
Documented physician-patient interactions in real time within the electronic medical record, ensuring accurate and thorough capture of patient histories, physical exams, diagnostic findings, assessments, and treatment plans.
• Supported physicians by providing timely and detailed clinical documentation, allowing them to focus more on patient care while helping maintain efficient department workflow.
• Reviewed patient charts, laboratory results, imaging reports, and consultation notes to ensure medical records remained complete, accurate, and up to date.
• Applied medical terminology and EHR systems to accurately document patient encounters while maintaining strict adherence to HIPAA regulations and patient confidentiality.
• Worked closely with physicians, nurses, and other healthcare professionals to promote clear communication, streamline patient care, and support continuity of care in a fast-paced emergency department setting.
Applied Behavior Analysis (ABA)
Behavior intervention and data tracking
Emotional support & rapport building
Residential and patient care experience
Clinical documentation & medical terminology
Microsoft Word, Excel, and electronic health records
Communication & teamwork in fast-paced environments