Overview

FIRSTHEALTH OF THE CAROLINAS Position Description

Title: Certified Medical Assistant/Medical Review Officer Assistant

Department: Family Care Centers

Facility:Family Care Centers

Classification: Non-Exempt

Relationships:

Reports to: Assigned healthcare provider and clinic manager

Positions Supervised: None

Directs and Delegates: None

Qualifications:

The following, or equivalents, are the minimum requirements necessary to perform the essential functions of the position.

Education/formal training/licensure/certifications/experience:Graduate of accredited program of Certified Medical Assistants or graduate of a certified Basic EMT Program.  Prefer at least one year of clinical experience in family care practice.

Additional Skills:

Knowledge of medications and their effects on patients; strong interpersonal and verbal communications skills; age-specific skills, ability to work with accuracy and speed, perform several tasks at one time and react calmly and effectively in an emergency

Working Conditions:

Potential exposure to hazardous materials, chemicals, and detergents; potential exposure to communicable disease and/or body fluids; work extended hours as needed; travel to other clinics as required.

Physical Requirements:

Ability to access all areas of the facility; able to communicate clearly and concisely; visual acuity; ability to withstand extended periods of walking, standing, occasional lifting, bending, stooping.

Age Groups Served:

x Infant / Neonate

x School-age

x Middle Adult

x Toddler

x Adolescent

x Older Adult

x Preschool

x Young Adult

Position Specific Competencies: Certified Medical Assistant (CMA)

In addition to the following essential position competencies, other competencies may be required to meet changing organization needs.

1.   Uses an appropriate problem-solving approach to plan services.Obtains vital signs and general health information for patient chart and prepares patients forMaintains patient health record in an up-to-date status especially regarding pain assessment and current medicationAssures documentation is complete, concise, andPrepares and maintains exam rooms and medical equipment for patient visitsContributes to plan of care for individuals and groups of patients utilizing all principles to reduce medication errors when handling or calling in medications orDemonstrates initiative in suggesting and implementing problem solving approaches and planning performance ofPrepares and maintains exam rooms and medical equipment for patient visits regarding all safety checks and HIPAA guidelines and adapt same HIPAA principles to chart documentation and exposure as well as discussing PHI in front of anyone other thanTriages patients and enters accurate and concise data into the EMR while paying attention to spelling andNavigates the EMR system in an efficientFacilitates quality care management through best practice utilization of the clinicPromotes continuity of care seen by appropriate actions notes and prompt followAnswers phones, routes calls and or takes accurate Demonstrates a sense of urgency relating to a patient’s level of distress.Triages basic patient care needs, generating a telephone encounter depending upon the Assure a duplicate message has not already been started.Manages the scheduling of patient appointments. Registers new patients and maintains current accurate up to date demographic and insurance information for all patients. Performs according to policy regulations associated with Privacy Notification, Medicare secondary, signed demographic registrations, consent to treat minor,Identifies barriers related to Social Determents of Health (SDOH) and notifiesVerifies insurance eligibility, scans insurance cardChecks patients in and or out for visits in an appropriate Accurate and appropriate use of ICD-10 and CPT codesProcesses patient referrals for tests and referrals to Monitors referral work queue for follow-up. Assists nursing and or other clinic personnel in follow up to ensure patient compliance, receipt of test results and reports from specialists. Be proactive in contacting patients with test results.Forwards requests for Medical Records to Release of InformationRecognizes how fraud and abuse interplay into dailyEnsures orders are entered correctly to capture appropriateRefills medications according to medication refillIdentifies barriers germane to patient’s individual needs being financial, emotional, physical, cultural, or spiritual (SDOH).Astute and sensitive to patient satisfaction as it pertains to customer service- people skills.

