Medical Assistant

Job Title: Non-Certified MA/CNA/Scribe- Clinic

Job Summary:

The Clinical Support Specialist is a versatile role that supports the healthcare team through real-time medical documentation (scribing) and basic clinical intake. This position is designed for professionals who provide essential clinical and administrative assistance but do not hold a national medical assistant certification. The primary goal is to enhance provider efficiency and ensure accurate documentation of the patient’s encounter.

Duties and Responsibilities:

• Accompany the provider into the exam room to document the clinical visit in real time in the Electronic Health Record (EHR).
• Accurately transcribe the History of Present Illness (HPI), physical exam findings, and the provider’s assessment and plan.
• Ensure all clinical documentation is completed promptly for provider review and signature, maintaining high standards for grammar and medical terminology.

• Escort patients from the waiting area to the examination room.
• Obtain and record accurate vital signs (blood pressure, pulse, temperature, O2 saturation, height, and weight).
• Update basic patient information in the EHR, including the reason for the visit and current pharmacy information.

• Prepare exam rooms between patients, ensuring surfaces are disinfected and supplies are restocked.
• Assist providers with non-invasive patient care tasks such as handing instruments or positioning patients for exams.
• Prepare laboratory requisition forms and label specimens (e.g., urine or swabs) for processing or transport.

• Monitor provider schedules to maintain efficient patient flow.
• Route simple patient messages to the appropriate clinical staff via the EHR "In-Basket."
• Assist with patient check-out by providing printed summaries and scheduling follow-up appointments.

Professional Requirements:

• Ensures that appearance and personal conduct are professional at all times.
• Excellent attendance record.
• Wears appropriate clothing for job functions. Wears ID badge.
• Works at maintaining a good rapport and a cooperative working relationship with physicians, administration, and staff.
• Represents the organization positively and professionally in the community.
• Maintains patient confidentiality at all times.
• Complies with all organizational policies regarding ethical business practices.
• Arrives at work on time and ready to start the report. Manages time wisely throughout the shift and is prepared to leave work when the bedside report is complete.
• Demonstrates the Healing Model.

Regulatory Requirements:

• Education: High School Diploma or equivalent required.
• Experience: Previous experience in a healthcare setting (hospital, clinic, or nursing home) or completion of a Medical Assistant or CNA training program is preferred.
• Current Basic Life Support (BLS) / CPR certification.

• Typing Proficiency for Scribing: Ability to type 60+ WPM with high accuracy while listening to the provider-patient interaction.
• Medical Literacy: Strong understanding of medical terminology, anatomy, and common medications.
• Confidentiality: Strict adherence to HIPAA Privacy Rules regarding all patient data.
• Technology: Proficient in using EHR platforms (e.g., Epic, Athena, or Cerner) and standard office software