Medical Scribe Resume Samples

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JT
J Turcotte
Jedidiah
Turcotte
8572 Ursula Underpass
Houston
TX
+1 (555) 142 1752
8572 Ursula Underpass
Houston
TX
Phone
p +1 (555) 142 1752
Experience Experience
Chicago, IL
Medical Scribe
Chicago, IL
Zboncak, Krajcik and Rogahn
Chicago, IL
Medical Scribe
  • Accurately documents history, physical examination, laboratory, medication, and radiology notes as verbalized by the patient and provider
  • Assist physician with e-Scribing
  • Assist in restocking the blanket warmer and bedside linen carts
  • Provides comfort care to patients and families
  • Makes frequent rounds on patients and families offering blankets, pillows, and chairs for comfort
  • Demonstrates knowledge of and competently performs technical procedures
  • Transcribes dictated information from the provider into the medical record
present
Chicago, IL
Medical Scribe
Chicago, IL
Crona-Pagac
present
Chicago, IL
Medical Scribe
present
  • Procedures and treatments performed by other medical providers, including nurses and midlevel providers
  • Performs delegated responsibilities in which education and training has been provided and competency assessed
  • Provides care and performs duties in accordance with the plan of care, unit routine, and hospital policy
  • Accompany the provider into the exam room to document all provider/patient interactions
  • Accurately and thoroughly document medical visits and procedures as they are being performed by the medical provider, including but not limited to
  • Accompany the provider into the exam room to document provider/patient interactions
  • Manage and sort medical documents in the EMR system
Education Education
Bachelor’s Degree in Initiative
Bachelor’s Degree in Initiative
Ashford University
Bachelor’s Degree in Initiative
Skills Skills
  • Highly proficient in Human Anatomy and Terminology
  • Knowledgeable of Microsoft Word and Powerpoint
  • Strong written communication skills, including the ability to listen carefully and accurately transcribe verbal communications on a real-time basis
  • Ability to work well in a critical environment and be detail oriented
  • Ability to work closely with medical professionals during interactions with patients in a hospital or clinical setting
  • Ability to multi-task, manage details and organize efficiently and effectively
  • Effective verbal and written communication skills and the ability to present information clearly and professionally
  • Documents procedures and treatments performed by the physician or any other healthcare professional, including nurses and physician assistants
  • Strong communication skills
  • Proficient data entry and writing skills
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14 Medical Scribe resume templates

1

Medical Scribe Resume Examples & Samples

  • High School Diploma or GED with specialized training
  • Bachelor's Degree or equivalent work experience
  • Basic Microsoft Office skills
  • Proficient in typing
  • Knowledge of medical terminology including anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments
2

Medical Scribe Resume Examples & Samples

  • 1+ year of experience as a Medical Scribe in a high volume facility
  • Highly proficient in Human Anatomy and Terminology
  • Proficient data entry and writing skills
  • Detail-oriented
3

Medical Scribe Resume Examples & Samples

  • Maintains the tidiness and cleanliness of the waiting room, break room and entrance hallways
  • Assist in restocking the blanket warmer and bedside linen carts
  • Provides support to and crises interventions for family members and assist as needed should a death occur
  • Informs the Charge nurse of any matters that should be brought to his/her attentions, including complaints, medical concerns, and or safety issues
  • Is cross trained to do customer service rounds in the Critical Care Department and follow the chain of command for conflict resolution with the charge nurse first, then clinical coordinator, then director as necessary and nursing supervisor after hours
  • Other duties as assigned by Director
4

