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Medical Scribe Resume Samples
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0-5 years of experience
Recorded the physician’s observations and comments on paper
- Retrieved data for physician review (labs, radiology reports, medical records)
- Facilitated communication between physician and medical team
- Prepared computerized physician order entry for review and discharge orders
- Answered phone calls and updates on patient wait times and delays
0-5 years of experience
- Documented more than 5,000 patients medical history, test results, and vital statistics while working beside clinicians
- Assisted during medical procedures executed by the emergency provider
- Managed sensitive and confidential materials such as patient health records
- Effectively communicated to emergency providers the status of their patients
- Maintained prompt and organized responses in a high-stress work environment
0-5 years of experience
Develop and drive recruiting strategies for Medical Scribe and corporate positions
- Prioritize team resources and manage performance metrics to achieve hiring targets
- Evolved and managed clear recruiting process to ensure transparent and efficient hiring, streamlined the overall interviewing process, ensuring good feedback loops, consistent hiring criteria and optimized time-to-hire
- Determine on-campus recruiting efforts for recruiting including on-campus interviews, information sessions and career fairs
- Manage two Recruiters and one Coordinator
0-5 years of experience
- Accompanied physician during patient consultations and assisted in recording patient history and physical exam findings into the electronic medical record
- Organized and transcribed results for patients’ laboratory tests, medications and imaging studies
- Documented procedures completed and recorded diagnostic test results
- Documented all diagnoses, treatment plans, prescriptions, and discharge and follow-up information
0-5 years of experience
- Accompanied ED physicians during patient interviews, along with Code 3 and Code Blue responses
- Documented HPI, PMH, ROS and bedside physical examination on EPIC
- Transcribed all ancillary test results, including any lab tests, imaging tests, ECGs, and ABGs
- Reviewed prior medical records to obtain PMH, prior labs, ECG and radiographic studies for comparison
- Documented procedures and treatments performed by the physician and other healthcare professionals
- Assisted nurses and staff members by translating for Mandarin speaking clients
0-5 years of experience
Documented patient electronic medical records in real time as provider assessed and examined patient.
- Recorded and documented patients story, medical history, physical exam, procedures, findings and diagnosis.
- Review records checking for spelling and grammar then send them to final review.
- Escorted patients from waiting room to exam room, preformed vital signs exams.
0-5 years of experience
- Recording physician-dictated diagnosis, prescriptions, and instructions for patient discharge and follow-up.
- Checking the progress of and reviewing labs, among other patient evaluation data so that a patient’s workup is complete and the physician can make treatment decisions.
- Developed effective process for patients with medicare, cash patients, and insured patients to adequately be approved and treated with Xiaflex.
- Scheduled and coordinate 125+ patients to receive treatment according to FDA guidelines.
- Communicate with patients, pharmaceutical staff, physicians to insure compliance, efficiency and patient satisfaction.
- Responsible for maintaining, tracking, and analyzing all Xiaflex orders.
0-5 years of experience
Documented patient histories and examinations during evaluations in order to reduce the amount of paperwork for physicians to complete
- Meticulously review all charts to improve consistency, quality and completeness.
- Monitor and document laboratory and imaging results to prevent delays and expedite patient dispositioning
- Alongside numerous physicians, learned critical medical decision-making in determining cause of patient ailments.
- Fulfilled 30 hours of training program that included but not limited to: medical terminology, pathophysiology of medical illnesses, clinical exam findings, appropriate medical testing
0-5 years of experience
Assisted the provider in navigating the EHR.
- Responded to various messages as directed by the provider.
- Located information for review such as previous notes, reports, prescriptions, and laboratory results.
- Entered information into the EHR as directed by the provider.
- Researched information requested by the provider.
0-5 years of experience
Overseen documentation and medical records of patients.
- Submitted and documented EKGs, MRIs, and all lab workups.
- Drafted medical health summaries for E.R physicians for evaluation and administration.
- Documented subjective patient medical history for medical review.
- Accompanied physicians in exam rooms for documentation and medical dictation.
- Entered data into electronic medical record databases.
- Conducted literature review and medical journal evaluations.
- Interacted extensively with medical staff and personnel on daily basis.
0-5 years of experience
Accompanied providers into patient rooms in the emergency department
- Documented in patient charts the history of present illness, review of systems, and physical exam in the electronic medical record system
- Included laboratory test results, radiology test results, provider progress notes, and consult notes in the patient chart
- Prepared discharge instructions
0-5 years of experience
Transcribing details of the physical exam and patient orders including any lab tests, imaging tests, or medications ordered by the physician.
- Record physician’s consultations with family members or other physicians about a specific patient’s case.
- Documenting procedures performed by the physician or any other healthcare professional.
- Checking the progress of lab, X-ray, and other patient evaluation data for comparison and transcribing into patient charts.
- Record physician-dictated diagnoses, prescriptions, and instructions for patient discharge and follow-up.
- Recording a provider’s consultations with other healthcare professionals, patients, and family members.
0-5 years of experience
- Transcribed patient history, medical orders, physical exams, laboratory tests,
- Documented the physician’s encounter with the patient and any procedures
- Created documentation for diagnosis/symptoms, follow up instructions, and prescriptions
0-5 years of experience
Responsible for communicating with company and community staff and patients to ensure quality of care is maintained.
- Inventory and distribute medical supplies to providers in the field.
- Meet and correspond with Health Care Professionals pertaining to communication between service providers.
- Enroll new patients in the services of MH7.
- Serve as the point of contact for patient Power of Attorney, and community employees with questions or concerns for the company.
- Assist providers in clinical visits by establishing a history of visit and recording vitals.
- Discuss patient history with caregivers prior to appointment.
- Work in multiple medical charting systems to input patient information.
0-5 years of experience
Record medical conversations, prescription data and physician’s notes during patient’s visits
- Process X-rays and record interpreted data into patient’s notes
- Assist in recording of any data and additional conversations via phone, interpersonal or email
- Work with billing department
- Train other scribes and work with multiple doctors
0-5 years of experience
Charting in real time as the health care provider assess and examine the patient.
- Transcribe all ancillary test results and their interpretations, including any lab test, imaging test, ECGs and ABGs for the provider.
- Review prior medical records to obtain past medical history information and prior labs and radiographic studies for comparison.
- Comprehend billing codes to help increase a provider’s charting efficiency.
- Promptly and accurately record provider-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow up.
0-5 years of experience
Record patients’ medical history, vital statistics and medications taken in patients’ medical records.
- Record patients’ test results in medical records and inform the on staff physician of any abnormal blood or X-ray results for each patient.
- Make sure the patient is informed of what tests will be done during their visit and approximately how long it will take.
- Assist the physician with the patients’ past medical visits, past test results and allergies to any medications the patient may have before putting in orders for them.
- Make sure patients’ T-sheet is completed and signed along with the discharge instructions and prescriptions are put together before discharging each patient.
0-5 years of experience
- Traveled to new scribe program implementation site to train new scribes on software, medical terminology, HIPPA, and other necessary information for the scribe role.
- Maintained accurate information regarding the scribes’ performance, test scores, and attendance while training.
- Communicated and executed full training process to the scribes in accordance with the training manual adhering to policy and procedures.
- Conducted secondary round interviews of new scribes to include the hiring process, disciplinary action, and up to termination decisions.
- Documented the history, physical exam, procedures, and treatments as it is being performed by the physician or any other healthcare professional, including nurses and physician assistants.
- Checked on the progress and notify physician of laboratory tests, radiographic studies, EKGs, ABGs or other patient evaluation data.
- Transcribed additional results and their interpretation by the physician.
- Recorded physician’s consultations with family members and other physicians as well as physician-dictated diagnoses, prescriptions, and discharge instructions for the patient.
- Reviewed prior medical records, laboratory tests, radiographic studies, and ECGs for comparison.
0-5 years of experience
Charting in real time as the provider assesses and examines the patient
- Recording a provider’s consultations with other health care professionals, patients, and family members
- Reviewing prior medical records to obtain past medical history information and prior labs, ECGs and radiographic studies for comparison
- Understanding billing codes to help increase a provider’s charting efficiency
- Documenting procedures and treatments performed by providers
- Checking on the progress of x-rays and other patient evaluation data
- Record provider-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow-up
0-5 years of experience
Translated documents and information for Spanish-speaking patients
- Performed and accurately recorded vital signs.
- Performed venipuncture, injections, capillary puncture, nasal swab, EKG and blood centrifuge.
- Set up and cleaned up exam rooms for next day/same day use, and restocked medical supplies.
- Filled out and scanned requisitions forms, and medical documents
- Faxed documents, and made copies for medical health records.
- Medical scribe during physical examinations for electronic health records.
0-5 years of experience
- Accompanied physicians to exam room. Documented history of present illness, review of systems, and past medical history. Documented physical exam findings along with medical plan of the provider.
- Kept track and entered imaging and lab results. Typed progress notes, discharge plans, and prescriptions.
- Prioritized time by bringing critical lab and imaging results to physician’s attention.
