
Adept Medical Records Technician with a proven track record at Gallup Indian Medical Center, specializing in diagnostic coding and enhancing patient confidentiality. Expert in EMR/EHR systems and HIPAA compliance, I significantly improved documentation accuracy and efficiency. My strong communication skills support effective collaboration with healthcare providers, ensuring optimal patient data management.
Working within the health information department in the coding section I analyze patient records for proper documentation, accuracy and correlation of recorded data such as medical necessity to assign International Classification of Disease (ICD) and Current Procedural Terminology (CPT) to patient files for billing purposes. I generate RPMS/EHR reports as needed to identify deficiencies for providers or to identify errors returned from the billing department. I work with providers and nursing staff to assist in proper documentation of services rendered.