About the Medical Assistant Position

The Medical Assistant (MA) provides clinical and administrative support to ensure the effective delivery of Chronic Care Management (CCM) services. This includes assisting with patient outreach, care coordination, health education, and documentation under the supervision of a licensed provider. The MA plays a critical role in supporting patients with multiple chronic conditions to improve outcomes and reduce hospitalizations.

Essential Duties and Responsibilities:

Chronic Care Management Support:

• Identify eligible patients for CCM based on chronic condition criteria

• Assist in developing and updating electronic care plans

• Document non-face-to-face time spent with patients each month

• Make monthly follow-up calls to:

  • Assess medication adherence and side effects

  • Review symptoms and monitor health goals

  • Coordinate lab appointments and referrals

• Record all communications and interventions in the EHR

• Ensure proper use of CPT codes 99490, 99439, or related codes

• Track and report time logs for billing compliance

Clinical & Administrative Duties:

• Take and record vital signs as needed

• Prepare exam rooms and assist during patient visits

• Update patient records, medication lists, and problem lists

• Respond to patient portal messages and triage calls

• Schedule preventive care and annual wellness visits

• Support referrals and care coordination with specialists or community services

Compliance:

• Adhere to HIPAA and confidentiality guidelines

• Follow policies related to infection control and safety

• Participate in training related to Medicare CCM rules and updates

Qualifications:

• High school diploma or GED required

• Completion of an accredited Medical Assistant program required

• Certification preferred (CMA, RMA, CCMA, etc)

• Familiarity with EHR systems (e.g., eClinicalWorks)

• Strong communication, organizational, and time-tracking skills