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