Medical Assistant II Scribe - Multi Specialty - Pediatrics - Full Time

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Category: 
Job Type: Full-Time
Shift: Days
Location: 
Req: 13865
FTE: 

Who We Are

Packard Children’s Health Alliance (PCHA) is a network associated with Lucile Packard Children’s Hospital and the Stanford School of Medicine. We bring the best community physicians together in a network that provides healthcare for children and expectant mothers from the Bay Area

 

In fact, we’re proud to be the only Bay Area medical network with an exclusive focus on women and children, and we understand the unique value provided by our more than 650 leading pediatricians and obstetrician/gynecologists. What’s more, we’re growing fast.

Clinical Services (PCHA)

The Medical Assistant II Scribe functions as both a Clinic Assistant, Medical Assistant and Scribe. Under general supervision, the Medical Assistant II performs a variety of routine administrative, clerical, and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. The Scribe documents the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the supervising physician and any other information pertaining to the patient’s encounter in a clinical medical setting. They will work under the clinical supervision of a licensed physician or as delegated by the physician for patient care activities, and under the general direction of the designated manager/supervisor.

 

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by Stanford Children’s Health guidelines including but not limited to PCARES, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with Stanford Children’s Health policies, licensure and health screenings.


ADMINISTRATIVE DUTIES:

  •  Answers multi line phone, screens, and routes calls, takes messages for clinic staff and physicians.
  • Schedules and edits patient physician appointments for new and returning patients.
  • Schedules consultations with other clinics or physicians as needed.
  • Greets patients and request that patients and visitors be seated in the waiting room and communicate unexpected delays as needed.
  • Collects patient demographic and insurance data.
  • Determines and documents need for signatures for conditions of registration.
  • Identifies and obtains services requiring authorization and appropriate process for the payer type.
  • Informs new and returning patients of authorization and payment.
  • Collects and posts co pays.
  • Obtains required signatures.
  • Maintains records in accordance with guidelines.
  • Files and retrieves chart documents.
  • Prints and uses scheduling reports.
  • Retrieves and prepares patients charts.
  • Other duties as assigned.

CLINICAL DUTIES:

  • Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains clean and orderly exam rooms, hallways and work areas.
  • Escorts patient to exam room; measures and records vital signs.
  • Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients.
  • Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards.
  • Assists physicians with procedure set--ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or nurse.
  • Collects and sends specimens to appropriate labs for testing per protocol.
  • Processes requests for prescription refills according to established practice.
  • Other duties as assigned.

SCRIBE DUTIES:

  • Scribes are assigned to work with one physician per shift.
  • Accompany the physician upon patient interview and examination.
  • Document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family and social histories, medications, and allergies.
  • Document physical examination findings and procedures as performed by the physician.
  • Document the results of laboratory and radiographic studies as dictated by the physician.
  • Document the correct time of patient care related activities, including physician to physician communication, family communication and re-examination of the patient.
  • When the physician concludes the patient’s encounter, the physician will review all documentation completed by the Scribe, make any necessary amendments, and sign the chart. The physician is ultimately responsible for documentation of the patient’s encounter.
  • Document and pend physician orders, all orders for patient care must be signed and communicated by the physician and not the Scribe.
  • Create a scribe manual for reference to include smart phrases, general orders, pre-charting, note templates, after visit summary (AVS) instructions, provider preferences.
  • Other duties as assigned.

Minimum Qualifications
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program or equivalent completion of the minimal training requirements as outlined in section 1366 of the Business and Professions Code.

 

Experience: Two (2) to five (5) years of progressively responsible and directly related work experience in a healthcare setting. Typing speed of 75-85 wpm preferred.

Licensure/Certification: Cardiopulmonary Resuscitation (CPR) certification.

Knowledge, Skills, and Abilities:

  • Knowledge of medical terminology
  • Knowledge of inventory management practices
  • Knowledge of computer systems and software used in functional area
  • Knowledge and skills necessary to document patient care as dictated by a physician in a legible and clear manner, following all local, state, and federal guidelines for documentation
  • Ability to maintain confidentiality and privacy in accordance with governing HIPAA regulations
  • Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment according to physician protocols, guidelines, or instructions
  • Ability to perform standard clinical procedures according to established protocols
  • Ability to communicate clearly orally and in writing
  • Ability to follow oral and written instructions and interpret policies accurately
  • Ability to deal with diverse patient/family interactions and demonstrate customer service skills in interactions with all patients, families, and staff, including high volume and stressful situations
  • Ability to solve problems and identify solutions
  • Ability to plan, organize, prioritize, work independently and meet deadlines
  • Ability to prioritize multiple tasks and handle a high volume of interactions (phones, patients, etc.)
  • Ability to field phone calls and answer questions
  • Ability to adjust communications to fit the needs and level of understanding of the receiver
  • Ability to exercise calmness in stressful situations
  • Ability to maintain and coordinate multiple forms and paper documentation related to patient care
  • Ability to gather, analyze, and display data in appropriate format and keep accurate records
  • Ability to work effectively with individuals at all levels of the organization

 

Physical Requirements and Working Conditions
The work involves considerable physical exertion such as frequent lifting of patients and equipment, bending and stooping, and walking. The work environment involves high risks with exposure to potentially dangerous situations or unusual environmental stress which require a range of safety and other precautions, where conditions cannot be controlled. Work is performed in an office setting which is adequately heated, lighted, and ventilated. Outpatient clinical setting with ability to travel between work locations as needed.


Risk of Exposure to Bloodborne Pathogens
Tasks involve exposure to blood, body fluids or tissues. The potential for spills or splashes of blood, body fluids, tissues exist in job related tasks.

Equal Opportunity Employer

Stanford Children’s Health strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.  Accordingly, Stanford Children’s Health does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply.