SABIHA

• Used [HIS SYSTEM] to input information into computerized patient record system.
• Processed patient referrals and authorizations to enable smooth patient consultations.
• Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
• Managed electronic files and archives to keep transcripts organized and accessible.
• Handled multiple projects simultaneously, providing clients with prompt and high-quality service.
• Interpreting and transcribing a variety of medical reports and correspondence regarding patients’ assessment, workup, therapeutic procedures, clinical course, diagnoses, prognosis, etc. in order to document and facilitate delivery of healthcare.
• Following the department and doctors’ formats in doing reports.
• Providing quality transcription by the use of proper resources.
• Ensuring the confidentiality of the contents of the reports transcribed.
• Assisting and coordinating for department admin work.
• Working under pressure with time constraints.
• Determining needs and ordering office supplies, equipment, repair and maintenance services through agency channels.
• Assisting Physician in clinic including accessing, adding, and modifying the patient’s medical records under the physician’s supervision.
• Requesting the necessary laboratory investigation for the patient based on physician order.
• Supporting the Clinical team by collecting medical reports from various departments.
• Performing basic care under the direction of Physician/ Registered Nurse/ Midwife in absence of staff.
• Covering the duties of the non-clinical staff in absence.
• Submitting the claims with proper codes and format to insurance team within the stipulated time.
• Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.

• Maintained accuracy, completeness, and security for medical records and health information.
• Followed up with medical staff regarding missing information in patient records.
• Scanned and uploaded medical records into electronic medical records system.
• Tracked and monitored requests for medical records release.
• Researched and resolved medical record discrepancies.
• Developed and implemented new filing system for medical records to improve efficiency.
• Identified new methods to optimize medical records management.
• Transcribed and entered patient medical information into electronic medical records systems.
• Collect DHA multiple statistical reports and analyses for submission to regulating authorities in UAE on regular bases.
• Review the patient's records for completion and delinquency on daily basis as per the JCIA & DHA audit tool.
• Audit the patient files in case of DHA investigation for completion and submission.
• Prepare the mortality case files for DHA submission on regular basis.
• Communicate with the medical staff for the completion of delinquent files on a daily basis.

• Compile both electronic and hard copy documents appropriately and make sure they are saved as part of the patient's medical record for accurate and easy retrieval.

• Maintain confidentiality in handling patient medical records at all times.

• Answered requests of patient for information and documents via email and MMS Portal.

• Transcribed notes and collaborates with healthcare providers to ensure the accuracy of medical records.

• Prepared sick leave and birth certificate and death certificate.

• Developed effective training plans based on department needs and objectives.
• Developed individualized training plans to achieve staff readiness.
• Trained medical and non science back ground students for CPC & DRG certification.
• Helping non science back ground students for medical terminology.
• Trained the students for correct documentation for medical coding.
• Counseled the students to enroll in medical coding course.
• Worked as head of department.
• Analyzed team performance and identified opportunities for additional training.
• Monitored participant workflow and behaviors throughout training process.

• Interpreted diagnostic test results for deviations from normal.
• Confirmed consistent and accurate medical recordkeeping practices.
• Improved patient outcomes and delivery of care through improved clinical quality processes.
• Trained and supervised medical students and residents engaged in special activities and procedures.
• Ordered medical and laboratory supplies and equipment.
• Discussed medical histories with patients in effort to provide most effective medical advice.
• Have experienced all departments like surgery, orthopedic, gynec, pediatric, emergency and NICU ward.
• Prescribed Pre-operative and post-operative treatment and procedure such as sedatives, diets, anti-biotics and preparation of the operative areas.
• Counseling the patients and relatives about disease, treatment and prognosis.
• Discussed the investigation reports and general condition of the patient with consultant.
• Taking follow up from the nurses about regular treatment and dose of the patient's.
• Taking rounds with Senior doctors of indoor patients.
• · Analyzing the test results.
• Performing primary treatment in emergency ward.
• Advise and educate the patient regarding diet, hygiene and effective disease prevention matter.
• Assisted the consultant for minor procedures and normal vaginal delivery.