Autumn Smith
Thornton,CO
Summary
Dedicated Certified Medical Assistant and Clinical Care Coordinator with 20 years of experience in patient-centered healthcare administration, specializing in primary and chronic care management within family practice settings. Expertise includes clinical triage, patient assessments, and care planning for high-risk individuals, encompassing pre-visit planning and medication administration, as well as assistance with procedures such as EKGs and vital sign monitoring. Proven leadership in ambulatory care operations, focused on driving quality outcomes, reducing hospital utilization, and ensuring compliance with HIPAA and Value-Based Care principles. Proficient in Epic/EMR systems for accurate documentation and data integrity, fostering strong collaboration across multidisciplinary teams to enhance patient health, satisfaction, and cost efficiency.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Care Coordination Supervisor | Certified Medical Assistant
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2007 - 01.2025
- Patient-Centered Medical Home providing value-based, comprehensive care to 120+ patients daily across all age groups, with 10 providers, 2 therapists, and a 50+ member multidisciplinary team.
- Built and mentored a high-performing Care Coordination team of 3, conducting clinical training on triage, assessments, and chronic care management while tracking metrics for continuous quality improvement.
- Performed detailed physical and psychosocial triage and assessments to identify risk factors, develop individualized care plans in collaboration with providers, and coordinate transitions (e.g., to Skilled Nursing Facilities) for geriatric and behavioral health patients.
- Supported clinical tasks including vaccine/medication administration, procedure assistance, and pre-visit planning to ensure efficient, high-quality care delivery and patient safety.
- Guided 30+ families through advance directives and end-of-life planning, providing compassionate triage, resource connections, and motivational support to address complex clinical and psychosocial needs.
- Optimized outcomes for 100+ chronic/high-risk patients via interdisciplinary partnerships, health coaching, patient education on medications (e.g., reducing warfarin misuse by 90% through targeted outreach and follow-up), and accountability measures.
- Conducted 10-15 weekly triage calls for patient monitoring, education, and scheduling to close care gaps and promote adherence in value-based care models.
Medical Record Clerk
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2012 - 01.2013
- Managed EHR transitions and clinical documentation to support accurate care coordination and compliance.
- Spearheaded the conversion of 5,000+ records to EHR, incorporating pre-visit planning, precise data entry of clinical histories, diagnoses, and quality metrics to enable seamless chronic care management.
- Executed audits for data integrity, collaborating with clinical teams to verify documents, prepare examination rooms virtually, and facilitate provider access to patient histories.
- Assisted in operating EMR systems for patient triage and care planning, ensuring confidentiality and HIPAA compliance during high-volume transitions.
Front Office Manager
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2009 - 01.2011
- Led front office operations for a 12-provider practice with 3 LCSWs, overseeing talent development and clinical workflow efficiency.
- Developed and coached a team of 4-8, resulting in two promotions to lead roles, with emphasis on clinical support skills like patient triage and procedure preparation.
- Implemented communication tools (e.g., walkie-talkie system) to streamline interdepartmental coordination for clinical tasks, including EKGs and vital sign documentation.
- Reduced check-in times by 50% (from 15 to 5-7 minutes) through proactive chart preparation for 40+ patients daily, incorporating pre-visit planning to enhance clinical flow.
- Served as EHR expert, cutting IT tickets by 50% via user training on clinical functionalities, issue triage, and cross-team collaboration to optimize equipment operation and data entry.
Medical Assistant
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2007 - 01.2009
- Delivered direct clinical care, including vital signs, histories, and procedure support in a high-volume primary care setting.
- Collected and documented vital signs, test results, and histories in compliance with standards, assisting providers with minor procedures and patient education on treatments.
- Prepared examination rooms, verified documents, and operated medical equipment to support efficient clinical workflows and chronic condition monitoring.
- Organized 20+ daily paper records with tab systems for real-time access, reducing errors in clinical data and improving triage for same-day visits.
Education
Medical Assistant Program -
Kaplan Career Institute
Thornton, CO01.2007
Skills
- Established and led a Care Coordination Department focused on chronic care management, reducing hospital utilization by 70% through real-time clinical interventions, patient triage, and analytics-based care plans addressing social determinants of health
- Enhanced physical and mental health outcomes for 100 high-risk patients with chronic diagnoses by conducting thorough clinical and psychosocial assessments, developing personalized care plans, and using motivational interviewing to facilitate adherence and barrier removal
- Directed the seamless transition of 5,000 patient records from paper to EHR in under 10 months, including pre-visit planning, accurate scanning of clinical data (diagnoses, quality measures, histories), and audits to support chronic care coordination and regulatory compliance
- Excelled in patient education, procedure assistance, and team collaboration, fostering trusting relationships and operational excellence to improve access to care and clinical outcomes in fast-paced primary care environments
Skills:
- Complex Problem-solving
- Teamwork and collaboration
- Attention to detail
- Decision-making
- Customer service
Certification
- Certified Medical Assistant, 2007
- Certified Patient Navigator, 2013
- Mental Health First Aid, 2019
- Montreal Cognitive Assessment (MoCA) Certification, 2022
- HIPAA & OSHA Compliance Training, 2022
- CPR Certified, 2025
Timeline
Medical Record Clerk
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2012 - 01.2013
Front Office Manager
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2009 - 01.2011
Care Coordination Supervisor | Certified Medical Assistant
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2007 - 01.2025
Medical Assistant
ROCKY MOUNTAIN PRIMARY CARE - PIH
01.2007 - 01.2009
Medical Assistant Program -
Kaplan Career Institute
Similar Profiles
Elisa ZepedaElisa Zepeda
Medical Referral Specialist / Front Office Lead at Rocky Mountain Primary CareMedical Referral Specialist / Front Office Lead at Rocky Mountain Primary Care
Evette MartinezEvette Martinez
Practice Manager at Rocky Mountain Primary CarePractice Manager at Rocky Mountain Primary Care
Truc NguyenTruc Nguyen
Medical Assistant at Rocky Mountain Primary CareMedical Assistant at Rocky Mountain Primary Care
Joe HoranJoe Horan
Construction Manager at Workplace ElementsConstruction Manager at Workplace Elements
Katherine VigilKatherine Vigil
Personal Banker at Academy BankPersonal Banker at Academy Bank