Detail-oriented Medical Records Specialist with extensive experience at Summitt Behavioral Health, adept in managing electronic health records and ensuring HIPAA compliance. Proven track record in optimizing coding accuracy and mentoring junior staff. Skilled in EMR systems and medical terminology, with a strong commitment to maintaining patient confidentiality and data integrity.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Records Specialist
Summitt Behavioral Health
Charleston, WV
05.2024 - 02.2026
Managed electronic health records to ensure accuracy and compliance with healthcare regulations.
Utilized electronic health record systems to update patient information promptly and securely.
Processed medical records requests from outside providers according to facility, state, and federal law.
Maintained patient records in compliance with security regulations.
Kept accurate log of requests for medical information and records.
Maintained patient confidence by keeping patient records information confidential.
Managed electronic medical records for [Number] patients.
Maintained compliance with HIPAA regulations through thorough staff training and continuous monitoring of security protocols surrounding patient data management.
Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
Maintained patient records systems by archiving, scaning and indexing important documents and files.
Printed and photocopied documents to provide patients with copies of medical records.
Utilized electronic medical record systems to store, retrieve and process patient data.
Scanned and uploaded medical records into electronic medical records system.
Inpatient Coding Specialist
Thomas Memorial Hospital
South Charleston, WV
07.2013 - 11.2019
Reviewed and coded medical records for accuracy and compliance with industry standards.
Collaborated with healthcare professionals to ensure proper documentation practices.
Utilized coding software to assign correct diagnosis and procedure codes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
HIM Coder II
Charleston Area Medical Center
Charleston, WV
07.2007 - 10.2010
Implemented best coding practices to optimize project workflows and improve software quality.
Mentored junior coders, providing guidance on coding standards and problem-solving techniques.
Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Verified signatures and checked medical charts for accuracy and completion.
Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Followed up with medical staff regarding missing information in patient records.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Education
Associate of Applied Science - Health Information Technology
University of Cincinnati
Cincinnati, OH
12-2022
Skills
Medical records management
Insurance verification
Medical office procedures
Medical records filing
HIPAA expert
Medical information release
Release of information
Health information systems
Medical terminology
EMR / EHR
HIPAA compliance
Procedural coding
Diagnostic coding
Document scanning
Medical billing and coding
Knowledgeable in [software]MS Office, Electronic Endcoders, MS4, Meditech, ClinTrac, EMR
Certification
RHIT - Registered Health Information Technician
CCS - Certified Coding Specialist
Timeline
Medical Records Specialist
Summitt Behavioral Health
05.2024 - 02.2026
Inpatient Coding Specialist
Thomas Memorial Hospital
07.2013 - 11.2019
HIM Coder II
Charleston Area Medical Center
07.2007 - 10.2010
Associate of Applied Science - Health Information Technology