VICTORIA GARCIA
Fort Worth
Summary
Clinical documentation professional with proven track record in maintaining accurate medical records and supporting healthcare teams. Committed to enhancing patient care through precise documentation and collaboration. Valued for adaptability and reliability, ensuring compliance and quality in all tasks.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist (Remote)
Homeward Health
Grant, MI
05.2025 - Current
- Verified accuracy and overall completeness of medical records by auditing and reviewing patient information.
- Ensured accuracy of clinical documentation to support quality patient care and reimbursement processes.
- Collaborated with healthcare teams to streamline documentation workflows and improve compliance with regulatory standards.
- Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
- Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records.
- Maintained strong knowledge of medical terminology, allergies, diseases, conditions and procedures.
- Managed electronic clinical documentation and uploaded changes or updates using Athena.
- Completed EHR audit quality maintenance procedures, processed chart requests, facilitated chart purges and organized medical record copy requests.
Medical Scribe (Remote)
Scribekick
Glen Allen, VA
06.2023 - 04.2025
- Prepare, assemble and maintain medical record documentation/charts for provider through the Epic EMR.
- Documented patient encounters accurately and efficiently, ensuring compliance with healthcare standards.
- Assisted physicians by transcribing medical histories, physical exams, and treatment plans in real-time.
- Managed electronic health record systems to streamline documentation processes and improve data accessibility.
- Collaborated with healthcare teams to enhance communication and information flow during patient visits.
- Trained new scribes on documentation protocols and use of electronic health record systems effectively.
- Ensures medical record compliance by self-documentation attestation.
- Updates patient history, physical exam, and other pertinent health information for each patient.
- Prepares and sends all documentation to provider for review and approval via authentication of detailed data entry and facility-specific procedures.
- Monitors the duration of basic lab results and screening procedures.
- Complies with hospital and medical facility policies, including those relating to HIPAA.
- Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.
Patient Access Coordinator (Remote)
Envera Health
Richmond, VA
05.2022 - 06.2023
- Coordinated patient registration processes to ensure accurate information capture.
- Managed insurance verification and eligibility checks for seamless patient access.
- Promoted patient-centered care through facilitating open lines of communication between medical professionals, patients, and their families regarding treatment plans and progress updates.
- Schedule appointments for multiple clinical sites according to client specific protocols.
- Maintained strict adherence to HIPAA regulations while managing confidential patient information throughout various stages of care.
- Managed high volumes of inbound calls while addressing scheduling requests, appointment confirmations, prescription refills, and general inquiries professionally.
- Worked collaboratively with colleagues to meet the goals and objectives at the department.
- Assisted callers and navigate them to the appropriate resources.
- Navigate multiple medical systems such as Nextgen to provide the clients with proficient scheduling for their patients.
Library Clerk
McRoberts Elementary School
Katy, TX
08.2020 - 05.2022
- Assisted students and staff in locating, circulating, and utilizing print and online resources, prepares overdue notices, shelves books, and other materials
- Assisted with audio-visual resources and equipment and instructs in operation of electronic catalog and computer use.
- Cataloged and organized library materials to enhance accessibility for students and staff.
- Processed new library acquisitions, ensuring timely availability of educational materials.
- Conducted regular inventory checks to maintain accurate records of library holdings.
- Developed and implemented engaging reading programs to promote literacy among students.
- Managed circulation desk activities, ensuring prompt service for all library patrons.
- Provided a welcoming environment for patrons by maintaining a clean, orderly, and inviting space for reading, studying, or browsing.
- Maintained an organized library collection by accurately shelving books, periodicals, and other materials according to classification systems.
Special/General Education Paraprofessional
Tipps Elementary School
Houston, TX
08.2015 - 08.2020
- Assisted the certified teacher with instructing and supervising children in classroom activities, especially students identified as moderate to severely disabled. needs, interests, and abilities..
- Assisted the certified teacher with instructing and supervising children in classroom activities, especially students identified as moderate to severely disabled.
- Communicated with parents about daily classroom routines, expectations, and policies.
- Monitored student progress and behavior, providing feedback to teachers for instructional adjustments.
- Led small group activities to reinforce learning concepts and boost student confidence in subject matter.
- Participated in professional development opportunities to stay current on best practices within education paraprofessional field.
Education
Associate's Degree - Associate of Arts
Lone Star College
Cypress, TX08-2014
High School Diploma - undefined
Langham Creek High School
Houston, TX05-2012
Skills
- Knowledge of Computers and troubleshooting- Typing Speed 70 WPM
- Proficient with Microsoft Office products and Google
- Trained in Nextgen, Epic and Athena medical records systems
- Proficient knowledge of medical terminology and human anatomy
- Knowledge of legal transcription
- Ability to expertly document patient care and transcribe patient appointments
- Ability to assure the accuracy of all documentation and records
- Advanced computer skills to transcribe and record information across networks
- Expert at following HIPAA regulations
- Good at multitasking and taking initiative as a remote worker
- Working well with a team as well as individually
- Willingness to train and learn new skills/programs as well as earn necessary certifications
Certification
- Nonviolent Crisis Prevention Training (CPI)
- Texas Behavior Support Initiative (TBSI)
- Certified Medical Scribe
- Medical Scribe Boot Camp - Scribekick
- Obtained Legal Transcription Fundamentals Certificates
Languages
English
Native or Bilingual
Spanish
Limited Working
Timeline
Clinical Documentation Specialist (Remote)
Homeward Health
05.2025 - Current
Medical Scribe (Remote)
Scribekick
06.2023 - 04.2025
Patient Access Coordinator (Remote)
Envera Health
05.2022 - 06.2023
Library Clerk
McRoberts Elementary School
08.2020 - 05.2022
Special/General Education Paraprofessional
Tipps Elementary School
08.2015 - 08.2020
High School Diploma - undefined
Langham Creek High School
Associate's Degree - Associate of Arts
Lone Star College