Lead Physician Documentation Assistant

Steward Health Care System is comprised of 10 hospitals and more than 20 outpatient facilities all committed to compassion, accountability, respect and excellence. Headquartered in Boston, MA, Steward Health Care System is a community-based accountable care organization and community hospital network with more than 15,000 employees serving more than one million patients annually in 85 communities.

Steward Medical Group, Inc. is a physician-led practice organization with 1,700 employees in total and more than 160 physician practices throughout Eastern Massachusetts.

Summary:
The Lead Physician Documentation Assistant, under the direction of ED Leadership, will be responsible for the general oversight and training for the Physician Documentation Assistant program. The principle duty and function of a Physician Documentation Assistant is to enhance the efficiency of his/her supervising emergency physician and emergency department team.

Responsibilities:
The Lead Physician Documentation Assistant will function at all times under a physician's direct supervision, and will abide by all applicable Steward policies and procedures including, but not limited to, safety matters, HIPAA-compliance and patient/computer confidentiality.
Record a physician-directed patient history of present illness (HPI), past medical history (PMH), family and/or social history and physical examination (PE), including pertinent positives and negatives.
Record procedures and the results of laboratory tests and radiographic images.
Improve the efficiency of patient care by assisting the physician with routine matters.
Serve as an ambassador/liaison between the physician, the patient and the ED staff.
Under the direction of the ED Chief or designee, maintain general oversight and supervision of the PDA program and serve as liaison between the Chief/designee and PDA staff.
Manage scheduling for the PDAs at their respective ED.
Conduct quarterly PDA documentation audits.
In coordination with ED Chief or designee, conduct interviews of PDA candidates and coordinate the on boarding of new hired PDAs.
Responsible for all training of newly hired PDAs.
Along with the ED Chief or designee, may be asked to participate in various recruitment activities
At the direction of the ED Chief or designee, may be responsible for coordinating MD Meditech training

Qualifications:
High school diploma or equivalent
Previous experience as a Physician Document Assistant preferred
Basic knowledge of medical terminology
Preferred candidate would be a medical student, nursing student, paramedic student, medical assistant, EMT or CNA.
Ability to maintain strict confidentiality/HIPPA confidentiality required

Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Additional Information

Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.

Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.

1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.