Medical Transcriptionist Resume Sample

• Being a Microsoft Certified Trainer for DAX (Dragon Ambient Experience), I used to conduct instructor led training sessions for SOAP notes for newly joined trainees. • As a trainer, I used to help trainees to understand and complete DAX modules, organizing practice session notes and group session notes for better understanding the documentation. • Coordinate internally on error grading standards and directives to ensure assessments are completed to the highest quality standards. • Provides advisory and education to the QDS trainees through comments and feedback program as a part of quality improvement stratergy. • Perform duties as required or per directive from the Quality Operations Manager to help run and support the Quality Assurance Program. • I have above 80% of throughput in overall (training to operations) and achieved a 4 out of 5 rating.

• Documented medical history of patient's records including CC, HPI, PMHx, and PSurgHx. • Used Electronic Health Records system to record patients medical data, care plans and diagnosis. • Organized treatment protocols in a fast-paced emergency room environment. • Monitored patient medical charts and recognized data discrepancies. • Reported medical data discrepancies to physicians and nursing assistants. • Assisted physicians in accessing all relevant test results and medical history documents.

• Documented medical history of over 2000 patients; records including CC, HPI, PMHx, and PSurgHx. • Used Electronic Health Records system to record patients medical data, care plans and diagnosis. • Organized treatment protocols in a fast-paced emergency room environment. • Monitored patient medical charts and recognized data discrepancies. • Reported medical data discrepancies to physicians and nursing assistants. • Assisted physicians in accessing all relevant test results and medical history documents. • Done indexing of the patient's charts to appropriate labels, doing referrals and getting prior authorizations for scheduled procedures through online portals. • Worked on multiple EHRs like AllScripts and Cerner and have good exposure in scribing for specialties like ENT, Pulmonology, Internal Medicine and Family Practice.

• Listen to the recorded dictation of a doctor or other healthcare professional. • Review and edit drafts prepared by speech recognition software, making sure that the transcription is correct. complete, and has a consistent style. • Follow patient confidentiality guidelines and legal documentation requirements. • Identify and correct inconsistencies, errors, and missing information within a report that could compromise patient care. • I have good exposure in working almost all the worktypes including Consultation, Discharge Summary, History and Physical, Operative Report, EEG, EMG, Soap notes, Letters, etc. • Assisted physicians in accessing all relevant test results and medical history documents. • Submit health records for physicians to approve.

• Listen to the recorded dictation of a doctor or other healthcare professional. • Review and edit drafts prepared by speech recognition software, making sure that the transcription is correct. complete, and has a consistent style. • Follow patient confidentiality guidelines and legal documentation requirements. • Identify and correct inconsistencies, errors, and missing information within a report that could compromise patient care. • Submit health records for physicians to approve.

• Listen to the recorded dictation of a doctor or other healthcare professional. • Follow patient confidentiality guidelines and legal documentation requirements. • Identify and correct inconsistencies, errors, and missing information within a report that could compromise patient care. • Submit health records for physicians to approve. • Perform quality improvement audits.

• Have undergone an extensive training in medical transcription for almost 3 months. • Listen to the recorded dictation of a doctor or other healthcare professional. • Follow patient confidentiality guidelines and legal documentation requirements. • Identify and correct inconsistencies, errors, and missing information within a report that could compromise patient care. • Submit health records for physicians to approve.