Medical Scribe Resume Sample
Genevieve Morar
227 Karolann Motorway,
Boston,
MA
+1 (555) 600 8041
Work Experience
Medical Scribe
08/2016
-
PRESENT
New York, NY
- Two years of college or coursework in medical transcription, medical terminology and human anatomy
- Accurately and thoroughly documents medical visit and procedures as they are being performed by the physician, including but not limited to
- Charts encounters between physicians or other practitioners and patients in real time and organizes care data to maximize efficiency and productivity of clinical care in actual medical exams
- Complies with specific standards that apply to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential
- Complies with HIPAA confidentiality standards when accessing or communication patient information while scribing
- Captures accurate and detailed description of patient encounters with a provider and enters into electronic medical record (EMR)
- Accompanies providers and directly observes patient encounters
Medical Scribe
08/2013
-
04/2016
Dallas, TX
- Documents name and signature on all transcribed services
- Assist provider in navigating the EMR
- Documents name of provider rendering service and sends documentation to that provider for attestation and signature
- Mathematical Skills – Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Prepare and interpret charts and graphs. Have the ability to compute ratio and percent
- Reasoning Ability – Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to apply logic and draw conclusions based on knowledge. Have the ability to refer to reference materials to solve problems
- Documents, in the electronic medical record, medical visits/procedures as they are being performed by healthcare providers in an accurate, timely and thorough manner
- Reviews medical documentation to validate information and to identify inconsistencies or errors and ensure overall accuracy of the medical record in accordance with established standards and requirements
- Performs general administrative support, including dictation, faxing and other clerical tasks
Education
Eastern Mennonite University
2008 - 2012
School's Degree in History
Professional Skills
- Strong communication skills and the ability to coordinator and cooperate with multiple members of the health care team
- Strong computer and typing skills required
- 6 months experience as a Medical Scribe or 6 months related experience and/or training, or equivalent combination of education and experience
- Strong organizational skills with focus on attention to detail
- Keen listening skills, with high level of concentration
- Impeccable verbal, written, and interpersonal skills
- Related experience and/or training, or equivalent combination of education and experience
How to write Medical Scribe Resume
Medical Scribe role is responsible for typing, medical, listening, health, microsoft, training, reporting, research, travel, events.
To write great resume for medical scribe job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Medical Scribe Resume
The section contact information is important in your medical scribe resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Medical Scribe Resume
The section work experience is an essential part of your medical scribe resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous medical scribe responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular medical scribe position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Medical Scribe resume experience can include:
- Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician’s encounter with the patient and others present
- The scribe transcribes, as directed by the physician any consultations or discussions with family and/or the patient’s private physician or the on-call physician
- The scribe completes the patient’s chart by transcribing results of any labs, x-rays, or other evaluations. In doing so, the scribe continuously checks on the progress of the data in order to get the patient’s workup complete so that the physician is able to make his/her decisions regarding that patient
- Excellent interpersonal skills, poise and professionalism
- Highly proficient typing skills inclusive of speed and accuracy
- Above average listening skills and attention to detail
Education on a Medical Scribe Resume
Make sure to make education a priority on your medical scribe resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical scribe experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Medical Scribe Resume
When listing skills on your medical scribe resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical medical scribe skills:
- Skills & Abilities: Medical Terminology knowledge with strong keyboard skills - typing 50+ wpm
- Effective and professional communication skills (utilized both with provider and patients)
- Excellent computer skills with ability to learn and navigate EPIC and Microsoft Office
- Communicate effectively in person, by phone and in writing
- Two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities
- Two years experience working in medical office setting
List of Typical Experience For a Medical Scribe Resume
1
Experience For Medical Scribe Resume
- Prior to patient visit, updates patients’ medical record with medical information from previous visits
