Medical Assistant / MOHS Technician, Dr. Brent Moody, Dermatology, St. Thomas West

I. JOB SUMMARY
As a member of the HMA patient care delivery team, the MA/LPN/MOHS Technician may perform routine clerical, administrative, and clinical duties within the scope allowed by TN state law in order to ensure an operationally efficient, thorough, and positive patient experience. In addition, the MA will also take on duties of the MOHS Technicianand will be responsible for performing laboratory procedures, maintaining the Micrographic Surgery (Mohs) laboratory and for assisting the physician in the care of patients. Although under the direction of the Mohs Surgeon, this position ultimately reports to the Site or Department Manager. The employee must demonstrate the ability to work collaboratively and effectively with physicians, providers, fellow team members, patients, and the general public in the performance of all job duties. In addition to the duties listed below, the MA/LPN/Histotechnician may be required to perform other related duties as requested/assigned at a level that meets and/or exceeds HMA expectations. MA/LPN/Histotechnician must be customer focused and driven to grow and further develop a working culture consistent with HMAs mission, vision and values and commitment to high standards of ethical and business conduct and compliance with all applicable laws and regulations and third party payer requirements.

II. JOB REQUIREMENTS
Required
If a MA:

1. Possess a Degree, Diploma or Certificate of Completion from an accredited Medical Assistant training program
2. Have a minimum of 1-year prior experience functioning as a Medical Assistant in a clinic/hospital setting,
3. Completion of Medical Assistant type training in the armed services.

If a LPN:

1. Possess a Degree, Diploma or Certificate of Completion from an accredited Practical Nursing training program.
2. Two or more years of directly related experience in a Mohs surgical lab with a focus on Mohs techniques and procedures
3. Proof of training in a certified program in Mohs demonstrating technical expertise and a high level of responsibility in handling delicate specimens.

Current Cardiopulmonary Resuscitation (CPR) certification.

HT or HTL (ASCP) optional, not required by CAP or CLIA

Knowledge, skills, and abilities to provide limited patient care/treatment specific to the age of the population served:

vital signs
charting
medical terminology
patient-focused customer service
medication administration / effects
clinic procedures
patient education
various types of equipment used in examination and treatment procedures
infection control guidelines
safety and HIPAA guidelines (patient confidentiality)
sterile techniques and sterilization process, etc.

Preferred
Experience and/or an understanding of electronic health records (EHR) i.e. Allscripts software
Prior experience in a large multi-specialty physician practice

III. CORE COMPETENCIES
CLINICAL

1. Gathers, via direct care and/or telephone encounters, clinical data and maintains documentation in the clinical record (initials/dates) to ensure accurate tracking of medical treatment, i.e. chief complaint, vital signs, allergies, medications, advanced directive, growth charts, pain score, health history - i.e. immunization records, allergy injection record, other; completes Comprehensive Health Assessment as indicated annually
2. Notifies physician / provider and/or the Registered Nurse immediately of patients status, pending lab test results, and any abnormal data/complaints observed or obtained from the patient - i.e. breathing difficulties, adverse drug reactions, medication effectiveness, etc. and administers CPR should the need arise; preps charts for physician(s) as instructed
3. Triages patients appropriately i.e. face-to-face encounter, phone calls and Follow My Health messages and informs physician/provider of issues in a timely manner
4. 4.In accordance with established protocol/policy and consistent with the age of the patients served, properly prepares (correct dosages) and administers (sub-Q, intra-muscular, intra-dermal, intra-venous / infusion) medication, allergy serum, immunizations, O2, treatments, tests (flu, Mono, Strep, TB, etc.) as ordered; demonstrates knowledge and understanding of dosages, reactions, and side effects of medications; accurately documents in patients chart
5. Correctly conducts CLIA waived testing i.e. glucose, UAs, pregnancy, strep, etc. as ordered; follows established lab protocol/guidelines i.e. controls (strep, urine, RSV, Flu, hemoglobin, cholesterol, lipid, A-disk, pregnancy, etc.)
6. Accurately follows established procedures for handling various specimens/cultures i.e. throat, wound, stool, urine, sputum, etc. and infection control in the handling and disposing of infectious/hazardous waste materials.
7. Appropriately uses/operates/troubleshoots various equipment needed in delivering patient care i.e. scales (infant / adult), digital thermometer, EKG, pulse oximeter, oxygen/nasal cannula/mask, nebulizer, spirometer, Holter Monitor / event recorder, Snellen, audiometry, endoscopes/endoscopic accessories, patient monitoring, etc.
8. Assists physician and/or provider with patient encounter including: patient education / instruction, lab tests, results, reports, etc. and with various procedures / set-up - i.e. pap and pelvic, lesion removal, biopsies, ear irrigation, colposcopy, etc.; keeps exam rooms stocked and room and equipment clean in accordance with established schedule
9. Calls in / e-scribes / prints prescriptions to pharmacies as ordered by the physician/provider and documents in the patients chart accurately and timely.
10. Maintains sample medications by checking refill lines timely, enters samples provided to a patient in the computer and documents appropriately; remove/dispose of expired medications; ensures sample medication and other medication and supplies are adequately stocked and maintained in locked/secured areas.
11. Prepares equipment for use in frozen sections in adequate time to receive Mohs specimens
12. Processes and cuts frozen sections and prepares slides, reviews staining for adequacy, properly labels and distributes slides to Mohs surgeon within a reasonable time frame
13. Follows the instructions from the Mohs surgeon as to the proper orientation of the specimen
14. Specimen handling, storage, preservation and identification
15. Freezing tissue and cutting frozen sections with a microtome
16. Staining and placing tissue on slides
17. Labeling and storage of slides
18. Maintains accurate records of all specimens received
19. Preparation and mixing of solutions used in MOHS lab
20. Use and handling of all materials and reagents
21. Disposal of stains and cleaning of glass containers and Petri dishes
22. Maintenance and review of all equipment and materials in the lab performing routine and scheduled maintenance and documents the completion of these duties
23. Maintaining and updating Occupational Safety and Health Administration (OSHA) and Clinical Laboratory Improvement Amendments (CLIA) records
24. Recording daily temperatures of cryostat
25. Participating in relative studies by maintaining proper records
26. Ensuring a safe environment in the lab according to OSHA standards (i.e. changing fume hood filters, safety glasses, gloves, etc.)
27. Keeps area clean and well-stocked
28. Orders and maintains an adequate amount of supplies and reagents to accommodate the Mohs caseloads
29. Maintaining quality control logs for slide review
30. Maintaining log for patient identification system
31. Perform Medical Assistant responsibilities such as patient triage obtaining histories and vitals, entering patient documentation into the Electronic Health Records (EHR), biopsies setup, orders management and providing patient after care instructions etc.
32. Follows all OSHA safety guidelines and Clinic safety policies, including the handling of sharps and the proper disposal of hazardous waste
33. Conforms to all applicable HIPAA and Billing compliance guidelines
34. Performs related work as required
35. Performs all job duties listed in this job description, as well as, other related duties as assigned/directed in a manner that ensures timely completion of clinic workflows, clinic operations, and navigating the patient through their encounter (in person/telephone/HMA patient portal); all work activities must promote patient satisfaction, efficiency, and a collaborative, team-spirited environment.

