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Skills

  • Detail-Oriented Documentation
  • DRG assignment
  • Medical record auditing
  • 3M Encoder
  • Regulatory compliance
  • Microsoft Office Suite
  • Relationship development
  • Project organization
  • Communications
  • Supervisory experience

Work Experiences

  • Adopted clinic-wide procedures.
  • Oversaw the system conversion and ensured that there was minimal downtime during the updates.
  • Collaborated directly with the billing department to resolve discrepancies, preventing revenue loss by identifying $17 in missed claims.
  • Assisted in legal record requests.
  • Achieved a 68% improvement during records inspections.
  • Assisted the legal team by producing detailed record transcripts for 9 medical malpractice cases, ensuring consistency and accuracy.
  • Collaborated with interdisciplinary teams.
  • Had an excellent attendance record and was always on time for work.
  • Assisted the legal team.
  • Audited charts.

Summaries

  • Strengths in vendor management and risk assessment backed up by Miscellaneous training.
  • Medical Records Reviewer with 6 years of successful cross-functional collaboration and client relations experience.
  • Adept in managing medical records teams.
  • Certified Medical Records Specialist with a strong focus on records integrity and adherence to HIPAA regulations, awarded system for excellence in maintaining confidentiality.
  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • Conducted detailed audits of patient records.
  • Accomplished this over a span of 13 months.
  • Accomplished in conducting detailed audits of patient records, resulting in a 74% increase in healthcare provider decision accuracy.
  • Bridged skill gaps.
  • Audited healthcare charts.

Accomplishments

  • Processed 4 records annually with 64% accuracy, ensuring compliance with state health data security regulations.
  • Reviewed and validated 17 EMR entries for continuity of care assessments, lowering inconsistencies by 85%.
  • Ensured data protection compliance during an audit, achieving a 25% reduction in HIPAA violations.
  • Revised internal audit protocols based on findings, improving data integrity for record-keeping by 26%.
  • Successfully spearheaded EHR system upgrade, resulting in faster data access and a 58% reduction in system downtimes.
  • Optimized medical records indexing system, reducing document retrieval time by 71% with improved file categorization techniques.
  • Facilitated a cross-department initiative to resolve conflicting patient histories, improving clinical decision-making by 23%.
  • Conducted root cause analysis on recurring documentation issues, resulting in a 63% improvement in data accuracy.
  • Monitored data integrity and flagged anomalies, ensuring the correction of 66% of identified discrepancies.
  • Collaborated with physicians and administrative teams to rectify record discrepancies, improving care coordination by 23%.

Affiliations

  • Medical Group Management Association (MGMA)
  • National Association for Healthcare Quality (NAHQ)
  • Toastmasters
  • Association of Clinical Research Professionals (ACRP)
  • American Association for Clinical Documentation Improvement Specialists (AACDIS)
  • Certified Professional Biller (CPB) Certification
  • Health Care Compliance Association (HCCA)
  • Association of Health Care Auditors and Educators (AHCAE)
  • International Council of Nurses
  • Certified Revenue Cycle Representative (CRCR) Certification

Certifications

  • Certified Revenue Cycle Specialist (CRCS)
  • Patient Data Access Director Certification
  • Certified Electronic Health Records Specialist (CEHRS)
  • Certified Health Data Analyst (CHDA)
  • Certified Professional Coder (CPC)
  • Health Information Technology Professional (HITPRO)
  • Technician Certified in Healthcare Regulatory Administration (TCHRA)
  • CompTIA Security+
  • Certified Health Information Exchange Specialist (CHIXS)
  • Certified Health Record Specialist (CHRS)

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