Ruchi - Medical Transcriptionist

Demonstrated experience with Attention to detail.

Demonstrated experience with Effective communication.

Demonstrated experience with Typing speed and accuracy.

Prepared accurate and comprehensive clinical documentation for Pain Medicine and Neurology providers in a remote setting.. Documented patient histories, physical examinations, assessments, treatment plans, procedures, and follow-up visits in the EHR.. Ensured accurate documentation to support appropriate medical coding and billing while maintaining HIPAA compliance.. Managed referrals, orders, and patient records with a high level of accuracy and attention to detail.. Utilized eClinicalWorks (eCW) for real-time documentation and chart management.

Delivered real-time clinical documentation for providers across Orthopedics, Spine Surgery, and Oncology.. Maintained complete and accurate patient charts, ensuring compliance with clinical documentation standards and HIPAA regulations.. Supported the implementation and onboarding of 5+ physicians onto documentation workflows.. Trained and mentored 5+ new medical scribes during onboarding and quality improvement initiatives.. Worked extensively with MODMED, MOSAIQ, OncoEMR, and eClinicalWorks (eCW).. Collaborated with physicians to improve documentation quality, workflow efficiency, and turnaround time.

Prepared high-quality AI-assisted clinical documentation using Dragon Ambient eXperience (DAX).. Reviewed and edited AI-generated notes for accuracy, completeness, grammar, and clinical relevance.. Supported Family Medicine and ENT providers by ensuring documentation met organizational quality standards.. Completed a structured training program and consistently maintained documentation quality benchmarks.

Provided transcribed documentation for Family Medicine, Infectious Disease, and Dietitian providers using Epic EHR.. Accurately documented patient encounters, histories, examinations, diagnoses, treatment plans, and follow-up recommendations.. Assisted with order entry, referrals, and clinical documentation while maintaining HIPAA compliance.. Supported providers in improving workflow efficiency by ensuring timely, accurate chart completion.

Performed comprehensive dental examinations, diagnoses, and treatment planning.. Educated patients on preventive oral healthcare and treatment options.. Maintained accurate patient records and clinical documentation.. Utilized digital radiography and CAD/CAM technology to support diagnosis and patient care.