Ester Cooper
Crossville,TN
Summary
Highly skilled Medical Records Clerk with experience in managing, organizing and maintaining health information in hospitals and clinics. Possess strong knowledge of medical terminology, coding procedures, and data management principles. Demonstrated abilities include accurate record keeping, strict adherence to confidentiality regulations, and efficient handling of requests for information. Previous roles have resulted in streamlined operations and improved patient care through diligent record maintenance.
Overview
22
22
years of professional experience
Work History
Medical Records Clerk
Uplands Village
Pleasant Hill, 38578
07.2023 - Current
- Verified record copies before handing each over to check for and remove unnecessary details.
- Purged outdated files.
- Retrieved patient medical records in response to requests from authorized personnel.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Responded to inquiries from patients, physicians and other healthcare providers regarding medical records.
- Streamlined day-to-day office processes to meet long-term goals.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Reviewed medical records for completeness and accuracy according to established guidelines.
- Organized and filed hard copy patient records in designated areas.
- Reviewed medical records for completeness and accuracy, updating information as needed.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Processed incoming medical records requests.
- Scanned incoming documentation.
- Compiled discharge summaries for all discharged patients.
- Set up patient charts and documented information in various company software.
- Reviewed patient charts for accuracy and completeness.
- Updated and maintained databases with current information.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Managed lab records, maintaining precise and up-to-date information.
LPN Charge Nurse
Wyndridge Health & Rehab Center
Crossville, TN
01.2022 - 06.2023
- Provided patient care plans, treatments, and medications according to physicians' orders.
- Administered medications and therapies in accordance with physicians orders.
- Identified potential problems or risks that could affect patient outcomes.
- Collected blood, urine or sputum from patients to perform routine laboratory tests.
- Administered prescribed medications or started intravenous fluids, noting times and amounts on patients' charts.
- Measured and recorded patient height, weight and other vital signs.
- Educated patients about their diagnoses and treatments while providing emotional support.
- Assessed patients' health conditions and monitored changes in their condition.
- Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
- Answered patients' calls to determine how to assist.
- Documented patient medical histories, current symptoms and vitals.
- Communicated effectively with patients, families, colleagues, and other healthcare professionals.
- Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
- Documented adverse patient reactions to medications and reported findings to supervisors.
- Provided pre- and post-operative nursing care.
Assistant Director of Nursing
Uplands Village
Pleasant Hill, TN
10.2013 - 04.2019
- Monitored development, implementation and updates of individualized care plans.
- Evaluated staff performance and prepared accurate reports detailing findings.
- Collaborated with multidisciplinary teams to develop best practices for patient care delivery.
- Recruited, hired and trained new medical and facility staff.
- Oversaw explanation of personnel policies and job descriptions as part of nursing employee orientation process.
- Budgeted, managed, and scheduled nursing staff, fostering environment supportive to patients.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Implemented changes needed to correct deficiencies found during government inspections.
- Conducted recruitment and retention activities to develop highly skilled nursing team.
- Responded promptly to inquiries from physicians, families, staff members, and other healthcare professionals.
- Ensured proper orientation of new hires as well as ongoing training for existing staff members.
- Explained policies, procedures and services to patients.
- Reviewed daily documentation of dispensing of controlled substances, immediately noting discrepancies from shift to shift.
- Investigated incidents reported by staff members or patients and families.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Attended meetings with key stakeholders to discuss issues affecting the Nursing Department.
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Coordinated the planning, implementation, evaluation, and documentation of nursing care plans.
- Assessed competency of clinical staff to promote quality, continuity, and safety.
LPN
Dr. Lou E. MacManus
Crossville, TN
03.2003 - 10.2012
- Facilitated communication between patients, family members, and healthcare professionals.
- Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Monitored patient progress during treatments or procedures, reporting any abnormalities to the healthcare team immediately.
- Took temperatures or blood pressures, dressed wounds and provided other basic patient care or treatments.
- Collected biological samples from patients and performed routine lab tests to support diagnosis.
- Sterilized medical equipment and supplies with germicides, sterilizers and autoclaves.
- Collected and documented vital signs to track current patient conditions.
- Instructed patients and their families about disease prevention, proper nutrition, medication management and other health related topics.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Documented patient medical histories, current symptoms and vitals.
- Assessed patient needs through interviews and physical examinations while adhering to safety standards.
Education
LPN - Nursing
TCAT
Crossville, TN03-1993
Skills
- EMR / EHR
- Medical terminology understanding
- Medical records audits
- ICD-9 coding experience
- Medical office administration
- Customer service
Timeline
Medical Records Clerk
Uplands Village
07.2023 - Current
LPN Charge Nurse
Wyndridge Health & Rehab Center
01.2022 - 06.2023
Assistant Director of Nursing
Uplands Village
10.2013 - 04.2019
LPN
Dr. Lou E. MacManus
03.2003 - 10.2012
LPN - Nursing
TCAT
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