Lourdes V. Delas Penas-Holt

*** *** ****** # ***

San Mateo, CA 94401

Cell: 650-***-****

Profile: Experience in reviewing/analyzing medical records. Strong knowledge in using ICD-10CM and CPT codes. Computer literacy in MS Word, Excel, Powerpoint & Access. Excellent analytical and problem solving skills. Ability to handle multiple tasks. Work well under pressure.

RELEVANT SKILLS & EXPERIENCE:

Compliance Coder/Auditor - BHS, Compliance and Privacy Affairs-1380 Howard Street, S. F., CA

August 2015-December 31, 2021

Performs Compliance audits/reviews of all BHS Civil Service/Contract clinics.

Generates audit reports by summarizing the result.

Compiling data for specific compliance project.

Assists medical records management department in their daily operation as needed.

Researches ICD-10 CM Codes, HCPPCS, and DSM 5 for billing purposes.

Provides expertise regarding Documentation Manual updates.

Medical Records Technician - CHN (Health @ Home) 374 Laguna Honda Blvd., Unit F5, S. F.

Dec. 2000-August 2015

Performs chart audits/reviews records (Hybrid) for completeness and deficiencies.

Analyzes and abstract regulatory and medical information from patient records to support billing, quality management and agency evaluation.

Collects and prepares data for QM reports.

Verifies completeness of all discharged medical records against tool developed by QM Coordinator.

Assists in data entry for patient’s admission.

Assists with preparations for State regulatory visits.

Knowledge of Joint Commission and other Regulatory requirements.

Provides medical information to government agencies and attorneys and responds w/ subpoena and other request.

Medical Records Technician DPH (Potrero Hill Health Center)

Oct., ’99-Dec. 2000

Released medical information to patients, hospitals, law firms, and gov’t. agencies.

Responded to subpoena for medical & legal purposes.

Maintained medical records filing systems.

Reviewed records for the presence of documentation and authentication of providers.

Assigned codes in the encounter forms using ICD-9CM & CPT.

Administrative Assistant III MT. Zion Home Care Geary, San Francisco

April ’98-Sept. ‘99

Entered information regarding patient activity into the system including admission, discharges, changes in POT, recertification and visits.

Read, analyzed, interpreted, and typed clinical documentation from nurses, PT, OT, ST, MSW, and home health aides.

Reviewed the records of discharged patients for quality and utilization criteria.

Medical Records Clerk - Department of Psychiatry (Alcohol and Substance Abuse)

Aug. ’98-Sept. ‘99

Performed QA for Detox patients.

Opened and closed episodes summary in computer databases.

Performed registration process through CSAS.

Conducted analyses of all medical charts for deficiencies to ensure that content of records were complete, consistent, and records in conformance with the prescribed standards.

EDUCATION:

City College of City College

Associate of Science Degree General Education May 1997

Health Information Technology Certificate (RHIT) May 1998

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