Summary of Role

The Orthopaedic Clinical Research Assistant and Medical Scribe supports clinical research and patient care by assisting with study enrollment, participant follow-up, data management, regulatory documentation, and research records. This role also supports orthopaedic providers through accurate and timely documentation of patient encounters, entry of provider-directed orders and referrals, and coordination of patient care to promote efficient research and clinic operations.

Key Responsibilities

• Coordinate weekly removal and re-filing of subject folders. 
• Enter and subsequently manage study data in necessary software program(s).
• Contact study participants as necessary via various modes of communication.
• Assist in maintaining Regulatory Binder and updating necessary training/certificates of all research staff.
• Assist in maintaining multiple spreadsheets to help track data entry and patient follow-up.
• Follow best clinical practice for coordinating medical research.
• Record medical histories and vital signs of patients.
• Enter charges and MAR for in-office procedures as needed.
• Scribe in patient room with surgeons to initiate documentation to include history, physical exam, impression, and plan.
• Enter in various imaging, therapy, and consult referrals into EPIC based on provider orders. 
• Ensure accurate and timely documentation in EPIC.
• Expertise in navigating the EMR to document patient history and assist clinician in determining treatment plan. 
• Work collaboratively with physicians, clinical staff, research team members, patients, and other stakeholders in a professional, ethical, and respectful manner.
• Perform assigned clinical research and medical scribing responsibilities with a high degree of autonomy, accountability, accuracy, and attention to detail.
• Exercise sound judgment, initiative, and discretion when completing assigned responsibilities and addressing day-to-day issues.
• Maintain an organized and efficient workflow while managing multiple priorities in a fast-paced clinical and research environment.
• Demonstrate flexibility and reliability in responding to changing clinical schedules, research priorities, and departmental needs.
• Communicate clearly and professionally with patients, providers, peers, management, visitors, insurance representatives, and other external contacts.
• Contribute effectively within a team environment while also working independently to ensure timely completion of study-related tasks and other assigned duties.
• Support a positive and professional image of the practice through courteous, responsive, and service-oriented interactions.
• Travel between satellite locations and work flexible days and hours as needed to support clinical and research activities.
• Maintain competency in all applicable responsibilities and complete required training within established timeframes.
• Other duties as assigned to facilitate clinic efficiency.

Qualifications

• High School Diploma or equivalent.
• Medical Assistant Certification/Registration, Athletic Training Certification, and/or Orthopedic Technician Certification/Registration.
• Proficiency in medical anatomy and terminology.
• Excellent listening and comprehension skills, including the ability to accurately understand varying accents, dialects, and communication styles.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Strong interpersonal skills and professional telephone etiquette.
• Demonstrated critical-thinking, analytical, problem-solving, and decision-making skills.
• Ability to prioritize, multitask, and maintain accuracy and efficiency, including in high-pressure situations.
• Ability to work effectively both independently and as part of a multidisciplinary team.
• Working knowledge of Epic or a similar electronic medical record (EMR) system preferred.
• Proficiency with Microsoft Office applications, including word processing and spreadsheet software.
• Ability to complete required CITI Program training within one month of hire.