2.   Provides services with consideration of the recipient’s needs.Ensures that patients are placed in exam rooms and seen by the provider in a timelyAssists the provider as needed with examinations and proceduresEnsures the smooth transition of patientsAssists in the collection of laboratory specimens and performance of tests on patients as ordered by the Track lab and all tests for outcomes and follow-up.Identifies clinical significance of data and informs provider appropriately and provides follow up accurate documentation.Enures that all lab results, interpretations, are received in the patient charts in a timely manner. Always assesses for provider signature, patient notification, date and any required follow up.Actively participates in department functions by suggesting strategies to improve outcomes, control cost, and or increase patient satisfactionMaintains work area in neat, organizedSecures patient information in desk drawers orSecures all receipts, cash drawer, etc. under lock and key overnight and when away from work Locks computer system as needed when away from work desk to protect PHI for patients.Greets and direct patients and visitors in a courteous manner, informing them of delays or changes in patientManages appointment schedule to ensure provider efficiency and patientMonitors the reception area to ensure patient comfort and prompt response to patient distress or concernsWears FH name badge and introduces self to patient as needed and required by the

3. Uses equipment/supplies correctly.Ensures that equipment and other instruments are properly set up for the providers’Maintains the medical supplies necessary for providers to perform their

4.   Uses appropriate safety and infection control measures.Ensures that all OSHA regulations and other appropriate policies are followedActively participates in the established QI/Risk ManagementWear gloves and follow Body Substance Isolation Standards whenever examining the patient or contacting blood or body fluidsEnsures all needles are placed in sharps containers and all material with blood or body fluids are disposed of properlyEnsures that all exam rooms and equipment are thoroughly cleaned between

5.   Teaches/directs/advises/informs others in an appropriate manner.Serves as communication link between the patient and the providerAdministers prescribed medications as directed and instructs patients on the proper use of each medicationAccurately and clearly communicates data to the appropriate healthcare provider in a timelyAssists office personnel with scheduling and preparing follow-up appointments as germane to clinical co-morbidities.Arranges for patient testing, admissions, and referralsTeaches patients according to provider’s instructions and in conjunction with age-appropriate guidelinesUtilizes EMR to support patient education and documents

6.       Reports/records information appropriately.Enters and records patient information in EHR in a concise and accurateEnsures that all test results, interpretations, are received in patient EHR in a timely manner.Utilizes reports and data generated by the EMR to augment care by seeking out patients who need specific follow up such as but not limited to annual mammograms, colonoscopy,Uses approved format for recording and reporting i.e., telephone encounter, etc.Maintains written reports of all situations requiring manager’s attentionReconciles cash receipts and reports as instructed by policy twice daily, or when MOA must leave money drawer for an extended period. Prints end of dayMonitors habitual no shows or late patients, reporting and communicating as needed to clinic

Enters and records patient information in EHR in a concise and accurate manner, paying attention to lot number and expiration date, patient tolerance of injections, proper consent forms, and authorizations on

7.     Quality ImprovementIn preparation for patient appointments, contact facilities will as necessary to ensure the

appropriate paperwork is index in the patient’s EMR medical record prior to being seen by the provider – Examples: surgical reports, pathology reports, home health summary of care, etc.

Responds to the follow-up action plans sent by providers goaled at achieving maximum level of care continuity in preparation for designated patient appointment – Examples: Remind patient to bring blood pressure log toCMA will monitor and utilize as needed the Quality Panel Metrics/Health Maintenance tab to facilitate proactive management of patient care and close careBLS required and SPICE (not required), but employee will be required to complete at some point.

8.       In addition to the job description stated above, the CMA will also be accountable for the following responsibilities:Promote proactive communication with all patients while being sensitive to those that are high risk and whose care is complicated by:Recent inpatient admission hospitalNoncomplianceUncontrolled chronic co-morbiditiesProblematic no-show rate

Proactive communication is defined as, but not limited to:

Placing follow up calls to patient care giver post clinic encounter; hospital discharge; recent non-compliant event (failure to pick up medication, etc.).All no-show appointments are followed according to Policy AR-0009.

MROA dutiesPrepares materials for review by MROs for all results that are labeled positive, adulterated, substituted or invalid.Supports the MRO in contacting individuals to discuss results.Corroborates and documents alternative medical explanations for non-negative drug test results.Serves as a liaison with laboratories to secure information and order reanalysis or split specimen analysis.

Compliance to competencies are evaluated by Outstanding, Successfully and Needs Improvement. It is the judgment of the clinic manager and supported by objective documentation under comments when either Outstanding or Needs Improvement are given to any of these competencies.

Written: 9/24/2024