In my role, I was responsible for assisting doctors with patient documentation and charting. I have over 1 year of experience as a medical scribe. Upload Prescription Monitor Reports into EHR on behalf of the provider from the State's Prescription Monitoring Program Website.Arma | (624) 415-7180 | Milwaukee, WI Summary.Set up medication schedules as dictated and under the supervision of the provider.Make and receive phone calls generate referrals, recommendations, and letters for the patient on behalf of the provider. ![]() Understand Meaningful Use requirements in order to generate appropriate educational documents for the patient on smoking cessation, medications, and procedures.Alert provider when a chart is incomplete, and comply with legal and ethical standards for preparing medical documents and for keeping patient information confidential.Identify mistakes or inconsistencies in the documentation and under supervision of provider, correct the information in order to reduce errors.Proficient in medical terminology and billing & coding, update and chart patient's history, reconcile medications, physical exam, assessments, diagnoses, and plan of care as dictated by the provider.Obtaining any needed records or test results that were conducted in a different physician's office prior to patient's visit.Sending patient's most recent note to their Primary Physician or any other physician which is taking care of the patient in order to keep them informed of any new treatment patient may be started on or new imaging results we may have obtained.Accompany medical provider during patient's interview and physical examination and update patient's chart with any new findings while patient's visit.Making sure if patient had recently been admitted to a hospital all of their laboratory work, imaging and consultation notes are obtained from their admission.Putting in new imaging information such as X-rays, CT scans, pathology, PET/CT, Bone Mineral Density Scans, Mammograms and Ultrasounds into patient's records.Keeping patient's notes up to date after every visit including updating any new medical history, recent surgeries, medication allergies, new medications, new experienced symptoms etc.Performed in-depth health care summaries on each patient encountered, often introduced the patient's case to a physician prior to clinic visits.Responsible for medicine, healthcare terminology, and record-taking expedited a physicians' day and streamlined their health care delivery.Complied with specific standards that applied to the style of medical records and to the legal and ethical requirements for preparing medical documents and for keeping patient information confidential. ![]() ![]()
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