Medical Scribe

Medical Scribe — North Texas Medical Center

Dallas, TX | September 2023 – Present

• Documented 45+ comprehensive patient encounters daily in real-time during physical examinations, maintaining a 99.2% accuracy rate in EHR medical coding and history of present illness entries.
• Reduced average physician documentation time by 32 minutes per shift by prepopulating clinical templates, reviewing laboratory results, and routing 15+ daily referrals to outpatient clinics.
• Audited and resolved 25+ chart documentation discrepancies weekly prior to physician review, decreasing monthly billing and clinical documentation query rates from 4.8% to 1.2% over a 12-month period.
• Trained 4 new hire scribes on Emergency Department workflows and Cerner database search functions, improving department onboarding throughput by 15% and decreasing initial audit errors.

Clinical Medical Scribe — Metroplex Urgent Care

Fort Worth, TX | August 2021 – August 2023

• Recorded medical histories, physical exam findings, and discharge instructions for 35+ patient visits daily using Epic EHR, ensuring 100% adherence to clinic HIPAA standards.
• Maintained a clinic-wide patient throughput of 5 patients per hour by coordinating with 3 triage nurses, optimizing the scheduling flow, and reducing patient lobby wait times by 18%.
• Transcribed 150+ medical specialist letters and clinical summaries monthly, improving document turnaround time by 28% and ensuring timely coordination of patient care and treatment plans.
• Processed and verified ICD-10 diagnostic codes for 400+ weekly patient charts, minimizing billing submission errors by 14% and accelerating the medical billing reimbursement cycle.

Medical terminology, Electronic Health Records (EHR), Epic EHR, Cerner Millennium, eClinicalWorks, HIPAA compliance, Real-time transcription, Medical dictation, Clinical documentation, ICD-10 coding, Patient workflow coordination, Multi-specialty charting, Scribe workflow training, Medical office administration

EHR Clinical Template Optimization

Role: Lead Medical Scribe

Tools: Cerner, MS Excel, Microsoft Teams

Designed 14 customized clinical charting templates for emergency physicians, reducing average documentation input time by 26% and increasing patient chart completion rates before shift ends.

Scribe Efficiency Training Program

Role: Trainer / Senior Scribe

Tools: Epic EHR, Confluence, Zoom

Authored an onboarding manual and led clinical transcription training workshops for 8 junior scribes, reducing initial error rates by 35% and shortening training time by 2 weeks.

• Certified Medical Scribe Specialist (CMSS) (2022)
• Certified Medical Scribe Apprentice (CMSA) (2021)

• Languages: English (Native), Spanish (Conversational)
• Volunteer Work: Volunteer medical scribe at Metroplex Free Clinic (2022-present)
• Availability: 2 weeks notice