ANDRIANNE VERGARA
Escondido,CA
Summary
Healthcare management professional well-versed in overseeing medical records operations. Known for optimizing documentation standards and ensuring regulatory adherence. Reliable team collaborator with results-driven mindset, skilled in data analysis and process improvement.
Experienced with medical records management, demonstrating efficient organization of patient information. Utilizes effective strategies to maintain compliance and ensure data accuracy. Track record of leading teams and implementing process enhancements to optimize workflow.
Medical records management professional with strong expertise in maintaining and organizing patient data, ensuring compliance with healthcare regulations, and improving record-keeping systems. Known for fostering teamwork and adapting to evolving requirements, consistently delivering reliable results. Skills include data integrity, regulatory adherence, and process optimization, valued for reliability and flexibility in dynamic environments.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Medical Record Director position. Ready to help team achieve company goals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
16
16
years of professional experience
Work History
CNA
Econdido Post Acute
Escondido, CA
12.2019 - Current
- Provided compassionate care to patients, ensuring comfort and safety during daily activities.
- Assisted nursing staff with patient assessments and implemented individualized care plans.
- Monitored vital signs and reported changes to healthcare team for timely interventions.
- Educated patients and families on health management and post-discharge procedures.
- Ensured compliance with health regulations and standards, maintaining a safe environment.
- Developed and maintained strong relationships with patients, fostering trust and communication.
- Assisted patients with daily living activities, promoting independence and dignity.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Enhanced patient satisfaction by providing compassionate and attentive care.
- Maintained confidentiality of patient information according to HIPAA guidelines while communicating effectively with team members about critical updates.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Utilized proper body mechanics and assistance devices when transferring patients, minimizing the risk of injury for both parties.
- Ensured prompt response to call lights, addressing patient needs in a timely manner.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Prevented bedsores by regularly repositioning patients and implementing proper wound care techniques.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Promoted infection control practices within the facility by adhering to strict hand hygiene procedures and utilizing personal protective equipment when necessary.
Medical Record Director
Escondido Post Acute Rehab
Escondido, CA
08.2009 - Current
- Oversaw medical records management ensuring compliance with healthcare regulations.
- Developed and implemented policies for efficient record-keeping practices.
- Led training programs for staff on electronic health record systems.
- Streamlined processes to enhance accuracy in patient data entry and retrieval.
- Collaborated with healthcare teams to maintain confidentiality of patient information.
- Conducted audits to assess quality and integrity of medical records documentation.
- Managed budgetary allocations for medical records department resources and needs.
- Oversaw secure transfer of patient records to other health care providers to support requests and authorizations.
- Evaluated requests for information and maintained and tracked releases to comply with federal and state laws.
- Developed and implemented record storage and retrieval system to comply with record retention laws and maintain accessibility.
- Reviewed open and closed records to comply with medical record documentation policies and reported findings to nursing services director.
- Ensured compliance with HIPAA regulations by regularly auditing and updating policies and procedures regarding patient information security.
- Conducted regular audits of stored medical records to identify discrepancies or missing documentation, ensuring completion and adherence to established guidelines.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Education
Bachelor of Science - BS Nursing
Lyceum of The Philippines
PhilippinesSkills
- Time management
- Patient care
- Vital signs monitoring
- Compassion and empathy
- Bathing assistance
- HIPAA compliance
- Feeding assistance
- Basic life support
- Dressing assistance
- Maintaining confidentiality
- Compassionate communication
- Patient transfers
- Clinical documentation
- Multitasking and organization
- Critical thinking
- Team collaboration
- Compassionate
- Direct patient care
- Medical terminology
- Healthcare ethics
- Quality assurance
Timeline
CNA
Econdido Post Acute
12.2019 - Current
Medical Record Director
Escondido Post Acute Rehab
08.2009 - Current
Bachelor of Science - BS Nursing
Lyceum of The Philippines