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Clinical Information Specialist Resume Example

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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

Enthusiastic, meticulous, multi-talented Clinical Information Specialist with extensive understanding in Emergency Medicine, Urology, and Family Practice. Pursuing a remote, hybrid scribing position to continue my healthcare knowledge throughout obtaining my Medical Degree.

Skills
  • Friendly, positive attitude.
  • Patient-focused care.
  • Strong planning/organization skills, work ethic, judgement, time management, and critical thinking.
  • Extensive anatomy/physiology knowledge.
  • First Aid/CPR.

- Clinical Care.

Documentation control, submission and abilities. Data entry/management.

Urology, Emergency Medicine and Family Practice experience.

Security understanding.

Customer service/people skills.

Multitasking.

Patient history expertise.

Good written and oral communication.

Knowledge of HIPAA requirements and electronic Medical Record (EMR) software.

Technical/computer expertise.

Interpreting instructions.

-Emergency response services

Fire department procedures (fire suppression work/tactics, medical response, human and animal evacuations, ladder operation, crisis communication, condition assessment, fire safety design evaluation, crisis communication, fire prevention and enforcement, hazardous material handling)

Public assistance and support.

PPE use.

Training and development.

Experience
12/2020 to 08/2021
Clinical Information Specialist Sunrise Senior Living Springfield, VA,
  • Accurately and thoroughly documented medical visits and procedures as they are being performed by the physician. Including but not limited to; patient medical history and physical exam, procedures and treatments performed by healthcare professionals (including nurses and physician assistants), patient education and explanations of risks and benefits, physician-dictated diagnoses, prescriptions and instructions for patient or family members for self-care and follow-up, and prepare referral letters as directed by the physician.
  • Followed and preformed all clerical and information technology functions for the physician in high-volume, busy environments to increase efficiency and productivity. Mindful to be discreet, tactful, and modest in the performance of my duties so as not to distract medical staff from patient care.
  • Maintained understanding of all active patients in order to facilitate workflow.
  • Used and transcribed materials into emergency medical record software (EMR [EPIC]) every day and developed advanced skills.
  • Documented and initiated tests, scan and other orders.
  • Determined correct ICD-10 and CPT codes for use in medical record.
  • Consistently maintained 100% accuracy rate for spelling and content.
  • Translated medical jargon and short-hand data into correct terminology.
  • Prepared paperwork for admittance and discharges to coordinate smooth patient transition.
  • Reviewed patient records to check accuracy of information and made timely corrections to charts, documents and orders when needed for grammar, spelling, syntax and overall inconsistencies in medical documentation in order to reduce vital medical errors.
  • Edited drafts originating from speech recognition software to eliminate errors and improve flow.
  • Attended training sessions geared to the position to improve skill set and increase speed and accuracy.
  • Kept operations in full compliance with HIPAA rules and OSHA/Department regulations.
07/2020 to 12/2020
Care Giver Hilton Worldwide Miami, FL,
  • Assisted patients gently and respectfully with daily living activities, including bathing, positioning, toileting and feeding and documented care per protocols.
  • Conducted routine checks on standard patient vitals, including blood pressure and heart rate.
  • Planned, prepared and served meals and snacks according to prescribed diets.
  • Responded to patient needs-assessment requests to identify course of treatment.
  • Managed and maintained patient's living area. Performed light cleaning duties by emptying wastebaskets, sweeping, mopping and sanitizing surfaces.
  • Maintained accurate, timely flow of information by completing thorough patient records and updating co-workers on patient status and evaluate treatment options.
  • Used mobility devices to transport patients and assist with ambulation. Followed safe lifting techniques and individual resident lifting instructions.
  • Examined and addressed lacerations, contusions and physical symptoms to assess and prioritize need for further attention.
  • Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
  • Organized games and other activities to engage clients and offer mental stimulation. Played games with patients to boost mood, improve memory and provide light entertainment.
  • Observed patient conditions compassionately, listened attentively and reported abnormal changes to employees verbally and in writing while also following up with patient.
  • Managed supplies and restocked inventory to promote optimal availability for patient care.
  • Engaged with patient family and friends to provide courteous visit experience.
  • Comforted patients and provided each with reassurance and encouragement.
  • Exhibited compassionate care and communication regarding issues surrounding death and dying.
  • Protected and promoted patient rights and assisted individuals to achieve maximum independence.
  • Supported work of paid and volunteer staff by assisting with patient and administrative needs.
02/2019 to 07/2020
Waitress Anile's Italian Ristorante City, STATE,
  • Set up dining room to meet hospitality and service standards.
  • Maintained knowledge of menu items, garnishes, ingredients and preparation methods to assist guests with menu selection.
  • Welcomed incoming patrons and seated at optimal locations based on individual preferences and server balancing requirements.
  • Welcomed guests with personable attitude and brought beverage orders while reviewing menu options.
  • Greeted newly seated guests promptly, filled water glasses and brought bread to table.
  • Answered guest questions regarding menu, food and beverage preparation, recipe ingredients and allergens.
  • Updated customers on menu changes and new food and beverage offerings to maintain quality service relationships.
  • Discussed dining menu information to aid in decision process for senior residents.
  • Promoted desserts, appetizers and specialty drinks to optimize sales.
  • Documented food orders and ran items to guest tables in dining room.
  • Communicated with kitchen staff frequently to stay up-to-date on supply availability and potential customer wait times.
  • Relayed orders and special requests to cooks.
