Francia Velez
Fontana,CA
Summary
Clinical Medical Assistant and Scribe with strong experience in patient assessment, EHR charting, and accurate medical documentation. Skilled in streamlining patient flow, maintaining HIPAA compliance, and supporting providers in busy clinical settings.
Overview
2
2
Languages
6
6
years of professional experience
Work History
Clinical Administrate Scribe Medical Assistant
Susan Biegel MD
Upland, California
02.2021 - Current
- Documented patient encounters for Susan Biegel MD during office visits and procedures.
- Entered histories, medications, and allergies into electronic medical records.
- Prepared charts before appointments using provider schedules and prior notes.
- Transcribed physician findings, assessments, and treatment plans into records.
- Updated referrals, orders, and follow-up instructions in medical charts.
- Assisted Susan Biegel MD with exam room documentation during patient care.
- Reviewed clinical notes for accuracy, implementing timely corrections to maintain high documentation standards.
- Communicated patient information to office staff using clear, professional language.
- Transcribed physician's orders accurately into the EMR system.
- Input details about patient histories, physical examinations, medications and other information into physical or electronic charts.
- Established effective working relationships with healthcare professionals to facilitate efficient workflow processes.
- Conducted quality assurance checks on a regular basis to ensure that documentation was complete and compliant with regulations.
- Maintained confidentiality of all patient information according to HIPAA regulations.
- Followed clinicians throughout the shift in high-volume, busy environments.
- Evaluated charts, documents and orders and made timely corrections.
- Determined correctly ICD-10 and CPT codes for use in medical records.
- Documented and initiated tests, scans and other orders.
- Reviewed patient charts for documentation purposes.
- Provided support in resolving issues related to medical documentation systems or software applications.
- Provided real-time transcription services during clinical rounds and other meetings.
- Organized all transcribed documents according to established standards of practice.
- Reviewed reports generated from electronic health record systems for accuracy and completeness.
- Maintained up-to-date knowledge of medical terminology and anatomy.
- Recorded comprehensive medical information, ensuring accuracy in patient histories, diagnoses, treatments, and procedures.
- Interpreted handwritten notes from clinicians into electronic format quickly and accurately.
- Ensured timely completion of assigned tasks within specified deadlines.
- Utilized multiple computer programs simultaneously while transcribing.
- Assisted physicians in documenting complex cases through active listening skills.
- Proofread transcribed documents for accuracy and completeness prior to submission to physicians for review.
- Followed HIPAA guidelines when handling sensitive patient information.
- Performed document editing functions such as formatting, spell checking, grammar checking.
- Corrected errors in spelling, punctuation and grammar without changing meaning of sentences.
- Developed and adhered to exacting transcription quality assurance standards and metrics.
- Returned dictated reports in electronic form for physician review, signature and corrections.
- Proofread, reviewed and verified dictation for accuracy and quality against established standards.
- Identified mistakes in reports, checking with doctors to obtain correct information.
- Transcribed documents and maintained high levels of accuracy.
- Recorded comprehensive notes during patient visits to ensure accurate documentation. during patient visits to document in an electronic health records system.
- Translated medical terminology and abbreviations into expanded forms to produce accurate patient and healthcare records.
- Received physician approval to mail document copies to referring physicians, families and medical records.
- Worked with a supervising physician to complete and submit medical records.
- Coordinated with team members to distribute workload and ensure consistent quality across all documents.
- Communicated effectively with clients to confirm transcription requirements and deadlines.
- Maintained a high typing speed with minimal errors to maximize productivity.
- Researched unfamiliar terms and jargon to ensure accurate representation in transcriptions.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Transferred transcribed materials into the electronic health records system.
- Supported patient intake and rooming at Susan Biegel MD office.
- Collected vital signs and documented histories in patient charts.
- Prepared exam rooms and maintained clean clinical supplies.
- Assisted Susan Biegel MD with procedures and patient examinations.
- Scheduled appointments and managed front office phone calls.
- Coordinated referrals, prescriptions, and follow-up patient instructions.
- Processed insurance forms and verified patient information.
- Communicated with patients and staff using professional, caring support.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Measured vital signs and took medical histories to prepare patients for examination.
- Documented notes during patient visits.
- Managed incoming phone calls to provide assistance and schedule appointments., scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Maintained accurate medical records through filing, charting, transcription and data entry into an electronic health record system.
- Scheduled appointments for patients via phone and in person.
- Collected samples from patients for laboratory testing purposes.
- Cleaned and maintained medical equipment following procedures and standards.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under the direct supervision of a physician or a registered nurse.
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Educated patients about medications, procedures and patients' physician instructions instructions.
- Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
- Participated in team meetings to improve workflows and contribute to patient population outcomes.
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Collected, labeled and stored laboratory specimens properly prior to testing.
- Administered medications under physician's supervision.
- Positioned patients properly during examination or treatment for comfort and safety.
- Facilitated back office patient processing, contributing to reduced office wait times and improved patient flow.
- Motivated and compassionate future Licensed Vocational Nurse (LVN) with a strong background as a Clinical Medical Assistant and Medical Scribe. Experienced in direct patient care, obtaining vital signs, patient intake, clinical documentation, EHR/EMR charting, assisting with procedures, and administrative duties. Currently completing an LVN nursing program with hands-on clinical experience and continued development in medication administration, patient assessment, infection control, safety, and therapeutic communication. Dedicated to providing safe, respectful, and patient-centered care while working effectively with nurses, providers, patients, and interdisciplinary healthcare teams.
Education
Nursing
American Career College
CA05-2027
Skills
- EHR charting
- Clinical documentation
- Accurate transcription
- Medication administration
- Patient assessment
- Patient history taking
- Knowledge of ICD-10 codes
- Vital signs monitoring
- Vital signs
- Patient education
- Clinical assistance
- Clinical support
- Order processing
- Document management
- Paperwork processing
- Paperwork submission
- Chart organization
- Data entry experience
- Dictation transcription
- Dictation
- Fast typing speed
- Workflow improvements
- Continuous learning attitude
- Language fluency
- Cultural sensitivity awareness
- Teamwork orientation
- Documentation skills
- Cultural sensitivity awareness
- Vital signs
Languages
Spanish
Native/ Bilingual
Portuguese
Professional
Custom Section 1
- LVN student with hands-on clinical experience and expected graduation May 2027
- Previous Medical Assistant experience with clinical, administrative, and medical scribing responsibilities
- Strong patient communication, compassion, and bedside manner
- Experience with vital signs, patient intake, documentation, infection control, and patient safety
- Knowledge of medical terminology, medications, and basic nursing procedures
- Strong organization, time management, and attention to detail
- Comfortable working in fast-paced healthcare environments
- Reliable, adaptable, and able to work effectively with a healthcare team
- Committed to patient-centered care and continued professional growth
- Able to balance nursing school, clinical responsibilities, and professional obligations
- Bilingual: Fluent in English and Spanish, with the ability to communicate effectively with Spanish-speaking patients and families.
Timeline
Clinical Administrate Scribe Medical Assistant
Susan Biegel MD
02.2021 - Current
Nursing
American Career College