0-5 years of experience
Properly and accurately document patient’s history of the present illness, surgical history, personal, and family medical history
- Accurately document review of systems, physical exam findings, and reassessments
- Accurately document consults with other specialists and/or physicians
- Accurately document lab and imaging results in to a patient’s electronic medical chart
- Properly and accurately document ER procedures performed by physicians, physician assistants, and nurse practitioners
0-5 years of experience
Work in outpatient facilities with individual physicians as their personal scribe
- Responsible for accurate patient charting
- Order all testing ordered by the physicians
- Read and interpret for the physicians the test or lab results for each patient
- Accurately chart and double check medical records for the physician in a short amount of time
0-5 years of experience
Interviewed patients for their chief complaint, performed a review of body systems, and documented
results utilizing both paper and electronic media. Compiled laboratory work, diagnostic imaging,
patient history and presented case to residing physician, physician assistant, or nurse practitioner
- Verified patients insurance, information, pharmacy.
- Created EMR templates for physicians group to improve speed of charting.
- Prepare blood-collecting equipment, blood draw, and safely store/transport samples while demonstrating infection-control and safety procedures in carrying out daily phlebotomy functions.
0-5 years of experience
Contemporaneously document the history and physical exam as the ER physician is performing it.
- Transcribe all ancillary test results and the interpretation of the results by the physician, including any lab tests, imaging tests, Electrocardiograms and Arterial Blood Gas results.
- Record physician’s consultations with family members and/or other physicians
- Ensure completion of Physician’s chart and assist with medication reconciliation documentation
- Document procedures and treatments performed by the physician or any other healthcare professional, including nurses and physician assistants.
- Check on the progress of lab, X-ray or other patient evaluation data and notify the physician of ancillary tests.
- Record physician-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow-up
- Supervise and provide training to newly hired scribes on technical skills of scribe position
0-5 years of experience
Write notes in personal log for physician on patient aliments, treatments and diagnosis.
- Catalog patient diagnosis, medication, labs, and personal data in computerized system
- Assist physician by moving patients, bandaging, and collect patient information/ vitals
- Coordinated multiple volunteers in various nursing homes
- Train volunteers to be typist, medical scribes and assisting physician
0-5 years of experience
- Trained in Electronic Medical Record (EPIC) to facilitate patient-provider encounters and charting
- Maximizing work flow and efficiency in an outpatient based family medicine clinic
- Submitting data for quality assurance and compliance purposes
- Strongly committed to team dynamics by providing expertise and following directives as needed
0-5 years of experience
Accompanying physicians to patient rooms and accurately transcribing dictations, included past medical history, social history, present history, review of systems and examination.
- Transcribing vital signs, current medications, allergies, patient orders, and procedures performed in departments, consultations and various other conversations that occur during patient care.
- Obtaining and properly placing diagnostics in the medical record.
- Creating discharge instructions with proper diagnoses and after care instructions under the provider’s direction.
- Chaperoning during special exams.
- Properly collecting and labeling cultures obtained during procedures.
- Following up on positive cultures previously obtained by calling patients and calling in appropriate treatment on behalf of provider.
- Fluent in EDIMS medical system.
0-5 years of experience
- Transcribed while sitting in exam room with assigned physician patient assessment, workup, therapeutic procedures, clinical course, diagnosis, prognosis, and discussions in order to document patient care into electronic health records (EHR).
- Transcribed medical dictation to provide a permanent record of patient care including progress notes, letters, history and physical reports and other correspondence.
- Copied and posted letters/correspondence for records. Filed progress notes. Recognized, interpreted and evaluated inconsistencies, discrepancies and inaccuracies in medical dictation making appropriate edits and revisal.
- Operated designated word processing, dictation, and transcription equipment as directed to complete assignments as well as verified all dictation was transcribed in accordance with daily patient schedule.
0-5 years of experience
Accompany the physician upon interviews, examinations, and follow ups
- Document history of present illness, review of systems, past history, family history, social history, physical examination, medications, and allergies
- Look up past medical histories before going into patient room
- Obtain patient nursing charts for vitals
- Remain in constant correspondence with the physician
0-5 years of experience
Responsible for administering weekly allergy injections and educating patients
- Accurately document notes for patient encounters as performed by the physician
- Electronically transmit prescriptions and prescription refills and documents accurately in the electronic medical record
- Ensure that patients complete all appropriate paperwork and that insurance eligibility is verified for each patient prior to testing and immunotherapy
- Responsible for the handling and submission of all billing documentation to the appropriate office
- Maintains an understanding of the general characteristics and applications of all product categories. Understands and articulates the features and benefits, for all products offered to patients
- Obtain vital signs, perform spirometry and administer XOLAIR injections to asthmatic patients
- Collects insurance payments and maintains petty cash
6-10 years of experience
Maintain patient records through electronic medical records
- Administer appropriate I.V. therapy and injections when necessary
- Perform vital signs, EKG’s and phlebotomy
- Assist with physical examinations and in-office surgical procedures
- Accurately document patient history, exam, diagnostic test results and prepare patient care plans
0-5 years of experience
- ACCOMPANY PHYSICIAN UPON PATIENT INTERVIEW AND EXAMINATION.DOCUMENT PHYSICAL EXAMINATION FINDINGS AND PROCEDURES AS PERFORMED BY THE PHYSICIAN.