  • Assisted kitchen staff with food counts by determining number of items required for complete service.
  • Collaborated with host, bus person and cook to serve up food and beverage options.
  • Handled special customer requests such as separate checks and menu substitutions.
  • Plated food and assessed plate presentation to maintain highest standard of food quality.
  • Prepared salads, appetizers and garnishes to assist kitchen staff.
  • Completed final preparations of dishes and quickly delivered items to customers.
  • Implemented sanitary food handling, holding and service protocols.
  • Handled food safely and kept spaces clean to protect customers from foodborne illness and maintain proper sanitation.
  • Satisfied customers by topping off drinks and anticipating condiments, napkins and other needs.
  • Checked on guests to verify satisfaction with meals and suggested additional items to increase restaurant sales.
  • Provided exceptional service to high volume of daily customers.
  • Observed eating patterns of residents to record proper nutrition during meal times.
  • Developed strong and lasting resident relationships.
  • Resolved customer concerns with friendly and knowledgeable service. Addressed concerns or complaints quickly to improve service and escalated more advanced issues to management for resolution.
  • Provided timely checks on guest needs and brought requests.
  • Operated POS terminals to input orders, split bills and calculate totals.
  • Calculated charges, issued table checks and collected payments from customers. Maintained accuracy while handling payments, giving change and printing receipts to customers.
  • Met or exceeded sales targets on consistent basis with proactive promotional strategies and dessert mentions.
  • Cleared table and bussed dishes to allow for quick setups.
  • Reset tables between guests, including refilling condiments and wiping down all surfaces.
  • Minimized customer wait times by taking and filling large volume of orders each day.
  • Washed buffet, restaurant and banquet items, including silverware, dishes, cooking utensils, equipment and displays.
  • Inventoried food supplies to determine needs and replenish stations.
  • Practiced safety and loss prevention procedures, adhering to universal precautions and infection control guidelines.
  • Restocked tables, wait staff areas and order staging areas.
  • Designed emergency protocols to enhance customer and worker safety.
  • Monitored dining rooms for safety and customer needs, upholding high standards for service and experiences.
  • Stocked server areas with supplies before, during and after shifts.
09/2016 to 12/2018
Waitress/Hostess Middlesex Diner City, STATE,
  • Cross-trained as host and helped with tasks such as greeting diners and escorting guests.
  • Set up dining room to meet hospitality and service standards. Arranged place settings with fresh tablecloths, tableware and decorations to create appealing tables.
  • Maintained knowledge of menu items, garnishes, ingredients and preparation methods to assist guests with menu selection.
  • Welcomed incoming patrons and seated at optimal locations based on individual preferences and server balancing requirements.
  • Welcomed guests with personable attitude and brought beverage orders while reviewing menu options.
  • Greeted newly seated guests promptly, filled water glasses and brought bread to table.
  • Answered guest questions regarding menu, food and beverage preparation, recipe ingredients and allergens.
  • Updated customers on menu changes and new food and beverage offerings to maintain quality service relationships.
  • Discussed dining menu information to aid in decision process for senior residents.
  • Promoted desserts, appetizers and specialty drinks to optimize sales.
  • Documented food orders and ran items to guest tables in dining room.
  • Communicated with kitchen staff frequently to stay up-to-date on supply availability and potential customer wait times.
  • Relayed orders and special requests to cooks.
  • Assisted kitchen staff with food counts by determining number of items required for complete service.
  • Collaborated with host, bus person and cook to serve up food and beverage options.
  • Handled special customer requests such as separate checks and menu substitutions.
  • Plated food and assessed plate presentation to maintain highest standard of food quality.
  • Prepared salads, appetizers and garnishes to assist kitchen staff.
  • Completed final preparations of dishes and quickly delivered items to customers.
  • Implemented sanitary food handling, holding and service protocols.
  • Handled food safely and kept spaces clean to protect customers from foodborne illness and maintain proper sanitation.
  • Satisfied customers by topping off drinks and anticipating condiments, napkins and other needs.
  • Checked on guests to verify satisfaction with meals and suggested additional items to increase restaurant sales.
  • Provided exceptional service to high volume of daily customers.
  • Observed eating patterns of residents to record proper nutrition during meal times.
  • Developed strong and lasting resident relationships.
  • Resolved customer concerns with friendly and knowledgeable service. Addressed concerns or complaints quickly to improve service and escalated more advanced issues to management for resolution.
  • Provided timely checks on guest needs and brought requests.
  • Operated POS terminals to input orders, split bills and calculate totals.
  • Calculated charges, issued table checks and collected payments from customers. Maintained accuracy while handling payments, giving change and printing receipts to customers.
  • Met or exceeded sales targets on consistent basis with proactive promotional strategies and dessert mentions.
  • Increased sales of high margin menu items through effective upselling.
  • Cleared table and bussed dishes to allow for quick setups.
  • Reset tables between guests, including refilling condiments and wiping down all surfaces.
  • Minimized customer wait times by taking and filling large volume of orders each day.
  • Washed buffet, restaurant and banquet items, including silverware, dishes, cooking utensils, equipment and displays.
  • Inventoried food supplies to determine needs and replenish stations.
  • Practiced safety and loss prevention procedures, adhering to universal precautions and infection control guidelines.
  • Restocked tables, wait staff areas and order staging areas.
  • Designed emergency protocols to enhance customer and worker safety.
  • Monitored dining rooms for safety and customer needs, upholding high standards for service and experiences.
  • Stocked server areas with supplies before, during and after shifts.
Education and Training
Expected in 06/2021
High School Diploma:
Carlisle High School/PaCyber Charter School - Carlisle, PA,
GPA:

