Assists physicians by documenting medical visits, procedures, and patient histories in electronic medical records. Performs routine technical support services including obtaining vital signs and conducting basic diagnostic tests.
Requirements summary
Requires a high school diploma or GED and Basic Life Support (BLS) certification. Preferred qualifications include an associate degree and certifications as a Medical Assistant (CMA), Nursing Assistant (CNA), or in Phlebotomy.
high schoolassociate degreeprofessional certificatePatient EducationPatient ChartingVital SignsElectronic Medical RecordsVenipunctureMedical DocumentationClerical SupportAudiometryVision TestingReferral CoordinationMedical ScribingPatient Recall Systems
Job description
Located in beautiful Northern California, Adventist Health Clear Lake has been a leading healthcare provider in Lake County since 1968.
We are comprised of a 25-bed critical access hospital and provide primary and specialty care services at clinics throughout the area to best serve our community.
Lake County is home to Clear Lake, California's largest natural freshwater lake, surrounded by charming small towns, beautiful mountains, vineyards and orchards.
This area is perfect for outdoor enthusiasts, with some of the best bass fishing, rural trails for hiking and biking, all the while being only two hours from the San Francisco Bay Area, Sacramento Valley or Pacific Coast.
Job Summary: Assists physicians in clinic setting to efficiently compile complete and detailed electronic medical records/patient charts.
Documents medical visits and procedures as they are being performed by physician including, but not limited to, patient medical history and physical exam, procedures/treatments performed by healthcare professionals, including nurses and physician assistants, patient education and explanations of risks and benefits, physician-dictated diagnoses, and prescriptions and instructions for patient or family members for self care/follow-up.
Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife.
Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Required Associate's/Technical Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications: Medical Assistant (CMA) or Certified Nursing Assistant (CNA) certification: Preferred Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Facility Specific License/Certifications: Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions: Prepares referral letters as directed by the physician, via dictation or summary, of the medical record.
Ensures letters are mailed or faxed on a daily basis to all physicians involved in patient's care, and with all copies of pertinent reports or tests attached.
Researches contact information for referring physicians, coordinates referrals, prepares operative reports, makes phone calls and performs other clerical tasks as assigned.
Benefits
Comprehensive Benefits Program
Spots mistakes or inconsistencies in medical documentation and checks to correct information.
Ensures all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record.
Alerts physician when chart is incomplete.
Complies with specific standards and legal/ethical requirements for preparing medical documents and for keeping patient information confidential.
Collects, organizes and catalogs data for Physician Quality Reporting System and other quality improvement efforts.
Formats for submission.
Assists in developing and maintaining systems to track patient follow-up and compliance.
Sets up exam rooms and checks in patients.
Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers.
Obtains vital signs.
Reports significant findings and pertinent patient observations to clinic physician.
Performs audiometry and vision testing.
Performs venipunctures as ordered.
Performs other job-related duties as assigned.
Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients.
Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable.
Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
