Medical Scribing Specialist

An EHR results from computer-based data collection. Physicians and other clinicians capture data at the point of care, with the ability to retrieve the data later for reporting and use in research or administrative decision

The electronic health record (EHR) is a digital record of a patient’s health history that may be made up of records from many locations and/or sources, such as hospitals, providers, clinics, and public health agencies. The EHR is available 24 hours a day, 7 days a week and has built-in safeguards to assure patient health information confidentiality and security. (Huston, 2013)

Electronic health records (EHR) are health records that are generated by health care professionals when a patient is seen at a medical facility such as a hospital, mental health clinic, or pharmacy. The EHR contains the same information as paper based medical records like demographics, medical complaints and prescriptions. There are so many more benefits to the EHR than paper based medical records. Accuracy of diagnosis, quality and convenience of patient care, and patient participation are a few examples of the

An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includes information such as demographics, progress notes, allergies, medications, vital signs, past medical history, immunizations, laboratory data, & radiology reports. The intent of an EHR can be understood as a complete record of patient

Medical assistants is a medical support professional that performs a variety of tasks to assist physicians in providing patient care, while ensuring that clinics run smoothly. Medical assistants are responsible for performing both clinical and administrative duties. On the clinical side, medical assistance is needed for patient care, maintaining medical records, taking blood, checking blood pressure, and checking any vital signs from patient when updating medical history. On the administrative side, medical assistants are responsible for answering telephones, scheduling appointments, filing medical records and charts, billing, and medical insurance. There are several other important tasks that a medical assistant must perform such as prepare

However, as stated by Skurka, 2017, healthcare documentation specialist need to understand all the medical terminologies, with extensive skills in using computer software and digital equipment to create a professional and accurate report. Nevertheless, most of the medical transcriptionist do their work from home, where they may get hired as independent contractors to work with physicians, private clinic, and hospitals, or be employed by a medical transcription company. The duties of the medical transcriptionist are more

EHRs display vital patient data and clinical information. Data and information include diagnosis, medications, procedures, test results, assessments, problems list, consents, and directives (Barey, McGonigle, & Mastrian, 2018). EHRs allow all healthcare professionals on the treatment team to access data to provide safe and quality care (Rocha & Rocha, 2014). EHRs not only provide pertinent patient data, but also assist in addressing the underuse or misuse of healthcare services. The response to EHRs has raised mixed emotions and positive and negative feedback from healthcare professionals. However, overall, research reveals EHRs can positively impact healthcare (Kutney-Lee & Kelly, 2011). EHRs continue to influence the healthcare system, and make a vital impact on healthcare quality and safety.

By using EHR I can easily access about my patients information and find out quickly. It will also help me prevent my time, help me spend more time with my patient while going through

A medical assistant is a person whom you first met while you visit a doctor. He/She is responsible for maintaining the record of the patients and ask you for some basic information

The physician practice workflow has changed drastically since the implementation of the EHR. The workflow has become more efficient and well organized. Many routine tasks of a practice such as scheduling appointments, registering new and established patients, verifying insurance managing messages and telephone calls, check in and check out of patients, conducting exams, renewing medications, documenting illness histories, recording vital signs, and much more have improved by EHR implementation. For instance, before EHR the front office assistant checks in patient whereas the EHR allows the patient to check in using a self-service computer in the lobby. The other example is before implementation of HER, the front office assistant files chart in medical records filing cabinet and after implementation of HER, this step completely is skipped. The implementation of HER has made the workflow more rapid

These objectives/goals involve hospitals in a profound way because professional’s experts in different fields are able to collaborate about human-to-computer interactions, developmental tools, clinical informatics, and end-users of EHRs. These experts would be asked to use their experience with the toolkit and resources to generate methods of the utilization of the EHR system as they provide an effective toolkit. Based on these recommendations analyzed, healthcare providers can recognize issues in healthcare information procedure

An Electronic Health Record (EHR) is a real time digital version of a patient’s paper chart that make information available instantly and securely to authorized users. EHR contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Allow access to evidence-based

When the patient checks in at the front desk, you will open their file which would then check the patient in. The medical assistant would then receive notification there was a new patient for vitals. The doctor, if on his/her computer at the time could see they have a new patient almost ready for them. Once vitals were documented in the exam room, the status would then change to “in progress”. Again the doctor can see this. The doctor can view the patients record in the exam room or their office, get a brief overview before going in to see the patient. Once in the with patient, the EHR is opened so the doctor and ask various questions and document at the same time. All documentation is done in front of the patient and signed off before the patient even left the room. If we did not have EHR the old way of doing it was pulling charts, filing papers, charts being left on doctor’s desk and ultimately these would lead to errors. The benefit of having an EHR is everything is one place, from within the whole facility and it leaves little room for error when it comes to the patient. “With EHRs, providers can have reliable access to a patient's complete health information. This comprehensive picture can help providers diagnose

An electronic health records (EHRs) has the simplest, digital (computerized) versions of patient 's paper charts. But, (EHRs) when fully up and running are so much more than that. EHRs are real-time patient-centered records. They make information available instantly "whenever and wherever it is needed." And they bring together in one place everything about a patient 's health. EHRs can: contain information about a patient 's medical history, diagnoses, medications, immunization dates, allergies, radiology images, lab and test results; offer access to evidence-based tools that providers can use in making decisions about a patient 's care, automate and streamline provider’s workflow, increase organization and accuracy of patient information, support key market changes in payer requirements and consumer expectations. One of the key features of an EHR is that it can

What is a Medical Coder? What do they do? Why are they important? How can they help me?