2 years of brick-and-mortar high schooling through Carlisle High School, 2 years of hybrid schooling through PaCyber Charter school (Diploma).

  • Completed coursework in Honors Biology, Honors Anatomy and Physiology, Medical Terminology, Chemistry, mathematics up to Algebra II, 7 years of language; Spanish. Staying in good, intermittently rewarded outstanding academic standing.
  • Awards in annual National State Science Fair (Penn State College) throughout almost all years of schooling and 2 years of brick-and-mortar high schooling.
  • Member of student council during 2 years of brick-and-mortar high schooling.
  • Participated in school newspaper and year book during 2 years of brick-and-mortar schooling.
Expected in
B.S. in Biology (Pre-med):
Guilford College - Greensboro, NC
GPA:

Current Guildford College student, scheduled degree: 2025.

Certifications
Anile's

Voluntary Fire Fighter Training:

  • First Aid/CPR and Bloodborne Pathogens (American Heart Association)

13-14-hour course. 6.5-hour annually renewed.

  • Intro to the Fire Service (ELIS, Mod A) (HACC)

16-hour entry-level course is designed to introduce new firefighters to basic information including an overview of the fire service, fire service organization, firefighter safety, personal protective equipment, tools and emergency lighting and backing apparatus.

  • Fire Ground Support (ELFG, Mod B) (HACC)

32-hour entry-level course is designed to introduce new firefighters to fire ground operation including fire behavior, building construction-structural collapse, fire hose, water supply, communications, ropes and knots, self-contained breathing apparatus (SCBA).

