Kelsie Carter
Wallkill,NY
Summary
Pursues a rewarding opportunity in Healthcare, applying medical terminology knowledge, strategic problem-solving, and precise attention to detail, alongside delivering superior customer service in routine operations.
Overview
6
6
years of professional experience
Work History
Medical Scribe
Envision Health
Cornwall, NY
10.2024 - Current
- Accompany physicians into patients' examination rooms to transcribe medical histories and physical exams accurately.
- Ensure meticulous recording of all interactions in the electronic medical records (EMR).
- List all diagnoses, symptoms, follow-up instructions, and prescriptions precisely as dictated by the physician.
- Maintain clarity and completeness in patient records with the EMR.
- Transcribe all patient orders, including laboratory tests, radiology tests, medications, etc., ensuring accuracy and timeliness.
- Facilitate seamless communication of physician directives across the healthcare team.
- Document all procedures performed by physicians in the EMR.
- Ensure comprehensive and detailed records of the patient care activities.
- Demonstrate proficiency in recognizing the physical exam process and recording detailed examination findings.
- Support clinical decision-making with precise documentation of exam results.
- Evaluate and assess individual patient needs comprehensively, determining medical urgency as appropriate.
- Implement physician orders and interventions to facilitate optimal patient care outcomes.
- Assist in collecting patient HPI from EMS and police.
- Collect missing information from the HPI from patients.
- Fulfill requests made by physicians not directly involving patient care, and alert physicians to any critical lab results.
- Prompt physicians to treat untreated patients still awaiting care, missed or returned lab results, and crucial missed information from patient medical records.
- History or other critical information integral to patient care.
- Assist with patient sign-outs or discharge/transfer, along with supplying the doctor’s note to transferring hospitals, admitting staff, or patient discharge.
Volunteer
Mount Sinai Hospital
New York, New York
08.2019 - 10.2019
- Assist patients at the front desk.
- Copy and sort paperwork.
- Address patients' questions and concerns as needed.
- Assist doctors and staff as necessary.
Education
Bachelor of Science - Human Biology
University At Albany
Albany, New York, NY08-2024
Skills
- Electronic medical records
- Medical transcription
- Clinical documentation
- Patient assessment
- Physician communication
- Healthcare teamwork
- Problem solving
- Accuracy and attention to detail
- Data entry accuracy
- HIPAA compliance
- Anatomy and physiology
- Problem-solving
- Medical terminology proficiency
- Strong communication skills
- Proficient in Epic
Timeline
Medical Scribe
Envision Health
10.2024 - Current
Volunteer
Mount Sinai Hospital
08.2019 - 10.2019
Bachelor of Science - Human Biology
University At Albany