As a Medical Records Technician (MRT) Health Information Technician (HIT) I have 19 years’ experience. I am a technical expert in health record content, documentation requirements performing quantitative and qualitative reviews of health record documentation.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
Home Health Aide
Self Employed Services
08.2021 - 10.2024
Helped patient maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
Maintained a clean and safe home environment for patient, reducing falls and accidents.
Assisted patient with daily living activities, enhancing their independence and quality of life.
Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
Improved patient well-being by providing compassionate and attentive personal care.
Assisted with meal planning and preparation according to dietary restrictions, meeting nutritional needs while adhering to personal preferences.
Promptly responded to emergency situations such as falls or medical crises providing immediate care and contacting appropriate personnel when necessary.
Professional Medical Record Technician
United Federal Government, Travis AFB-CA
01.2004 - 01.2021
I am skilled with adherence with CMS record reviews relating to student, resident supervision and attending physician presence and documentation, David Grant Medical Center Hospital is a training facility. I have provided support with the review process, maintaining the Medical Records Library and with the Electronic Medical Records, and retirement of records, per Department of Defense regulations. I Maintained a control system to ensure completion of all inpatient and outpatient records, and Ambulatory procedure unit records in accordance with The Joint Commission, CMS,DOD and other regulatory agencies standards. Reviewed health records to ensure that all records contain sufficient information to meet medical/legal requirements, to ensure continuity of patient care, and to support education and research needs.
I assisted the physicians with the completion of delinquent, and incomplete health records and served as the liaison for clinical staff meeting requirements for complete documentation.
I expedited the completion of the electronic health record when the patient is transferred for care at another medical center, for legal requests, and reviewed the record for sufficient information to meet medical/legal requirements, for the continuity and quality patient care for our military, and their families.
A few additional duties, but not limited too were to assist with the End of Day processing for the patient scheduling, procurement Support Contract Management with hospital service contracts for Personnel time tracking and invoicing to Defense Finance (DFAS) to process payments for performance base contracts.
Renewal of reoccurring contracts on an annual basis for Military Treatment Facility clinics a with contract employees and hospital equipment services. Professional problem solving skills
Education
No Degree - Word, Excel and Power point, Access
Regional Occupation Program
Pleasant Hill, CA
02-1985
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Las Lomas High School
Walnut Creek, CA
Skills
MHS Genesis,(Super User), CHCS, Cerner, AHLTA, CCS, CCE, CIPPS, Mainframe, Electronic Medical Records ,IDX, (DEERS) Defense Enrollment Eligibility Reporting System