Credentialed/Certified role typically performs the following duties per healthcare facility protocols (federal, state and university) and specific duties as assigned.

Maintains medical records in Electronic Health Records (EHR) systems, reviews and prepares EHR to ensure completeness prior to patient exam, obtains missing documentation; documents medical visits, observations, and related activities

Direct Patient Care Tasks:

• Assists nursing/medical staff with tasks related to preliminary assessment, education, and documentation of patient condition and the presenting health complaint including:
  • Obtaining vital signs and other pertinent health information, i.e. conducts patient screenings during intake process.
  • Administration of basic tests as by healthcare provider such as EKG, spirometry, pulse oximetry, Clinical Laboratory Improvement Amendments {CLIA), etc.
  • Informing the patient of test preparations and directions to diagnostic/treatment areas.
• Assists medical/nursing staff with tasks or diagnostic/therapeutic procedures appropriate to experience, training and skill level.
• Responds to patient inquires (both in person and by telephone in English and Spanish) and relays information to the appropriate clinical staff based on the nature of the inquiry.
• Transports or accompanies patients as directed.
• Documents patient medications for medication reconciliation by history.
• Administers approved injections per appropriate protocol

Indirect Patient Care Tasks:

• Under direct supervision of clinical staff and following MD orders, completes requisitions for diagnostic tests/procedures.
• Assists in collection and processing of patient specimens. Performs and documents point of care specimen testing.
• Performs necessary follow-up to obtain laboratory/test results and other pertinent medical record information; records lab data.
• Maintains patient care environment in compliance with safety and infection control requirements including but not limited to ordering, stocking, and monitoring usage of linen, forms and supplies; disposal of soiled and used patient care supplies; sterilization of equipment.
• Performs and documents quality control tests on equipment as appropriate.
• Cleans and sterilizes equipment and maintains appropriate cleaning logs per policy.
• Obtains pre-authorizations and referrals.

Clerical Tasks:

• Maintains patient files and medical records; extracts clinical/demographic information as required.
• Schedules patient appointments in English and Spanish.
• Checks patients in and out, requisitions charts/studies, registers patients and activates accounts according to hospital procedures in English and Spanish.
• Records lab data.
• Assists other staff with office reception and business support functions.
• Collects cash payments in English and Spanish from patients and keeps accurate record of cash collections.

Performs related duties as assigned.

Patient Needs Focus: Recognizes needs, physical characteristics and behavior of a variety of age groups and special needs of patients

Participates or assists with initiatives to promote effective process design, development and implementation of EHR and other technologies; participates in improvement projects and on assigned committees