Medical Scribe Urgent Care
Resume:
Kumar singla
ad5rym@r.postjobfree.com
SUMMARY
Highly organized and detail oriented medical scribe / Transcriptionist with more than 5 years of experience, skilled in playing with different EMRs and well versed in medical terminologies. Having extensive command in recording patient data, including radiology studies, laboratory tests, and E-sending medications. Skilled in punching information into the EHR system. Experience in Recording and documenting patients’ medical history, demographics, procedures, physical exam findings, diagnosis, HPI, and ROS. I am also able to create charge slips and send claims for processing.
I am a quick learner with the ability to work well under pressure. I have excellent organization, time management, and problem solving skills. Having strong work ethics am an enthusiastic worker, with positive attitude. PROFESSIONAL EXPERIECNE
Valley Kids Clinic, Edinburg
Medical scribe ( Remote )
16-10-2021 - Present
Taking dictations from doctor / physicians and working on the patient notes accordingly.
E-send/Fax medications
Enter lab orders and results based on the instructions provided
To do Counseling including BMI, diet and exercise
create and complete a comprehensive note of the patient which are later on signed and sent for billing
create/save superbills
Adding diagnosis
Create charge slips
DWF family clinic Irving
Note Taker / documentation specialist
Receiving SOAP notes from the provider and updating data To Practice fusion (EHR).
Adding diagnosis, Vitals and lab results following the SOAP Notes
Adding HPI based on the chief complain
Sending medications and lab orders
Urgent care, Garden city, 28505 ford Road MI
Adding HPI, review of system and physical exam finding
Adding order and lab results following the provider’s instruction.
E-sending medications and contacting pharmacies incase Of any issues
Pediatrics On Demand Oak Lawn –
Remote Medical scribe
Record patient medical histories, symptoms, and other relevant information in the electronic health record (EHR) system. Ensure accuracy and completeness of medical records.
Enter data into the EHR in real-time during patient visits, including diagnoses, treatments, prescriptions, and any other pertinent information.
Enter orders for laboratory tests, imaging, and other diagnostic procedures as directed by the healthcare provider. Ensure that all necessary tests and procedures are documented appropriately.
Assist with follow-up care, including coordinating appointments, referrals, and communicating test results to patients. Ensure that patients understand their treatment plans and any necessary follow-up instructions.
Adhere to strict confidentiality policies and regulations to protect patient privacy. Handle sensitive information with the utmost care and professionalism.
TRUE COMPASSION URGENT CARE
Palm beach Gardens Florida
medical scribe / Virtual assistant
Enter data into the EHR system during patient visits to provide immediate documentation for healthcare providers.
Record patient information, including medical history, current symptoms, vital signs, and other relevant details, in the electronic health record (EHR) system. Ensure accurate and timely documentation of patient encounters.
Help with medical coding by accurately documenting diagnoses, procedures, and treatments. Support the billing process by ensuring that all relevant information is recorded for accurate reimbursement.
Participate in quality assurance initiatives to ensure the accuracy, completeness, and compliance of medical documentation. Identify and address any discrepancies or issues in the documentation process. OTHER SKILLS
Hand on experience in using different billing softwares like AdvancedMD. Office Ally, ECW, Practice Fusion, Gerimed and others
Good grip on usage of Microsoft office (Excel, Word, PowerPoint, Access), Office 365, Google drive, Net surfing.
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