David Martinez
St. Petersburg,FL
Summary
Confident Clinical Documentation Specialist facilitating positive changes to documentation through close collaboration with healthcare providers. Analysis-oriented professional with exemplary CERNER & EPIC, judgement and critical thinking skills. Consistently finding ways to improve workflows and processes that save time and money.
Organized Medical Records Clerk with over 20 years of experience supporting efficient department operations. Detail-oriented and enthusiastic with strong communication skills.
Overview
20
20
years of professional experience
Work History
Clinical Documentation Specialist
Emergency Physicians Of St Petersburg
St Petersburg, United States
04.2008 - 01.2022
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Managed electronic clinical documentation and uploaded changes or updates using CERNER and EPIC.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Maintained accuracy, completeness and security for medical records and health information.
- Input data into computer programs and filing systems.
- Utilized CERNER & EPIC to manage and confirm patient data, such as insurance, demographic and medical history information.
- Secured medical records against loss or unauthorized access.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Prepared and processed forms for government healthcare programs.
Medical Records Clerk
Bayfront Hospital
St Petersburg, FL
04.2001 - 03.2007
- Processed medical records requests from outside providers according to facility, state and federal law.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Maintained patient confidence by keeping patient records information confidential.
- Delivered charts to assigned areas of hospital by following established routing procedures.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Maintained patient records in compliance with security regulations.
- Reviewed charts and flagged incomplete or inaccurate information.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Prepared and processed forms for government healthcare programs.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Created new physical and computer-based files.
- Input data into computer programs and filing systems.
- Maintained accuracy, completeness and security for medical records and health information.
- Secured medical records against loss or unauthorized access.
- Followed exact procedures for handling transfers and other releases of medical records.
- Utilized CERNER to manage and confirm patient data, such as insurance, demographic and medical history information.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Accurately pulled patient records for upcoming appointments and procedures, typically within 8 hour period.
Education
University of Houston
Houston, TX05.1979
High School Diploma -
Houston Technical Institute
Houston, TX05.1977
Skills
- Word Processing Software
- Attention to Detail
- Medical History Recording
- Treatment Documentation
- Interpersonal Communication
- Patient Data Abstracts
- Problem Solving
- Health Record Index Maintenance
- Information Analysis
- Verbal and Written Communication
- Appointment Scheduling
- Standard Classification Systems
- Epic Systems
- Patient Medical Records Maintenance
- Office Health Records Preparation
- Time Management
- Clerical Functions
- Charting and Clinical Documentation
Timeline
Clinical Documentation Specialist
Emergency Physicians Of St Petersburg
04.2008 - 01.2022
Medical Records Clerk
Bayfront Hospital
04.2001 - 03.2007
University of Houston
High School Diploma -
Houston Technical Institute