Summary
Overview
Work History
Education
Skills
Timeline
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Laura Jeffers

Gallipolis,OH

Summary

Dynamic Medical Scribe with proven expertise at Holzer Clinic, enhancing clinical efficiency through meticulous documentation and strong communication skills. Adept at navigating fast-paced environments, I improved patient care by streamlining documentation processes and ensuring HIPAA compliance, while demonstrating adaptability and a commitment to continuous learning.

Overview

14
14
years of professional experience

Work History

Medical Scribe

Holzer Clinic
10.2022 - Current
  • Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
  • Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
  • Increased overall productivity of clinical staff by providing real-time scribing support during high-volume shifts, enabling better focus on direct patient care.
  • Ensured compliance with HIPAA regulations by consistently maintaining patient confidentiality and protecting sensitive information during documentation processes.
  • Verified accuracy of patient information and medical records to avoid discrepancies and maintain consistency.
  • Reduced physician workload by taking on additional administrative tasks as needed, such as retrieving laboratory results and organizing patient files.
  • Accompanied physicians through day in fast-paced, stressful environments.
  • Demonstrated exceptional multitasking abilities by effectively balancing competing priorities in a fast-paced clinical environment while maintaining a high level of accuracy in all documentation efforts.
  • Demonstrated confidentiality in dealing with sensitive information or records to comply with HIPAA guidelines and regulations.
  • Advanced understanding of complex medical terminology through consistent application in daily tasks, ensuring accuracy in all written communications.
  • Enhanced patient care by diligently transcribing physician-patient interactions during medical examinations.
  • Collaborated with healthcare professionals to ensure timely completion of all necessary documentation, facilitating proper billing and reimbursement processes.
  • Facilitated effective communication between healthcare providers by accurately recording diagnostic test results and treatment plans.
  • Collected required documents to prepare discharge and release summaries of patients.
  • Improved clinical efficiency by maintaining accurate and up-to-date electronic health records for each patient encounter.
  • Promoted a positive work environment through proactive collaboration with team members and adherence to established protocols and procedures.
  • Communicated with other medical staff and personnel to obtain additional patient information.
  • Responded to patient inquiries to provide information and resolve issues and concerns.

Medical Scribe

Ohio Valley Physicians
07.2018 - 10.2022
  • Corrected grammar, spelling, and syntax mistakes in medical records.
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Transcribed and edited physician reports from dictation using Paragon.
  • Stayed on top of current patient loads to facilitate efficient and organized workflow.
  • Reviewed records, paperwork, and orders for errors and resolved issues with minimal direction.
  • Selected appropriate ICD-10 and CPT codes for records.
  • Translated medical jargon into correct terminology.
  • Interacted with physicians, nursing staff, technicians and medical assistants throughout facility.
  • Enhanced communication between medical staff by effectively transcribing physician notes for timely review.
  • Assisted in reducing wait times for patients by quickly providing physicians with relevant clinical information needed for assessment and treatment.
  • Expedited the discharge process for patients by completing thorough clinical summaries in a timely manner.
  • Supported high-quality patient care by ensuring accurate documentation of medication administration and vital signs monitoring.
  • Entered transcribed materials into electronic health records system.
  • Enabled efficient medical decision-making with well-organized transcription of diagnostic testing results and consultations.
  • Contributed to faster treatment times by promptly updating electronic health records with current patient information.
  • Enhanced physician productivity by allowing them to focus on direct patient care instead of time-consuming documentation tasks.
  • Assisted physicians in streamlining diagnoses by efficiently recording relevant symptoms and lab results.
  • Demonstrated adaptability and resourcefulness when faced with unexpected changes or challenges in the emergency department environment.
  • Checked patient records to verify information accuracy.
  • Maintained strict confidentiality in compliance with HIPAA regulations throughout all aspects of the medical scribe role.

Emt

Gallia County Ems
09.2011 - 03.2018
  • Evaluated patient vital signs and status to determine care needs using pulse oximeters and electronic vital sign machines.
  • Conducted equipment and vehicle checks to maintain continuous and safe operation.
  • Maintained a clean and organized ambulance, ensuring optimal readiness for emergency calls.
  • Managed inventory of medical supplies, ensuring adequate stock levels for effective emergency response.
  • Upheld legal compliance standards by adhering to established protocols regarding documentation, treatment procedures, and communication practices within the EMS system.
  • Expedited life-saving interventions by rapidly assessing patients'' conditions based on vital signs, symptoms, and medical history.
  • Demonstrated strong decision-making abilities in determining the most appropriate course of action for each unique situation encountered in the field.
  • Updated professional knowledge through continuous training and education programs, enhancing overall service quality.
  • Controlled wounds and injuries en-route to hospitals, prepping patients for advanced treatments or maintaining conditions pre-arrival.
  • Maximized ambulance readiness by conducting thorough equipment checks and ensuring all necessary supplies were available for proper emergency response.
  • Improved patient care by efficiently assessing and stabilizing patients during medical emergencies.
  • Increased patient comfort during transport by providing compassionate care and addressing individual needs.
  • Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
  • Collaborated with medical professionals to communicate patient needs with accuracy and speed using hospital and medical codes.
  • Ensured patient safety by properly utilizing immobilization devices and administering appropriate treatments.

Education

College Prep

South Gallia HS
Crown City, OH
05-2004

Skills

  • Strong communication skills
  • Adaptability in Fast-paced environments
  • Documentation skills
  • Continuous learning mindset

Timeline

Medical Scribe

Holzer Clinic
10.2022 - Current

Medical Scribe

Ohio Valley Physicians
07.2018 - 10.2022

Emt

Gallia County Ems
09.2011 - 03.2018

College Prep

South Gallia HS

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