Certified Medical Assistant

Job Description

Job Description

Essential Job Responsibilities 

Maintains effective communication with patients in reference to waiting time, patient needs and expectations, and patient feedback 

Escorts patient to the different areas within the medical office (prevention counselor, check-in/out, lab, exam room, social work, including televisit) 

Completes all tasks sent via CCR’s EHR by the requested timeframe 

Ensures compliance with health center’s policies and procedures as it relates to medical examination of every patient seen 

Administrative Duties 

Ensures proper and timely check-in of patients and prepares patient for medical examination Assists with the coordination of patient flow 

Ensures proper patient identification using a minimum of two (2) patient identifiers as per national patient safety goals requirement 

Schedules follow-up appointment for the patient 

Timely and accurate documentation in patient charts 

Receives/sends documents via fax per provider request: 

● Medical Record Release Form 

Makes phone calls and documents in EHR per provider request 

Records pertinent information on forms 

Ensures proper and smooth operational flow as it relates to patient visit (i.e. prioritizes patient flow based on medical needs) 

Ensures proper patient identification using a minimum of two (2) patient identifiers as per national patient safety goals requirement 

Reviews and documents the patient's vital signs in CCR’s EHR 

Updates and records patient information in CCR’s EHR:

● Allergies, reconciles medication list, reviews immunizations, history forms other information as required 

Prepares and reviews the next day’s patient schedule & care requirements to maintain patient flow 

Assists with the completion of forms as needed: 

● PrEP Screening, HIV Confidential Case Forms, Pre-operative Surgical, Work Excusal/Return to Work, and Proof of Pregnancy 

Ensures proper Patient Health Questionnaire-9 (PHQ-9) Depression screening for risk of suicide of every new patient 

Clinical Duties 

Collects and accurately documents patients’ vital signs in CCR’s EHR (i.e. height, weight, temperature, heart rate, blood pressure, pulse oximeter and pain level) 

Reports abnormal findings to the Registered Nurse and/or Medical Provider Prepares venipuncture forms 

Prepares Advance Beneficiary Notice (ABN) forms as required and informs the patient of any costs associated with lab draw 

Prepares and completes lab orders/requisition 

Ensures proper collection, labeling, and processing of all specimens using a minimum of two (2) patient identifiers prior to drawing blood 

Assists Medical Providers with medical procedures/testing by performing: 

● Electrocardiogram (EKG’s), rapid testing (CLIA waived testing)diabetic, results documentation & log Maintenance (blood glucose, A1C, strep, urine dipstick, urinalysis, pregnancy, Immunochemical Fecal Occult Blood Test (iFOBT), influenza A&B,HIV,HCV) 

Reviews visit summary with the patient upon discharge by the provider 

Ensures proper processing and specimens are securely enclosed for transport to the lab Clinical Duties 

Prepares rooms for clinical examination and patient procedures as directed Ensures materials/supplies/equipment are fully stocked and available 

Assists Medical Providers with procedures/testing and ensures proper documentation in the medical record: 

● Pap smear, colposcopy, biopsy, vaginal cultures, pelvic/breast exam, male exam, incision and drainage, throat cultures, nebulizer treatments and other procedures as indicated by the provider 

Obtains and reviews medical records of all diagnostic/lab reports 

Collects, transports, disinfects and prepares instruments for sterilization process in accordance with policy and procedure.

Performs high-level disinfection (HLD) and sterilization of instruments, as assigned and as per manufacturer's guidelines 

Ensures the following are entered in patients’ EHR: 

● Chief complaint, history of present illness, problem list, health reminders, patient history, social history, family history, medical/surgical history, and assesses for recent hospitalizations 

Performs PHQ-9 Depression screening 

Places orders for the following: 

● Laboratory testing, standing orders, referrals and updates status of any open referrals, new medication and/or medication refills, vaccines and/or injections 

Ensures proper ICD-10 coding/charges per diagnosis as per medical providers instructions Enters Uniform Data System (UDS) & Meaningful Use (MU) measures 

Enters self-management goals and plan of care 

Provides accurate and timely documentation within the same day of intervention and enters other information as requested by the provider. 

Quality Assurance/Compliance  

Ensures examination rooms are in compliance with the Occupational Safety and Health Administration (OSHA) and Joint Commission (JC) standards 

Ensures proper documentation/logging and disposal of medication into the hazardous/black box Receives training and undergoes competency assessments based on evidence-based guidelines and manufacturer's instructions for use 

Safety/Cleanliness