Medical Scribe Resume Examples & Samples

  • The Scribe accompanies the Physician into the patient examination room in order to transcribe the history and physical exam as stated by the Physician during the interview and examination of the patient
  • The Scribe transcribes any procedures done by the Physician
  • Collects available patient medication lists for scanning
  • The Scribe must sign and date all entries into the medical record, whether electronic or manual, which clearly identifies their role as the Scribe, documenting for the physician. Such signature must include "(enter name of Scribe) acting as scribe for Dr. (insert physician name)" with the date and time of the entry by the Scribe
  • The Scribe will not transcribe any physician orders
  • The Scribe assists in completing the chart by tracking the status of the results of any lab, x-ray, or other evaluations and will continually check on the progress of this data
  • The Scribe transcribes any consultations or discussions with family and/or the patient's private physician or on call physician or any specialty services
  • The Scribe accompanies the Physician and documents any re-examinations of the patient
  • The Scribe transcribes the proper diagnosis, discharge or follow-up instructions, and/or prescriptions on to the record as dictated by the Physician
  • The Scribe assists in the organization of the Physician by maintaining a comprehensive list of active patients while in the ED. This includes the status of labs, consults, procedures and re-evaluations of each patient
  • Participates in classroom and bedside training/precepting of new hires
  • The Scribe is strictly prohibited from any involvement in direct patient care
  • Demonstrates knowledge of and competently performs technical procedures
  • Provides care and performs duties in accordance with the plan of care, unit routine, and hospital policy
  • Maintains a safe, secure environment for patients, visitors and co-workers
  • Performs delegated responsibilities in which education and training has been provided and competency assessed
  • Uses equipment properly
  • Upholds the patient's rights in the provision of care
  • Promotes infection control and safety as it relates to the patient and employee environments
5

Medical Scribe Resume Examples & Samples

  • Assist physician with e-Scribing
  • Assist with other office functions as needed
  • Skill in multi-tasking
6

Medical Scribe Resume Examples & Samples

  • Go into consults with the physician and fill in patients’ medical history and other necessary information into their chart
  • Manage and sort medical documents within the EMR system
  • Assist with e-prescribing
7

Medical Scribe Resume Examples & Samples

  • Completion of an accredited Medical Scribe program -or- 6 months of previous experience as a Medical Assistant
  • Proficiency in medical terminology, including abbreviations
  • Accurate typing speed of 70 wpm
  • Good command of English grammar and spelling
  • 2 years of experience in general hospital medical/surgical and/or ambulatory care transcription
8

Medical Scribe Resume Examples & Samples

  • 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
  • Maintain professional appearance and conduct at all times
  • Understanding of medical terminology is beneficial
9

Medical Scribe Resume Examples & Samples

  • Accompany the provider into the exam room to document all provider/patient interactions
  • Accurately transcribes history, physical examination, laboratory, medication, and radiology notes as dictated by the provider
  • High school diploma or GED, plus two years of post-secondary education
  • Two years of college, preferably with coursework in medical transcription, medical terminology, and human anatomy
  • Experience working in a hospital or clinical environment
  • Experience using an electronic health record system
  • Ability to work closely with medical professionals during interactions with patients in a hospital or clinical setting
  • Strong written communication skills, including the ability to listen carefully and accurately transcribe verbal communications on a real-time basis
  • Strong keyboarding skills to facilitate the transcription of communications
  • Ability to work well in a critical environment and be detail oriented
  • Strong organizational and customer service skills
  • Ability to prioritize work based on volume and deadlines
10

Medical Scribe Resume Examples & Samples

  • Accurately and thoroughly document medical visits and procedures as they are being performed by the medical provider, including but not limited to
  • Patient medical history and physical exam,
  • Procedures and treatments performed by other medical providers, including nurses and midlevel providers
  • Patient education and explanations of risks and benefits
  • Medical Provider-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up
  • Transcribe patient orders including labs, radiology, other diagnostic tests, medications, etc
  • Ensure that all clinical data, labs, other diagnostic test results, and the interpretation of the results by the medical provider are recorded accurately in the medical record
  • Alert medical provider when chart is incomplete, or if medical record contains errors or inconsistencies documentation in order to reduce errors. Proofread and edit all medical provider’s documents for accuracy, spelling, punctuation, and grammar. All addenda must be signed off by a medical provider
  • Comply 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
  • Attend trainings on diverse subjects such as Information Technology, legal issues, HIPAA and regulatory compliance, billing and coding
  • Other job duties and responsibilities as assigned by supervisors and or other management level staff
  • Ability to quickly assimilate new knowledge into processes and procedures
  • Ability to write routine reports and correspondence. Must be proficient in typing with good spelling, punctuation, grammar, and oral communication. Excellent English composition skills required to generate professional, polished writing at a high rate of production
  • Ability to listen to complex medical information and summarize in a clear, complete, and concise fashion
  • Understanding of medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments to the extent required to understand and accurately transcribe dictated reports. Translate medical abbreviations into their expanded forms
  • 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
  • Ability to understand and perform all functions with the Electronic Health Record software, NextGen Must be proficient in Microsoft Word in order to prepare correspondence, medical reports, and other documents
  • Ability to stand, sit, stoop, kneel, and bend in order to speak to patients
  • Ability to write notes, treatment plan comments, track records and reports
  • Ability to work productively in a small office space used by multiple employees
  • Ability to respond appropriately to staff and patients with regard to their medical needs; must communicate patient complaints to providers and issue final instruction and patient education as directed by the medical provider
11

