Nilda DaCosta
Graham,NC
Summary
Dedicated healthcare professional with extensive experience at Peak Resources Brookshire, excelling in medical records management and patient confidentiality. Proven ability to enhance operational efficiency through effective data entry and communication skills. Committed to maintaining HIPAA compliance while delivering high-quality patient care and support in fast-paced environments.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Medical Records Clerk/Central Supply Clerk
Peak Resources Brookshire
11.2020 - Current
- Updated patient financial information to guarantee accuracy.
- Demonstrated adaptability by quickly learning new procedures as medical coding standards evolved over time.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Maintained patient confidence by keeping patient records information confidential.
- Printed and photocopied documents to provide patients with copies of medical records.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Supported medical staff by providing organized and accurate medical records.
- Responded to patient inquiries to provide information and details of medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Responded effectively to requests for medical records from legal representatives, insurance companies, and other authorized parties in a timely manner.
- Maintained patient records in compliance with security regulations.
- Maintained accurate records of purchase orders, invoices, and delivery confirmations for audit purposes.
- Expedited restocking processes by promptly processing incoming shipments and distributing materials as needed.
- Proactively identified potential stock shortages, taking necessary steps to reorder items before depletion occurred.
- Improved overall efficiency, maintaining a clean and organized central supply area for easy access to essential items.
- Enhanced order accuracy by verifying and updating supply data in the inventory database regularly.
- Ensured timely delivery of medical supplies by coordinating with various departments and vendors effectively.
- Safeguarded patient privacy by adhering strictly to HIPAA regulations when handling sensitive information related to medical supply use or distribution.
- Assisted in budget control by monitoring supply usage and adjusting orders accordingly.
- Complied with regulatory requirements, conducting routine audits on stored materials'' expiration dates and disposing of expired supplies properly.
- Facilitated smooth departmental operations through effective communication with nursing staff and other hospital personnel regarding supply needs and availability.
- Streamlined inventory management by implementing an efficient organization system for medical supplies.
- Sustained strong vendor relationships through consistent communication about order status updates or issues that arose during transactions.
- Optimized storage space utilization, routinely reorganizing supplies to maximize available room.
- Collaborated with team members to develop standard operating procedures for central supply tasks, enhancing overall productivity levels within the department.
- Contributed to patient safety with strict adherence to sterilization procedures for reusable equipment.
Certified Medication Technician
Peak Resources Brookshire
07.2007 - 11.2020
- Maintained accurate records of dispensed medications, ensuring timely refills and proper disposal of expired or unused medications.
- Participated in regular training sessions to stay up-to-date on current medication guidelines, best practices, and regulatory requirements.
- Facilitated seamless pharmacy communications by liaising between pharmacists, physicians, and nursing staff regarding prescription orders and clarifications.
- Assisted in reducing medication errors by diligently cross-checking prescription information with patients'' medical histories.
- Improved patient care by accurately administering medication as prescribed and closely monitoring for side effects.
- Enhanced medication administration efficiency by maintaining an organized system for tracking patients'' medications and schedules.
- Contributed to a safer healthcare environment by reporting any observed adverse reactions or medication discrepancies promptly.
- Collaborated with nursing staff to ensure proper dosage, timing, and documentation of administered medications for optimal patient outcomes.
- Consistently maintained a professional demeanor when interacting with patients, families, coworkers, and supervisors alike, fostering a positive work environment.
- Supported patients'' well-being by answering questions about their medications and educating them on potential side effects or interactions.
- Increased patient comfort levels while administering injections or oral medications through gentle handling techniques and clear explanations of each step involved in the process.
- Helped patients complete range of motion exercises to prevent loss of function during care.
- Upheld infection control and prevention policies across different patient-facing areas.
- Prevented cross-contamination by cleaning and sterilizing equipment.
Certified Nursing Assistant
Brookshire Nursing Center
10.2001 - 07.2007
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Assisted in rehabilitation of patients, facilitating quicker recovery with exercise and mobility support.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Documented patient information and care activities in electronic health record.
Floor Tech
Brookshire Nursing Center
09.2001 - 10.2001
- Assisted with bed making and linen changing
- Properly sanitized and refill water pitchers
- Passed out snacks and recorded intake
- Assist CNA's passing out and set-up meal trays for residents
- Assist feeding residents
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Dietary Aide
Brookshire Nursing Center
07.2000 - 11.2001
- Kept all kitchen areas clean, tidy and free of hazards.
- Served meals to residents in accordance with established schedules and dietary procedures.
- Washed plates, cups, serving, and eating utensils and kitchen equipment in commercial dishwasher.
- Coordinated with other dietary aides and kitchen staff to ensure efficient workflow and timely delivery of meals, contributing to a smooth-running operation.
- Cleared tables and removed dishes, trays, and utensils from dining room to dishwashing area.
- Assisted in the preparation of nutritious meals for patients with various medical conditions and dietary restrictions.
Education
High School Diploma -
Thomson High School
3082409-2004
Skills
- Written and verbal communication
- HIPAA regulations
- Data entry
- Document scanning
- Medical terminology understanding
- File organization
- Medical records management
- Records management
- Patient confidentiality
- Medical office administration
- Certified Nursing Assisting/Medication Technician/Medical Records-Central Supply Technician
Certification
- First Aid Certification
- Basic Life Support Certification (BLS)
Languages
Portuguese
Native or Bilingual
Timeline
Medical Records Clerk/Central Supply Clerk
Peak Resources Brookshire
11.2020 - Current
Certified Medication Technician
Peak Resources Brookshire
07.2007 - 11.2020
Certified Nursing Assistant
Brookshire Nursing Center
10.2001 - 07.2007
Floor Tech
Brookshire Nursing Center
09.2001 - 10.2001
Dietary Aide
Brookshire Nursing Center
07.2000 - 11.2001
High School Diploma -
Thomson High School
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