- Accurately records level of service as established by provider assuring documentation necessary to support level of service is contained in the medical record
- Serve as an ambassador/liaison between the physician, the patient and staff
- Record the History of Present Illness (HPI), Review of Systems (ROS), Physical Exam, and Assessment and Plan
- Enter/maintain the patient’s Past Medical History, Social History, Family History, Current Medications, and Problem List
- Enter the visit diagnoses, lab orders, and prescriptions
- Accompany provider(s) into patient examination room to accurately and efficiently document reason for visit, physical exam, any test results, diagnosis, assessment, and plan
- List all proper admission or discharge diagnoses as well as follow-up care instructions as dictated by provider
- Input radiology orders, blood work, and medications in Epic. Document any procedures performed by provider(s)
2
Experience For Medical Scribe Resume
- Successfully navigate the location-specific Electronic Medical Record (or EMR) system to input documentation
- Make and receive phone calls on behalf of provider(s)
- Inform provider(s) when diagnostic studies are completed, prepare for review, and document in EMR
- Understand and observe legal concepts (e.g. HIPAA, confidentiality)
- Record a physician-directed or advanced practitioner directed patient history of present illness (HPI), past medical history (PMH), family and/or social history and physical examination (PE), including pertinent positives and negatives
- Serve as an ambassador/liaison between the physician, the patient and clinic staff
- Document the physician dictated patient history, including history of present illness, review of systems, past medical and surgical history, family or social histories, medications and allergies
3
Experience For Medical Scribe Resume
- Assist in completing charts by transcribing results of any lab, x-ray and other evaluations
- Transcribe or record patient orders as dictated by provider where applicable
- Document any consultations and discussions with the patients’ family and the patients
- Document or records procedures done by provider in the course of the patient visit
- Assist in other non-clinical or administrative functions
- Accompanies physician to exam room so as to transcribe notes and other pertinent medical information within the electronic medical record while the physician speaks with the patient
4
Experience For Medical Scribe Resume
- Reviews physician orders within the practice management systems to identify tests or diagnostic scans ordered for patients. Flags patient visits with missing exams for follow-up
- Prior experience as a Medical Scribe required
- Recording the patient’s history and chief complaints
- Recording diagnostic test results
- Preparing plans for follow-up care
- Facilitate patient flow through the physician’s schedule and ensure an accurate and complete medical record for each patient
- Assists Emergency Department providers in documentation of patient assessment and plan of care in the electronic medical record
- Transcribe patient’s history, physical exam findings, consultations, labs, X-rays into the medical record system
- Maintain a comprehensive list of active patients to help physician stay organized
5
Experience For Medical Scribe Resume
- Assists physician with documentation of patient's medical encounter
- Accompanies physician into exam room and transcribes history and physical examination findings as given by patient and physician
- Documents procedures performed by the physician
- Transcribes the content of any consultation or discussion with family and/or other involved physicians
- Completes the patient's chart by transcribing results of any labs, x-rays, or other evaluations; continuously updates these data assuring a complete patient work-up so that physician can properly assess and diagnose patient
6
Experience For Medical Scribe Resume
- Lists all proper diagnosis as well as any follow-up instructions, referrals, and prescriptions, as dictate by physician
- Accompany physician or APP (Advanced Practice Provider) into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician/APPs encounter with the patient and others present
- Team player willing to work with clinical and operations peers in order to achieve GPS goals
- Type and comprehend physician transcription
- Comply with HIPAA standards
- Assist the clinic manager in the day to day operations of the clinic
7
Experience For Medical Scribe Resume
- Use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment.d
- Accompanies physician into patient exam room to transcribe history, physical exam and procedures as stated by the physician during interview and exam of patient. Signs and dates all entries in the medical record appropriately to identify role as Medical Scribe. Tracks status and results of lab, x-ray or other evaluations completed on patient
- Communicates with physicians and mid-level providers within the practice in a timely and efficient manner while exhibiting the Beaumont Standards
- Demonstrates knowledge of physical, intellectual, psycho-social, developmental tasks, major fears and stressors significant for each age group served while providing a safe environment of care and recognizing safety risk considerations for each age group served
- Experience working as a scribe