Medical Scribe Resume Examples & Samples

  • 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
  • Liaison. Acts as non-intrusive liaison between patient and provider
  • As Needed. Performs various duties as needed to successfully fulfill the functions of the position
12

Medical Scribe Resume Examples & Samples

  • The scribe accompanies the physician into the patient examination area in order to transcribe a history and physical examination as given by the patient and physician
  • The scribe under the direction of the physician transcribes patient orders, including laboratory tests, radiology tests, medications, etc
  • The scribe documents any procedures performed by the physician, physician extenders, on the medical chart. These procedures might include summaries of suture placements or Advanced Cardiac Life Support measures taken by the physician
  • 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
  • The scribe lists all proper diagnosis as well as any discharge/follow up instructions and prescriptions as directed by the physician
  • The scribe documents orders generated by the physician. The scribe does not directly assist with patient care, nor does the scribe enter orders on behalf of the physician or provider
  • The scribe can track down delayed lab results, CAT scan readings and other pertinent information as directed by the physician
  • Scribes will adhere to Hospital Dress Code which is outlines in the Policy Manual
  • Minimum Position Qualifications: Required: Healthcare students enrolled in a program such as a resident, medical student, physician assistant student, nursing student, OR a graduated Medical Assistant or Medical Secretary Program. Experience is preferred
  • Minimum Formal Training: Successful completion of a medical terminology training course preferred. All scribe candidates will have successful completion of a Hospital Physician Partners scribe training program and pass the examination
  • Computerized Documentation System: Must successfully complete training utilizing New Wave Hospital’s Emergency Department documentation system
13

Medical Scribe Resume Examples & Samples

  • Excellent English language, grammar and punctuation skills in order to enter patient information and transcribe dictated medical reports into computer
  • Must be able to type 65 wpm accurately
  • Strong analytical, organizing and prioritizing skills
  • Ability to work and experience working in a fast-paced environment with minimal supervision and functioning calmly in a pressure situation
  • Ability to move throughout the department and facility
  • Ability to work flexible schedule with varying shifts, including nights, weekends, and holidays
14

Medical Scribe Resume Examples & Samples

  • Hospital experience or customer service experience necessary
  • Prefer hospital experience in a customer service related capacity
  • AB 508 Certification. If no card upon hire, one must be obtained within 30 days of hire or transfer into the department, and maintained by renewal before expiration date
15

Medical Scribe Resume Examples & Samples

  • Accompany the provider into the exam room to document provider/patient interactions
  • Accurately documents history, physical examination, laboratory, medication, and radiology notes as verbalized by the patient and provider
  • Transcribes dictated information from the provider into the medical record
16

Medical Scribe Resume Examples & Samples

  • 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
17

Medical Scribe Resume Examples & Samples

  • Completion of an accredited Medical Scribe program -or-
  • 6 months of experience as a Medical Assistant -or-
  • 6 months of experience as a Medical Scribe
18

Medical Scribe Resume Examples & Samples

  • Health care student. Including Pre-med, Physician Asst. student, RN student, health care administration
  • Proficiency in typing, spelling, grammar, and oral communication
  • Computer proficiency and ability to learn new applications
  • Understanding of anatomy and physiology
  • Professional demeanor respecting privacy considerations of patients and families
  • Six months prior experience as medical scribe, or completion of medical scribe program
  • Experience with electronic medical records and proficiency in medical terminology
19

Medical Scribe Resume Examples & Samples

  • High school diploma and two years of college or coursework in medical transcription, medical terminology and human anatomy
  • Experience with electronic medical records. Ability to accurately record information through fast keyboarding and legible handwriting. Knowledge of medical terminology
  • Excellent customer service, public and patient relation skills, and communication skills. Ability to multitask, prioritize work, and fluctuation in workload. Good keyboarding, organizing, phone and computer software utilization skills