- DOCUMENT RESULTS OF LABORATORY AND RADIOLOGY STUDIES AS DICTATED BY THE PHYSICIAN. DOCUMENT PHYSICIAN TO PHYSICIAN COMMUNICATION AS WELL AS PHYSICIAN TO FAMILY COMMUNICATION.
- WHEN THE PHYSICIAN CONCLUDES THE PATIENT ENCOUNTER, MAKE ANY AMMENDMENTS NEEDED TO THE CHART AS WELL AS ENTER ALL NEW OR UPDATED INFORMATION INTO THE EHR.
- SUBMIT NEWLY ESTABLISHED OR UPDATED EHR FOR PHYSICIAN APPROVAL PRIOR TO FINAL DOCUMENTATION IN GREENWAY.
- ASSIST THE PHYSICIAN IN NAVIGATING AND LOCATING INFORMATION IN THE EHR( I.E., PREVIOUS NOTES, REPORTS, TEST RESULTS, LAB RESULTS, ETC).
- DEMONSTRATE ORGANIZATIONAL CAPABILITIES.
- RESPOND TO VARIOUS PATIENT, PHYSICIAN OFFICE, AND INSURANCE CARRIER PHONE CALLS AND MESSAGES AS DIRECTED BY THE PHYSICIAN.
- MAINTAIN AND DEMONSTRATE AN UNDERSTANDING OF THE TEAM APPROACH TO PATIENT CARE AND DOCUMENTATION FOLLOWING ALL LOCAL, STATE, AND FEDERAL GUIDEINES.
- DEMONSTRATE AN ABILITY TO MAINTAIN CONFIDENTIALITY AND PRIVACY IN ACCORDANCE WITH HIPAA REGULATIONS.
0-5 years of experience
Transcribes the physician’s dictation on the patient past medical history, chief complaint, physical examination, lab test results, diagnosis, treatment, and techniques taught to the patient regarding using prescribed medications.
- Proficient in Intelligent Medical Software.
- Assist in taking vitals such as: blood pressure, respiration rate, heart rate, weight, temperature, and chief complaint.
- Assist in gathering the appropriate patient history and the nature of their illness.
0-5 years of experience
Work alongside physicians and PAs to improve ED efficiency by documenting patient EMR
- Everyday duties include recording the patient’s history and chief complaints, transcribing physical exams, recording diagnostic test results, and preparing plans for follow-up care
- Communicate effectively both written and orally with hospital staff to accurately record details of patient stay
- Demonstrate both positivity and professionalism while developing multi-tasking and time-management skills in an extremely high stress, fast-paced environment
0-5 years of experience
Assist in minor office procedures: pneumatic and laser retinopexy, cryotherapy, and intravitreal injections
- Document patient medical history, physical exam, procedures, and treatments
- Perform diagnostic testing: B-scan ultrasonography and optical coherence tomography
- Take patient history, vision, intraocular pressure
0-5 years of experience
Assisting with the documentation of each patient’s medical record during out-patient visit or out-patient procedure
- Documents results of dilated fundus exams, fluorescein angiography, laser, ocular injection treatments, surgical procedures and physician findings
- Maintain patient flow, insuring correct sequence of events for each patient
- Obtaining prior authorizations for office procedures and chart review
0-5 years of experience
- Assist the medical providers to increase efficiency and allow them to focus on the patient
- Document the providers charts, (history of present illness, review of systems, and the physical exam)
- Insert Lab results, EKG’s, Pulse ox and Radiology findings
- Search old medical records to compare test from their previous visits.