- Undergraduate education with an emphasis in pre-medical studies
- Manual dexterity. Ability to work under stress in a variety of situations
8
Experience For Medical Scribe Resume
- Checks on the progress of lab, X-ray or other patient evaluation data and notifies the physician of ancillary tests when needed
- Assists physician in rapid throughput of patients through the system from presentation to final disposition
- Computer proficiency and ability to learn new appl ications
- Understand and complete tasks with verbal and/or written instructions
- Maintain confidentiality and abide by HIPPA regulations
- Completion of an accredited Medical Scribe program -or- 6 months of previous experience as a Medical Assistant -or-6 months of previous experience as a Medical Scribe
9
Experience For Medical Scribe Resume
- Experience using Electronic Medical Records (i.e. iCentra, EPIC, and Help2)
- Career goals in medicine including MD/DO, RN, NP, or PA
- Work at different SMA clinics in Las Vegas
- Completion of an accredited Medical Scribe program-or-
- Available transportation to travel to offsite locations based on physician schedule
10
Experience For Medical Scribe Resume
- Completion of an accredited Medical Scribe program, required or 6 months previous experience as a Medical Assistant, required or 6 months of previous experience as a Medical Scribe
- Completion of an accredited medical scribe program -or- 6 months previous experience as a medical assistant, -or- 6 months of previous experience as a medical scribe
- 6 months of experience as a Medical Assistant, -or-
- Completion of an accredited Medical Scribe program, -or-
- Completion of an accredited Medical Scribe program, -or- 6 months previous experience as a Medical Assistant, -or- 6 months of previous experience as a Medical Scribe
- Transcribing physical exams
- Old and/or sophomore status or higher
List of Typical Skills For a Medical Scribe Resume
1
Skills For Medical Scribe Resume
- Strong written, verbal, and interpersonal communication skills with colleagues and patients required
- Good written and verbal communication skills. Courteous behavior
- Multi-task efficiently and effectively as required
- Knowledge of medical terminology, anatomy and physiology (e.g. successful completion of a medical terminology course or equivalent training and experience)
- Excellent spelling, grammar, punctuation, and vocabulary in both verbal and written communication
- Establish and maintain effective working relationships with physicians, staff and managements
- Good with spelling, grammar, and oral communication
2
Skills For Medical Scribe Resume
- Experience working with medical terminology in a face-paced environment with minimal supervision
- Medical scribe/transcriptionist experience
- Three years of experience in a medical clinic
- Microsoft Application including Outlook experience
- Six months of Medical Scribe experience or related clinical training
- 6 months of previous experience as a Medical Assistant -or-
3
Skills For Medical Scribe Resume
- 6 months of experience as a Medical Assistant-or-
- Strong knowledge of Medical Terminology, Anatomy and Physiology
- Two years’ experience in general hospital medical/surgical and/or ambulatory care transcription
- Highly motivated and clinical experience-driven
- Develop your own passion for health care through your experience in the Emergency Department
- Locate patient information such as lab tests, prior medical records, demographic information, etc. all via the EHR system
4
Skills For Medical Scribe Resume
- Establish and maintain effective working relationships with physicians, APPs, staff, and managements
- Excellent bedside manner
- Excellent customer service and patient focus
- Two years experience in the medical field
- Single skill set
- Understanding of ICD-10 coding
- Training. Completes and complies with all required HIPPA policies and training requirements
- Scheduling conducted 1 month in advance around class schedules + extracurricular activities
5
Skills For Medical Scribe Resume
- Enters appropriate billing and coding to encounter under the provider’s direction
- Transcribes all ancillary test results and the interpretation of the results by the physician, including any lab tests, imaging tests, ECGs and ABGs
- Exhibit excellence in medical terminology, and billing & coding knowledge in all documentation
- Accompany the physician during the visit, recording details of both into the medical record
- Work alongside a physician, following him into the exam rooms and prepping them on follow up consultations
6
Skills For Medical Scribe Resume
- Transcribes patient orders, including lab test, imaging, and prescriptions as directed by the physician
- Accurately and thoroughly document medical visits and procedures as they are being performed by the physician, including but not limited to
- Reliable, dedicated, and motivated to work for a well-known company working with a geriatric population
- Help Physicians document the patient's history, scribe during exams, review records, transcribe patient assessments and complete each patient’s EMR chart
- Familiar with Athena or similar programming
- Serves as assistant to provider and coordinates clinic and personal calendars to ensure provider’s scheduling is maintained
- Knowledge and understanding of an electronic medical record system and/or EPIC
7
