Pawandeep Kaur

I have over 3 years of experience in the healthcare domain, primarily focused on clinical documentation and medical scribing. In my role as a Clinical Documentation Specialist and medical scribe, I have worked closely with physicians across various specialties including OBGYN, Cardiology, Internal Medicine, Pediatrics, and Orthopedics. My core responsibilities included documentation of patient encounters into the EHR such as Epic, Cerner, and eClinicalWorks. I was responsible for reviewing and summarizing complete medical chart notes, including history of present illness, physical examination findings, assessments, and treatment plans. I regularly reviewed and interpreted laboratory reports, imaging studies, and blood work to ensure accurate clinical representation. I verified medication lists, allergies, and patient history to maintain a comprehensive and up to date medical record. Ensuring compliance with HIPAA regulations and maintaining data integrity were key aspects of my role.