Margarite Caldwell
Rio Hondo,USA
Summary
Healthcare professional with extensive experience in phlebotomy, laboratory testing, and clinical patient care. Recently transitioned to auditing and consulting on medical assistant workflows and electronic health records. Proven ability to maintain accuracy in high-pressure environments while enhancing patient care quality. Committed to continuous professional development and improving patient outcomes through effective teamwork and service.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Clinical Operations Consultant/Auditor
Valley Day and Night Clinic
Brownsville, TX
05.2026 - Current
- Conduct detailed audits of provider documentation using AI-assisted chart review software to identify documentation deficiencies, unsupported diagnoses, coding discrepancies, and compliance concerns.
- Review progress notes for completeness, clinical accuracy, internal consistency, and adherence to documentation standards.
- Analyze provider documentation to ensure diagnoses are supported by patient history, review of systems, physical examination findings, diagnostic testing, and medical decision-making.
- Collaborate with providers, supervisors, and clinical staff to improve documentation quality and reduce audit findings.
- Review laboratory, imaging, referral, and hospital follow-up documentation for appropriate clinical support and coding accuracy.
- Develop documentation improvement recommendations, intake workflows, and standardized templates to enhance chart quality and compliance.
- Utilize AI-driven auditing tools to evaluate chart performance and identify recurring documentation trends across multiple providers.
Medical Assistant / Medical Lab Assistant
Valley Day and Night Clinic
Brownsville, USA
05.2024 - Current
- Conducted venipuncture and specimen collection to ensure accurate diagnostic testing.
- Executed collection, processing, and preparation of blood, urine, and fecal specimens, enhancing diagnostic accuracy for patient care.
- Conducted comprehensive diagnostic tests to assess patient health, including BMP, hepatic panel, lipid panel, TSH, and ESR.
- Supported healthcare providers in delivering patient care by monitoring vital signs, administering injections, performing EKGs, and assisting with minor procedures.
- Conducted independent triage for 20 to 40 patients daily to ensure precise patient intake data and streamline workflow.
- Managed electronic health records (EHR) ensuring HIPAA compliance to protect patient confidentiality.
- Oversaw quality control proficiency testing and calibration log maintenance to ensure compliance with CLIA standards.
- Implemented infection control measures and adhered to OSHA safety regulations to maintain a safe working environment.
Education
Associate of Applied Science - Radiologic Technology Program
Texas Southmost College
Brownsville, TX12-2027
High School Diploma -
South Texas ISD Medical Professions
Olmito, TX05-2024
Skills
- Venipuncture and specimen collection
- EKG administration
- Vital signs monitoring
- Laboratory testing
- Infection control and OSHA compliance
- Electronic health records (EHR)
- HIPAA compliance
- Customer service
- Clinical documentation
- Direct patient care
- CPR
- Clinical workflow improvement
- Chart auditing
- Provider documentation review
- Laboratory management
- Clinical documentation integrity (CDI)
- Medical record auditing
Certification
- NHA Certified Phlebotomy Technician, 02/14/27
- AMT Certified Medical Laboratory Assistant, 07/25/27
- AHA Basic Life Support, 10/01/27
Timeline
Clinical Operations Consultant/Auditor
Valley Day and Night Clinic
05.2026 - Current
Medical Assistant / Medical Lab Assistant
Valley Day and Night Clinic
05.2024 - Current
Associate of Applied Science - Radiologic Technology Program
Texas Southmost College
High School Diploma -
South Texas ISD Medical Professions