Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Medical Records Resource
Rockwell Health Care
Ontario, CA
07.2021 - Current
Implemented strategies to reduce errors related to manual charting processes.
Conducted regular audits of medical records to ensure completeness and accuracy.
Oversaw the maintenance of electronic health records systems.
Resolved discrepancies between paper-based charts and EHR systems.
Supervised staff responsible for the maintenance of patient records to ensure accuracy and compliance with HIPAA regulations.
Analyzed data to identify trends or issues related to quality assurance and quality improvement initiatives.
Assisted with development of policy and procedure manuals for release of information requests.
Provided training sessions for staff on proper documentation techniques.
Provided guidance on best practices in medical record documentation.
Developed and maintained procedures for medical records management, including storage, retrieval, retention and destruction of medical records.
Medical Records Director
Terracina Post Acute
Redlands, CA
01.2017 - 07.2021
Maintained record of authorized information taken from charts.
Collected, checked and filed resident charts and personnel records.
Established and upheld procedures for medical records collection, coding and filing.
Managed well-organized system of closed and open medical records with ready availability to interdisciplinary personnel.
Enforced state and federal legal requirements governing confidentiality and legal issues pertaining to health information.
Provided education on HIPAA regulations related to access and disclosure of protected health information.
Conducted audits of medical records to identify areas needing improvement or corrective action.
Developed, implemented and maintained medical records policies and procedures.
Medical Records Director
Alta Vista Nursing Center
Riverside, CA
11.2007 - 01.2017
Reviewed discharges and other records on nursing units for compliance with procedures.
Established and upheld procedures for medical records collection, coding and filing.
Managed well-organized system of closed and open medical records with ready availability to interdisciplinary personnel.
Enforced state and federal legal requirements governing confidentiality and legal issues pertaining to health information.
Returned incomplete records and charts to appropriate personnel for correction.
Provided education on HIPAA regulations related to access and disclosure of protected health information.
Conducted audits of medical records to identify areas needing improvement or corrective action.
Developed, implemented and maintained medical records policies and procedures.
Trained staff on proper use of the electronic health record system.