ADMINISTRATIVE

1. Ensures sterile instrument processing is completed timely in accordance with established protocol and manufacturer recommendations i.e. check instrument expiration dates, cleans and disinfects equipment, accessories, and packages items
2. Accurately schedules patient appointments by:

1) obtaining the required demographic information (i.e. guarantor, PCP, usual and referring physician);
2) informing patient of financial liability (i.e. outstanding balance, $100 payment), understanding Alert Notes;
3) informing patient of prep required for procedures (obtained from referral website) / labs;
4) obtains necessary consent forms

1. Verifies provider insurance participation via referral website, HMA Insurance Analysts, and other applicable sources
2. Accurately utilizes the Appointment Management in PM including working bump, no-shows, cancellations, confirmations and wait lists and track initial specialist office visit appointment to ensure patients keep an appointment
3. Schedules patients for tests, as ordered, and informs them as to what to expect, i.e. lab, x-ray/procedures, nuclear medicine, stress test i.e. Myoview, exercise, adenosine, and cardiac Holter monitor
4. Completes patient referrals and authorizations in a timely manner prior to the patients appointment and follows-up on pre-authorizations prior to the procedure
5. Timely follow-up on referrals and procedures in Orders Management
6. Utilizes insurance websites to obtain benefit information, referrals, pre-authorizations, etc.
7. Tracks all diagnostic studies to ensure results are received and patients informed of results as directed by the physician and /or the provider
8. Maintains a clean and orderly work area and adheres to Quality Control Guidelines such as monitoring medication refrigerator temperature, eyewash checklist, O2 checklist, AED checklist, and the autoclave checklist.

CLERICAL

1. Answers phones and returns phone calls/voice mail (within 24 hours) in a positive and professional manner ensuring customer needs are adequately addressed
2. Orders supplies/accessories timely to avoid shortages/outages which may impede the delivery of patient care services
3. Properly uses the copy machine and faxes ensures paper trays are filled, ink cartridges are replaced as needed, and maintenance is called if necessary
4. Completes HMA required forms accurately and timely i.e. Incident /Accident report, Occurrence report, Needle Stick report, clinic nursing forms, logs, mammogram, MME, etc.
5. Complies with HMA policies, procedures, and accreditation agencies, OSHA, etc.
6. Assembles encounter forms for the next business day, label paperwork with MRC / chart number for physician review, send paperwork to scanning as required, open mail and route faxes appropriately
7. Reviews phone tree reports and conducts appointment-reminder calls as appropriate
8. Attends and actively participates in required clinic meetings, huddles, and training to remain current of operational / workflow changes and to further develop a skill set

CUSTOMER SERVICE

1. Displays sensitivity, courtesy, and respect when dealing with patients, team members, and the general public
2. Demonstrates a willingness to ensure customer questions are answered and their needs are addressed goes the extra mile to assist others and ensure the message delivered is received as intended
3. Exhibits behavior that is consistent with HMAs mission, vision, and values
   Interpersonal Skills

IV. Physical and Environmental Requirements
Continual:

Standing / Sitting

Walking

Talking

Seeing / Hearing

Frequent:

Bending / Stooping/Twisting

Lifting < 30 lbs.

Manipulate objects reaching, grasping, handling

Climbing Stairs

Occasional:

Pushing / Pulling < 100 lbs. (Occasional)

May Be Exposed To: