Summary
Overview
Work History
Education
Skills
Certification
Timeline
SoftwareEngineer
Samantha Tarwater

Samantha Tarwater

Barnsdall,OK

Summary

Medical Records Clerk with 11-year history processing medical records requests while delivering highest quality customer service. Builds rapport with staff and patients to foster smooth and effective department operations. Strong knowledge of Release of Information policies and procedures and HIPAA regulations. Medical Records/CNA trained in scheduling systems and patient medical records updating and insurance processes. Reliably completes accurate work and I go above and beyond to meet daily demands.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Medical Records and Health Information Technician

Wah Zha Zhe Heath Clinic
Pawhuska, OK
04.2012 - Current
  • GS-675-05-07
  • Full Time 40 hours a week
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
  • Analyzed complex medical records to identify discrepancies in accuracy and completeness.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Printed and photocopied documents to provide patients with copies of medical records
  • Adhering to the scheduling policies and procedures
  • Conducting special audits, studies, or surveys to development procedures.
  • Ensure appointments are made from a provider's order.
  • Coordinating administrative services for family members, caregivers, and general public, administrative and clinical staff to insure continuity of inpatient and outpatient care.
  • Patient check-in process (in its entirety), including the printing of documentation needed for appointment
  • Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
  • Maintained patient confidence by keeping patient records information confidential.
  • Maintained patient records in compliance with security regulations.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Responded to patient inquiries to provide information and details of medical records.
  • Uploaded physician progress notes, history, and physicals into electronic medical records.
  • Scanned medical records in digital format for easy retrieval and accessibility.
  • Maintained patient records systems by archiving, scanning and indexing important documents and files.
  • Scanned and uploaded medical records into electronic medical records system.
  • Generated and maintained statistical data related to medical records.
  • Utilized electronic medical record systems/RPMS to store, retrieve and process patient data..
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Verified accuracy of patient information in medical records.
  • Processed and tracked requests for medical records from external organizations.
  • Sorted and distributed incoming and outgoing medical records.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.
  • Assisted in preparation of medical reports for external parties.
  • Responding and interacting with physicians as well as patient-care team to gather patients medical histories, symptoms, diagnosis or treatments
  • Building and maintaining patient's trust and confidence as well as protecting healthcare operations by assuring accuracy and confidentiality of all the related information or records as per departmental policies
  • Supplied nursing staff or doctors with requested forms and documents, including test reports that were not filed in medical charts as well as pulled patient charts to answer related questions or concerns
  • Scanned new discharge charts into electronic medical record system as well as maintained completed medical records
  • Gathered and managed patients' demographic and related information from various sources as well as assembled medical records of new patients
  • Maintained and secured sensitive information by keeping medical and healthcare records confidential in compliance with local, state, and federal laws or regulations
  • Sorted and filed all patient information as well as processed expired patient information
  • Prepared new medical records and updated existing ones to maintain accuracy and completeness as well as revised, edited and proofread various healthcare documents as required
  • Assured that charts were counter-signed by physicians and checked for completeness as well as released information when directed by medical records supervisor or director
  • Answered requests from healthcare provider for medical records timely and appropriately as well as researched lost or missing records and patient information in accordance with established procedures
  • Adhered to healthcare and regulatory policies for handling confidential information as well as attended quality improvement programs as required
  • Send and receive all Behavioral Health Records and scan into patient chart where only certain providers can review

Medical Assistant/CNA

Indian Health Service
PAWHUSKA, OK
04.2010 - 04.2012
  • GS 0621-04-01
  • Full Time 40 hours a week
  • Patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
  • Oversaw and maintained patients' rooms, group living areas, and nurse stations.
  • Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
  • Documented patient information and care activities in electronic health record.
  • Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
  • Upheld infection control and prevention policies across different patient-facing areas.
  • Reduced risks of patient infection and cross-contamination by cleaning and sterilizing equipment.
  • Recorded patient history to accurately track conditions, progress and diagnosis for comprehensive medical records.
  • Educated patients on variety of infectious disease issues, nutrition, obesity, and smoking cessation to improve overall health and wellness.
  • Referred to and consulted with physicians and other healthcare providers on patient care.
  • Conducted physical examinations to assess patients' health and current condition for optimal treatment.
  • Ordered and executed various tests, analyses, and diagnostic images to provide information on patient condition.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Obtained and documented patient medical history, vital signs and current complaints at intake.
  • Explained procedures to patients to reduce anxieties and increase patient cooperation.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Measured patient pulse oximetry.
  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Implemented care and efficiency improvements to support and enhance office operations.
  • Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
  • Prepared lab specimens for diagnostic evaluation.
  • Completed EKGs and other tests based on patient presentation in office.
  • Updated inventory, expiration and vaccine logs to maintain current tracking documentation.

Education

High School Diploma -

Barnsdall High School
Barnsdall, OK
05.1999

Certificate - Business Computer Technology/Medical Terminology

Tri County Technology Center
Bartlesville, OK
05.1999

Skills

  • More than 10 years of experience as Medical Records Clerk with good knowledge of medical terminology and related laws (HIPPA), applicable privacy laws, medical record processing as well as procedures for releasing medical records
  • Ability to handle multiple tasks simultaneously in fast-paced environment and within strict deadlines
  • Excellent record-keeping skills along with ability to keep patient records or information confidential and secure
  • Strong documentation and computer skills, and proficiency in using MS Office products, Outlook, database applications, and EMR system
  • Good team-working skills and ability to complete responsibilities in a timely manner
  • Effective communication and interpersonal skills with ability to build and maintain good working relations with physicians, nurses, and other medical team members
  • Strong analytical and assessing skills along with ability to solve complex problems in a timely and effective manner
  • Business Correspondence
  • Data Extraction
  • Computerized Indexing Systems
  • Managing Releases
  • Patient Health Information Access
  • Informational Releases
  • Patient Data Management Systems
  • Medical Records and Documentation

Certification

  • CNA - Certified Nurse Assistant
  • CHHA - Certified Home Health Aide

Timeline

Medical Records and Health Information Technician

Wah Zha Zhe Heath Clinic
04.2012 - Current

Medical Assistant/CNA

Indian Health Service
04.2010 - 04.2012

High School Diploma -

Barnsdall High School

Certificate - Business Computer Technology/Medical Terminology

Tri County Technology Center

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Samantha Tarwater