Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Reliable individual capable of interacting with practitioners and healthcare providers to ensure properly completed medical records. Bilingual Clinical Documentation Specialist with 3 years of experience recognizing and implementing methods that improve the medical records process.
- Documentation compliance
- Report generation
- Medical Terminology
- Clinical documentation management
|
- Minor surgery assistance awareness
- Medical laboratory procedures
- Clinical judgment
- Microsoft(Word, Excel, PowerPoint)
|
01/XXX0 to Current Clinical Documentation Specialist Amita Health – Wauwatosa, WI,
- Protected patients from infection by setting up and managing sterile operating fields.
- Kept views unobstructed by retracting, sponging and suctioning surgical sites.
- Minimized surgical bleeding with skilled ligation and clamping of blood vessels.
- Arranged supplies and instrumentation to meet needs of individual surgeons and enhance team efficiency.
- Gowned and gloved staff to help team prepare for surgeries.
- Applied antiseptics and sterile dressings to cover surgical locations and boost healing.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Built and deployed plans, reports, validation procedures and entry processes for data management needs.
- Evaluated patient care needs, prioritized treatment, and maintained patient flow.
- Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
- Collected blood, tissue and other laboratory specimens and prepared for lab testing.
- Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement.
- Confidently directed overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety risk management, teammate satisfaction, quality index scores and facility maintenance.
07/2019 to 08/2019 First Surgical Assistant Amita Health – Williamsport, IN,
- Arranged supplies and instrumentation to meet needs of individual surgeons and enhance team efficiency.
- Kept views unobstructed by retracting, sponging and suctioning surgical sites.
- Minimized surgical bleeding with skilled ligation and clamping of blood vessels.
- Quickly responded to emergency situations during procedures with life-saving aid.
- Applied antiseptics and sterile dressings to cover surgical locations and boost healing.
- Protected patients from infection by setting up and managing sterile operating fields.
- Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions, and follow-up care.
- Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
- Treated patients with strokes, head traumas, comas.
08/2017 to 07/2019 Medical Scribe Conway Regional Medical Center – Greenbrier, AR,
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Verified signatures and checked medical charts for accuracy and completion.
- Submitted orders for additional tests and examinations.
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
- Accompanied physicians through day in fast-paced, stressful environments.
- Processed paperwork such as discharges and transportation orders to coordinate patient movements.
- Documented complete information about examinations, treatment plans, lab results and other details directly into charts.
- Stayed on top of current patient loads to facilitate efficient and organized workflow.
- Accepted dictated notes and produced professional documents with outlined information.
Expected in 12/2011 M.D.: Medicine
Kabir Medical College - Gandhara University, Peshawar,
GPA:
Bachelor of Medicine & Bachelor of Surgery (MD) Doctor of Medicine
- Permanent RMP ( Registry of Pakistan Medical and Dental Council Government of Pakistan )
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score
could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
- Formatting
- Length
- Personalization
- Strong Summary
- Target Job
- Word Choice