Leslie Terra
Modesto,CA
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
My tenure at Kaiser Permanente Northern California honed my medical transcribing skills, diagnostic coding and HIPAA compliance competencies. Leveraging a commitment to continuing education and proficiency in Epic, I significantly improved medical record accuracy and team training practices, embodying a blend of technical expertise and dedication to healthcare excellence.
Working in the healthcare industry is where I want to be and belong.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Kaiser Permanente - Northern California
07.2021 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified accuracy of patient information in medical records.
Medical Transcriptionist
Kaiser Permanente - Northern California
09.2005 - 04.2021
- Accurately documented medical dictation to record patient care records.
- Edited drafts created from speech recognition software.
- Utilized templates and macros to streamline transcription processes.
- Transcribed and edited physician reports from dictation using Epic.
- Maintained high levels of confidentiality with sensitive patient information following HIPAA guidelines.
- Enhanced accuracy of medical records by transcribing detailed physician dictations.
- Improved turnaround time for report generation by efficiently managing transcription tasks.
- Reduced errors in medical reports by reviewing, editing, and proofreading transcripts for clarity and consistency.
- Demonstrated excellent skills to understand diverse accents and dialects.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Applied medical terminology related to provider-specific treatments and techniques.
- Referred to variety of medical sources to prevent mistakes in medical terms.
- Recorded information using word processing, dictation and transcription software and equipment.
- Maintained security and privacy of records to protect patients and providers.
- Stayed up-to-date with medical terminology and industry trends to maintain accuracy in transcriptions.
- Improved report turnaround times with efficient transcription of patient encounters and medical procedures.
Medical Transcriptionist
Stanislaus Surgical Hospital
04.1997 - 09.2005
- Accurately documented medical dictation to record patient care records.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Improved turnaround time for report generation by efficiently managing transcription tasks.
- Demonstrated excellent skills to understand diverse accents and dialects.
- Applied medical terminology related to provider-specific treatments and techniques.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Referred to variety of medical sources to prevent mistakes in medical terms.
- Worked cohesively with physicians and other clinical staff to complete transcriptions.
- Contributed to professional work environment by consistently meeting deadlines and maintaining open communication with supervisors and colleagues.
Education
Medical Coding Certificate -
Western Governors University
Salt Lake City, UT01.2020
Skills
- Diagnostic Coding Accuracy
- HIPAA compliance awareness
- Continuing Education Commitment
- Electronic health records navigation
- CPT coding knowledge
- ICD 10 CM coding
- Medical Terminology Familiarity
- Medical Office Software Utilization
- Proficiency in Epic
- HIPAA Compliance
- Medical Terminology
Certification
AHIMA and AAPC
- CCA certificate - 2013
- CPC certificate - 2021
Timeline
Certified Medical Coder
Kaiser Permanente - Northern California
07.2021 - Current
Medical Transcriptionist
Kaiser Permanente - Northern California
09.2005 - 04.2021
Medical Transcriptionist
Stanislaus Surgical Hospital
04.1997 - 09.2005
Medical Coding Certificate -
Western Governors University
AHIMA and AAPC
- CCA certificate - 2013
- CPC certificate - 2021
Similar Profiles
Timothy G. BatesTimothy G. Bates
Director of Safety and Health at Northern CaliforniaDirector of Safety and Health at Northern California
Gilbert Orlando GonzalesGilbert Orlando Gonzales
Sprat LVL III Rope Access Supervisor /Site Safety Supervisor at Northern CaliforniaSprat LVL III Rope Access Supervisor /Site Safety Supervisor at Northern California
James R. DunaganJames R. Dunagan
Assistant Department Administrator at Kaiser Permanente of Southern CaliforniaAssistant Department Administrator at Kaiser Permanente of Southern California