Results-oriented Medical Records Coordinator successful at overseeing office operations, projects and medical records. Knowledgeable about working with paper and electronic records. Seeking to bring 23 years of experience to long-term position.
Overview
38
38
years of professional experience
Work History
Senior Clinical Intake Specialist
Blue Cross and Blue Shield
Boston, MA
09.2022 - Current
Verify member eligibility, collect demographic and pertinent clinical information, and document results in the computer system.
Build cases in the computerized member record using information gathered from faxes and/or phone calls.
Documentation of information using department standards of documentation.
Communication with providers regarding the assigned DRG, and/or any necessary decision data.
Assignment of accurate codes to all diagnoses and procedures and the DRG, recoding, and updating cases when applicable.
Communication with the Clinical Review team to ensure continuity of the notification, coding, and review processes.
Management of workload within regulatory turnaround time requirements and mandated timeframes for processing cases.
Handling protected health information consistent with department and company policies and regulatory requirements.
Assist in refinement and implementation of unit workflows to enhance efficiency and support unit/department goals.
Assist implementation of all new utilization management processes and programs in accordance with business plans to provide quality customer service to all customers.
Ability to cross-train to develop the variable skills necessary to support all team responsibilities
Senior Medical Records Coordinator
Sherrill House
Jamaica Plain, MA
12.2018 - 03.2022
Arranged and managed medical record filing, retrieval and transfers per established guidelines.
Maintained accurate records and reports regarding patients' histories and progress, services provided and other required information.
Completed timely uploads of medical records to patient vaults.
Evaluated the quality and integrity of electronic chart data.
Developed and maintained clear policies for every step of medical record creation, validation and filing.
Maintained complete confidentiality in accordance with organization and legal requirements.
Organized patient charts, gathering medical histories, lab results and consents.
Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
Worked with HR staff to accurately track and update paid time off.
Managed payroll and time and attendance systems.
Coordinated payroll and resource allocation for PayCom system.
Senior Unit Coordinator
Sherrill House
Jamaica Plain, MA
06.2004 - 12.2018
Cultivated positive relationships with patients and families, addressed concerns or complaints, monitored patient satisfaction survey data and maintained confidentiality of patient information.
Demonstrated knowledge and clinical expertise to effectively supervise nursing activities and achieve optimal patient outcomes in hospital department and nursing home.
Enforced organization policies and exercised non-biased judgment while leading nursing staff in fiscally sound patient care, recordkeeping and professional communication.
Audited and completed charts, evaluations and medical forms.
Reviewed and completed admission and discharge assessments.
Daycare Owner/Operator
My Little Ones Daycare
Dorchester, MA
11.2001 - 11.2016
Implemented creative and educational curriculum to promote expression and individuality with varying daily activities.
Cultivated safe and happy child-friendly environment by implementing effective security, sanitation and operational policies and procedures.
Recorded children's growth, behavior and development, monitoring changes to discuss with parents or guardians.
Interpreted government codes to meet safety and security codes.
Operations Associate
Massachusetts General Hospital
Cambridge, MA
06.1999 - 08.2001
Maintained unit supplies and equipment for medical staff and patient care needs.
Communicated with patients and medical staff to convey important information and facilitate smooth unit operations.
Prepared detailed reports and unit documentation and distributed completed files.
Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
Solicited medical history information from patients to provide best and most effective medical advice.
Dietary Aide
Massachusetts General Hospital
Cambridge, MA
05.1986 - 06.1999
Assisted patients with special needs to eat meals, providing kindness and patience.
Reported and documented resident changes in consumption or behaviors.
Set up trays and food service carts to deliver food to residents.
Cleaned and sanitized kitchen, dining and utility areas to promote healthy environment.
Stocked food and other supplies for main kitchen and units.
Checked and updated diet orders via computer database.
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