Skills For Medical Scribe Resume
- Documents the history and physical exam as it is being performed (real-time) by the ED physician
- Certificate from scribe training program
- Observe and document real time physician-patient interaction and medical decision making
- Ensure proper communication between nurses and providers regarding patients
- Assist the provider in navigating the EHR
- Accompany provider into patient examination room to document history and physical exam (H&P) in EMR during the patient interview and examination
- Photocopies materials brought by patient for physician’s review during exam
- Uploads electronic files brought by patients for physician’s review during exam
8
Skills For Medical Scribe Resume
- Procedures and treatments performed by healthcare professionals, including nurses and physician assistants
- Applies knowledge of medical terminology, anatomy and physiology to the transcription and proofreading of medical dictation from originators
- True transcription and editing
- Collect, organize and catalog data for physician quality reporting and quality improvement efforts. Maintain system to track patient follow-up and compliance
- Assist the Physician with documenting patient care
- Maintain a clean and professional working environment
- Assist with training of newly hired Medical Scribes
- Work closely with top health care providers in facilities with cutting edge health technology
9
Skills For Medical Scribe Resume
- Go into consults with the physician and fill in patients’ medical history and other necessary information into their chart
- Medical data entry into an Electronic Medical Record system
- In the exam room, documents the history of present illness, review of systems, physical examination, clinical impression and plan, as well as other relevant conversation between the patient and physician. Supports and adheres to the US Oncology Compliance Programs, to include the Code of Ethics and Business Standards
- Serves as a chaperone during physical examination
- Serves as care coordinator for patients when needed
- Communicates with patients under the direction of the provider and on behalf of the provider when appropriate
- Enters in appropriate orders and referrals based upon instruction from provider
10
Skills For Medical Scribe Resume
- Navigates the electronic medical record, PACS, hospital portals and other online portals to retrieve films and medical records for patients when appropriate
- Communicates with the staff on the provider’s behalf to obtain pertinent information or to address any issues
- Upper level knowledge of medical terminology
- Records physician-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow-up. Understands the intricacies of the ever-changing documentation requirements, resulting in more complete medical charting and alerts physician when chart is under-documented
- Excellent organization skills and the ability to track patient records
List of Typical Responsibilities For a Medical Scribe Resume
1
Responsibilities For Medical Scribe Resume
- Type 70 wpm
- The ability listen to complex medical information and summarize in a clear and concise fashion
- Maintain Basic Life Support (BLS /CPR) Certification
- Accompany the healthcare provider into patient examination rooms in order to transcribe the patient’s history, physical exam findings, consultations, labs, X-rays, and other evaluations, as stated by the provider, directly into the medical record
- Process admittance and discharge paperwork
2
Responsibilities For Medical Scribe Resume
- Process admittal and discharge paperwork
- Professional demeanor and recognition of privacy considerations for patients and families
- FAQ's : www.iamscribe.com/be-a-scribe
- Type 50 net wpm or greater
- Anatomy, physiology, medical terminology courses are highly desired
- Transcribe patient appointments
- Eligible for Benefits and 401K
3
Responsibilities For Medical Scribe Resume
- Process admission and discharge paperwork
- Process admitted and discharge paperwork
- Be eligible for Benefits and 401K
- Medical Scribe not required
- Competent with EPIC/EMR system
- Interact well with patients, family and medical professionals
- Information. Accompanies provider during patient visit and exam to document patient care data including but not limited to history of present illness, review of systems, physical exams, and medical/social history
4
Responsibilities For Medical Scribe Resume
- Records. Completes all patient visit documentation in electronic medical records by end of clinic session
- Administrative.Enters patient information to EHR system clarifying information with provider. Assists provider during clinic visit with patient’s prior visit information in EMR when needed
- Administrative. Enters patient information to EHR system clarifying information with provider. Assists provider during clinic visit with patient's prior visit information in EMR when needed
- Accurately and thoroughly document medical visits and procedures as they are being performed by the physician including: patient medical history, procedures and treatments performed by healthcare professionals, patient education, physician dictated diagnoses, prescriptions and instructions for self-care and follow-up and prepare referral letters as directed by physician
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