0-5 years of experience
- Document procedures and treatments performed by the physician or any other healthcare professional, including nurses and physician assistants
- Check on the progress of lab, X-ray or other patient evaluation data and notify the physician of ancillary tests
- Record physician-dictated diagnoses, prescriptions and instructions for patient discharge and/or follow-up
- Review charts for proper and complete documentation
0-5 years of experience
- Document patient’s medical history using an electronic medical documentation system
- Assist physicians with exam documentation and basic procedures
- Facilitating advanced imaging or specialist referrals
- Organizing medical data for review and interpretation including the use of medical billing codes
0-5 years of experience
- Document the history of the patient’s present illness
- Document the Review-of-Systems and physical examination
- Enter vital signs and keep track of lab values
- Keep track of and enter the results of imaging studies
- Enter the patient’s discharge plan and any prescriptions
0-5 years of experience
- acting as medical scribe to physicians and primary care providers
- recording and documenting patient medical history, present illness, procedures and exams, diagnosis, and prescriptions.
- presenting provider with exam and lab results, xrays, etc.
- connecting provider with fellow providers or specialists
0-5 years of experience
in order to expedite the patient process and decrease patient time in the ER
- Be completely knowledgeable of medical terminology and be able to use it when charting, also gaining a greater knowledge of medical terms including medications and procedure names.
- Page other physicians for consults and answer physician phones while working
- Maintain a professional appearance and behavior in the medical setting
0-5 years of experience
Excellent customer service skills.
- Strong knowledge of pharmacology.
- Proven ability to collect and manage information efficiently and accurately.
- Able to perform automatic and manual refactometry, pachimetry, IOL master, OCT R/G, fundus photography, pentacam, topography, and lensometry. Preformed all pre-operative examinations for LASIK and Cataract surgery.
- Medical scribe; super billed all patients’ medical examinations to better the flow of the office and utilize time.
0-5 years of experience
Medical transcription for physicians during medical examinations.
- Entry of medical data quickly and efficiently into the computer database.
- Extensive knowledge of medical and, specifically, ophthalmic terminology.
- Proofreading, editing and finalization of charts after transcription.
- Processing of insurance claims and communication with insurance companies regarding unpaid claims.
- Collection calls as well as patient appointment reminder calls and appointment scheduling.
- Filing and maintenance of patient medical records.
- Optical sales, inventory management, and order processing.
0-5 years of experience
- Perform and manage administrative duties for 16 ER physicians
- Direct patient care coordination during length of stay in ER for assigned physician
- Train and provide support to ER staff on using EMR specifically Meditech
- Daily use and strong knowledge of medical equipment and products
- Prepare bedside procedures for ER physicians consisting of medical tools and medications
- Assist medical professionals with all patient procedures such as laceration management,
- Document patient charts for assigned doctor in addition to correcting inconsistencies with nurses notes, radiology reports and laboratory results
0-5 years of experience
Real time documentation of electronic health records dictated by the physician including patient history, family, social and past medical history as well as documentation of procedures, lab results, dictated radiography and other information pertaining to the patients visit
- Maintain and demonstrate an understanding of the team approach to patient care and documentation
- Record all information in compliance with HIPAA laws and hospital policies
- Stay abreast with knowledge of medical terminology
0-5 years of experience
- Entered vital signs and keep track of lab values.
- Documented the Review of Systems (ROS) and physical examination.
- Looked up pertinent past medical records.
- Entered the patient’s discharge plan and any prescriptions.
- Documented the history of the patient’s present illness.
- Prioritized the physician’s time by bringing critical lab results to his/her attention.
- Typed progress notes.
- Maintained and enter the results of imaging studies.
0-5 years of experience
- Electronically document patient medical history and physical exam which includes Chief Complaint, HPI, ROS, Physical Exam, Medical Decision Making, Critical Care Time, and Disposition
- Electronically document procedures and treatments performed by healthcare professionals, including nurses and physician assistants.
- Electronically document patient education and explanations of risks and benefits.
- Electronically document Physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up
- Identify mistakes or inconsistencies in medical documentation and check to correct the information in order to reduce errors.
- Alert physician when chart is incomplete
- Ensure that all clinical data, lab or other test results, and the interpretation of the results by the physician are recorded accurately in the medical record
0-5 years of experience
- Daily use of the Athena database management
- Duties involved documenting all physician procedures and orders into electronic medical record (Athena)
- Responsible in transferring all paper records to electronic medical record (Athena)
- Responsible for scheduling all patient appointments
- Responsible for copying and filing all patient documents in a timely manner
- Copy, file, store and distribute finished products according to departmental procedures
- Receive and screen telephone calls on a multi-line (9 lines) telephone system from callers and visitors
- Determine the need(s) of the caller/visitor and addressed them accordingly
- Perform other duties and responsibilities as assigned
- Regular, consistent and punctual attendance
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Medical Scribe
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
