Dawn Presson
Indian Trail,NC
Summary
Detail-oriented Medical Scribe with expertise in compliance oversight and transcription accuracy. Proven ability to manage patient records while ensuring confidentiality and adherence to HIPAA standards.
Overview
30
30
years of professional experience
Work History
Medical Scribe
DocuMed
251 2nd St. Ste 302. Lakewood, NJ
02.2009 - Current
- Input details about patient histories, physical examinations, medications and other information into physical or electronic charts.
- Captured and transcribed medical record documentation with electronic medical record applications.
- Used EHR system to manage patient records, always maintaining patient confidentiality according to HIPAA standards.
- Verified accuracy of dictated reports prior to release for physician review.
- Prepared and submitted patient documentation for physician review and approval, ensuring adherence to detailed data entry and facility-specific procedures.
- Transcribed audio recordings of medical consultations into comprehensive written documents.
- Entered laboratory and radiology results into electronic medical records (EMR) systems.
- Evaluated charts, documents and orders and made timely corrections.
- Demonstrated knowledge of terminology for multiple medical specialties, consistently seeking ongoing training to expand and maintain knowledge base.
- Utilized various EMR systems with proficiency, adapting to new technologies.
- Returned dictated reports for physician review and signature, facilitating timely inclusion in patients' medical records.
- Assisted with the preparation of materials for patient education and follow-up care.
Education
Associate of Science - Medical Office Assistant/Transcriptionist
Kings College
Charlotte, NC10-1984
Skills
- Electronic health records
- Transcription accuracy
- Data entry
- Patient records
- Chart review
- Medical terminology
- Compliance oversight
- Data entry expertise
- HIPAA compliance
- Medical terminology proficiency
- Chart organization
- Medical transcription
- Documentation
- Electronic health records management
- Patient history expertise
- Documentation skills
- Anatomy and physiology
- Critical thinking
Timeline
Medical Scribe
DocuMed
02.2009 - Current
Associate of Science - Medical Office Assistant/Transcriptionist
Kings College