  • Exterior Firefighter (ELEF, Mod C) (HACC)

52-hour entry-level course is designed to introduce new firefighters to fire ground operations including SCBA, fire behavior, building construction, fire extinguishers and forcible entry, ladders, and fire streams/hose line advancement.

  • Interior Firefighter with Live Fire, including Basement and Second Floor Attack (ELIF, Mod D) (YCFS)

48-hour entry-level course is designed to introduce new firefighters to interior fire ground operations including SCBA, search and rescue procedures, firefighter survival, ventilation, utility and loss control, origin and cause and fire control (suppression).

  • Flashover Recognition Training (YCFS)
  • Hazardous Materials First Responder Awareness (PSFA-RIHM) (HACC)

4-hour course is designed for individuals likely to witness or discover a hazardous materials release and who have not been trained to take any action beyond notifying proper authorities. This course satisfies OSHA’s “Hazwoper” (29 CFR 1910.120) training requirements for firefighters, EMS personnel, and police who respond to potential HazMat incidents.

  • Hazardous Materials First Responder Operations (PSFA – HMO) (HACC)

24-hour course is designed to prepare students to respond to hazardous materials incidents and function at the operations level in accordance with NFPA 472. Topics covered include: scene size-up, incident management, markings and labels, containers and packaging, chemical and physical properties of hazardous materials, personal protective clothing, defensive spill control activities, and emergency decontamination.

  • Hazardous Materials Operations Level Refresher (HMOR) (Annual - In-house training)

6-hour course will provide the first responder with the refresher training needed to comply with NFPA 472 competencies for the first responder at the operations level, and 29 CFR 1910.120 OSHA’s Hazardous Waste Operations and Emergency Response, (HAZWOPER), first responder operations-level annual refresher training.

  • ICS 300 – Intermediate ICS (Hybrid)

24-hour course builds on the ICS principles presented in both the ICS 100 and 200 Programs and focuses on ICS principles for expanding and complex incidents.

  • ICS 400- Advanced ICS (Hybrid)

16-hour course students will learn the knowledge and skills to function in the Incident Command System on large scale, major incidents.

  • NFA-NIMS Incident Command System for the Fire Service (PSFA-NIMS: ICS) (Hybrid)

16-hour course focuses on the basic concepts of emergency management, and deals with a system by which these concepts can be applied to a wide variety of emergency incidents.

  • Fire Dynamics - Fundamentals (FDF) (In-house training)

8-hour course, review of fire fundamentals.

  • Fire Dynamics - Strategy and Tactics (FDST) (In-house training)

8-hour course, review of fire strategy and tactics.

  • Reading Smoke (In-house training)

8-hour course, review of "Reading Smoke", firefighter dynamic.

  • Solar Panel Awareness (In-house training)

8-hour course, review of safety and hazards with the modern increase of solar panels.

  • Vehicle Rescue Awareness (HACC)

16-hour course, prerequisite for Vehicle Rescue Technician.

  • Vehicle Rescue Operations (HACC)

16-hour course, prerequisite for Vehicle Rescue Technician.

  • Vehicle Rescue Technician (HACC)

16-hour course, certified at the Vehicle and Machinery Rescue Technician level will have demonstrated competency in the necessary knowledge and skills, to established scene safety, select appropriate PPE, established fire protection, determine vehicle access and egress points, stabilize and extricate patients and identify vehicle construction features.

  • Basic Wildland Fire Behavior and Suppression (Hybrid)

Multi-certificate, self-paced hybrid course.

  • Junior Firefighter Academy (FCPSTC)

10-day boot-camp course, junior firefighter cadet program to review basic modules and educated on basic respect and leadership.

*Attached is corresponding location where certificate was obtained:

HACC - Harrisburg Area Community College - Public Safety Center.

YCFS - York County Fire School.

FCPSTC - Franklin County Public Safety Training Center.

In-house training - Hired, certified trainer located at private firehouse residence.

Hybrid - Self Paced online.

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Resume Overview

School Attended
  • Carlisle High School/PaCyber Charter School
  • Guilford College
Job Titles Held:
  • Clinical Information Specialist
  • Care Giver
  • Waitress
  • Waitress/Hostess
Degrees
  • High School Diploma
  • B.S. in Biology (Pre-med)