Medical Assistant (Clinical Document Assistant) - Behavioral Health - PT - Day

Medical Transcription Documentation Assistant

Provides high quality documentation of the medical record through supervision by nursing and physicians. This position spends a high percentage of time performing medical transcription duties as a "real time" Documentation Assistant for a specific physician. Time is spent routing and processing documentation and delivering reports to physicians for review in a timely manner. Core responsibility is to capture accurate and detailed documentation of the patient encounter in a real time manner. Member of the patient care team who uses acquired, clerical skills to assist in maintaining efficient workflow to ensure safe, quality care with a patient centered approach focusing on continuity of patient care and satisfaction. This role is designed to support the Physician through the management and completion of the admission, progress notes and discharge summary within the scope of their practice. Making independent clinical decisions is outside of the scope for this position, refer clinical questions to the provider or nurse.

Education Qualifications :

• Successfully completed first semester in an accredited nursing program. Required or
• Successfully completed a medical assistant or patient care technician program. Required or
• A Certified Clinical Medical Assistant, Certified Medical Assistant, Registered Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician may be substituted for the educational requirement. Required

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