Summary
Overview
Work History
Education
Skills
References
Timeline
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MAYTE LEMUS

South El Monte,USA

Summary

Health information professional with nearly 10 years of experience at AltaMed, demonstrating a strong work ethic and adaptability. Proven ability to excel in unsupervised environments, while quickly mastering new skills, and highly motivated to take on new challenges as an HIM Specialist.

Overview

10
10
years of professional experience

Work History

Health Information Technician

AltaMed Health Services Corporation
Los Angeles, USA
11.2015 - Current
  • Reviews daily medical records for record integrity, accuracy, and completeness.
  • Maintains confidentiality of protected health information according to HIPAA standards.
  • Identifies and reviews duplicate patient charts in our EPIC EHR system. Investigates and reviews charts in order to process and complete duplicate chart merges in EPIC. This also includes our PACE patients, and I have complete communication with the PACE OP Team to determine which MRN to keep.
  • Participated in various duplicate chart validation projects and the completion of chart merges for new clinic acquisitions, including but not limited to ChapCare, Paramount, HSK, and Seville, etc.
  • Works and manages the HL7 Interface Error Queue that pertains to patient's labs and radiology results from external vendors (UMI/LAPCORP/QUEST/CHLA)
  • Works and manages the RME Claims Error Workqueue and External ID Bundle Workqueue.
  • Working knowledge with Master Patient Index.
  • Processes the release of information requests as needed (including, but not limited to, subpoenas in the past) for the use and disclosures of PHI in accordance with healthcare requirements and standards.
  • Participates in mammogram imaging reproduction as needed.
  • Participates in specialty catch-up days that pertain to filing pertinent patient documents from external/specialist providers into the EPIC system using OnBase to close the loop on referrals.
  • Follows up with specialty offices for missing reports or incorrect data on a document, specifically with UMI reports.
  • Handles incoming calls when in the office and directs callers to the appropriate department or employee. Also, takes on calls for the Quality Team as needed.
  • Participates in quality reviews and audits, including the chart selection for patients and the submission of documents to appropriate health plans. This also includes our PACE participants.
  • Identified trends affecting productivity or quality improvement initiatives.
  • Conducts and participates in time studies to help establish times to complete tasks within our department.
  • Assists in training employees regarding Health Information Management processes, including Duplicate Chart Merges, Identity Management Interfaces, Overlays, and RME Claim IDs.
  • Participates in meetings relating to changes impacting the organization's HIM operations, and serves as a liaison between UMI and our EPIC Interface team to streamline the process between the two systems.

Front Desk Receptionist

Days Inn Hotel
Fullerton, USA
08.2015 - 11.2015
  • Assist guests with booking reservations via phone or email, as well as assisting them in registration process, and check out process
  • Effectively negotiate and manage group sales by quoting rates and selling payment contract
  • Provide excellent quality of customer and guest services by actively listening and responding to guest inquiries and requests. Handle guest complaints before they escalate to upper management
  • Work closely with the housekeeping department in the keeping room status reports up to date and coordinate requests for maintenance and repair work
  • Perform cashier tasks like bill / invoice settlement, posting charges to the guests' account, collecting cash and processing credit card transactions

Education

Certified Billing & Coding - Medical Insurance Billing

UEI College
Anaheim, CA
09.2014

High School Diploma -

Brea-Olinda High School
Brea, CA
06.2010

Credits - Medical Terminology

North Orange County Regional Occupational Program
Anaheim, CA
05.2009

Some College (No Degree) - Health Information Technology

East Los Angeles College
Monterey Park, CA

Some College - General Studies

Fullerton College
Fullerton, CA

Skills

  • HIPPA compliance
  • Medical Terminology
  • Working knowledge of EPIC EHR Software and Nextgen EHR system
  • HL7 interface management
  • Duplicate chart resolution
  • Data integrity checks
  • Data entry and document scanning
  • Quality improvement
  • Customer service
  • Patient data management
  • Quality assurance audits
  • Release of information
  • Knowledge of Microsoft
  • Knowledge of Excel
  • Knowledge of ICD-9 coding
  • Knowledge of CPT codes
  • Reporting capabilities
  • Database management
  • Compliance management
  • Quality focus
  • Professionalism
  • Organizational skills
  • Detail-oriented
  • Interpersonal communication skills
  • Written communication skills
  • Training and mentoring
  • Bilingung Abilities

References

References available upon request.

Timeline

Health Information Technician

AltaMed Health Services Corporation
11.2015 - Current

Front Desk Receptionist

Days Inn Hotel
08.2015 - 11.2015

Certified Billing & Coding - Medical Insurance Billing

UEI College

High School Diploma -

Brea-Olinda High School

Credits - Medical Terminology

North Orange County Regional Occupational Program

Some College (No Degree) - Health Information Technology

East Los Angeles College

Some College - General Studies

Fullerton College

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MAYTE LEMUS