Highly skilled Scribe with diverse experience in transcription, documentation and record keeping. Proficient in maintaining accurate records, developing clear reports and ensuring all documentation is up-to-date. Demonstrated ability to handle confidential information with discretion. Made significant contributions to improving efficiency of data management processes in previous roles. Strong interpersonal skills coupled with exceptional writing abilities, notably in fast-paced environments.
Overview
10
10
years of professional experience
Work History
MA Scribe
Lakeland Medical Associates
Gun Barrel City, TX
08.2014 - Current
Identified mistakes in reports and checked with doctors to obtain correct information.
Performed data entry and data retrieval services for inclusion in medical records and transmission to physicians.
Assisted in the development of transcription guidelines and standards for the organization.
Managed transcription workflow to meet tight deadlines without compromising quality.
Performed document editing functions such as formatting, spell checking, grammar checking.
Transferred transcribed materials into electronic health records system.
Translated medical jargon and abbreviations into expanded forms to promote accuracy of patient and health care facility records.
Ensured confidentiality and security of all transcribed documents in compliance with HIPAA regulations.
Maintained strict confidentiality of transcribed data according to HIPAA regulations and company policy.
Ensured timely completion of assigned tasks within specified deadlines.
Made corrections when needed to grammar, spelling, and syntax.
Typed medical dictation of discharge summaries, operative reports, referral letters and follow-up clinic notes from dictating equipment or written draft.
Maintained up-to-date knowledge of medical terminology and anatomy.
Determined correct ICD-10 and CPT codes for use in medical record.
Adhered to departmental policies regarding confidentiality of patient information at all times.
Documented and initiated tests, scan and other orders.
Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
Monitored patients for adverse reactions and provided immediate care as needed.
Conducted quality control checks to ensure the accuracy of test results.
Collaborated with healthcare teams to enhance patient care and improve specimen collection processes.
Conducted various blood tests and updated results into paper and electronic charts.
Input medical and insurance information into database for inclusion in patient records.
Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
Performed centrifugation and specimen aliquoting for sample preparation.
Identified best veins for intravenous lines and blood draws, avoiding unnecessary pokes.