Medical Records
Resume:
Hero M. Brown Jr.
Killeen, Texas 76452
*************@*****.***
EXPERIENCE
**/**/****-**/**/2013, 40 Hours per Week, Medical Records Technician (OA), Landstuhl
Regional Medical Center, CMR 402, APO AE 09180, SGT Randy Bare, DSN 486-8475.
Performs receptionist duties for patients who must obtain their medical records prior to clinic
visit. Knowledge of Medical Records Administration for verifying patient eligibility for Military
care using identification card, DEERS, and the Hospital Information System-CHCS. Enters
information in the CHCS terminal to indicate proper categories of patients with changes in data.
Create bar-coded labels for medical records utilizing composite health care system-CHCS.
Searches, screens and pulls records for scheduled and non-scheduled visits to various clinics.
Files loose medical documents in medical records as required. Enters required data into the
CHCS, to indicate availability/non-availability or records in order to maintain comprehensive
record accountability. Prepares folders inserting standard forms required in all Outpatient
Treatment Records for retirees/family members. Provides customer service to requestor on
location and operating hours of appropriate clinic. Assists in screening and pulling records for
retirement to centralized facility. Use a computer for data entry and scanning of medical
documents to digital medical records and troubleshoot equipment if problems arise. Identifies
specific medical documents, i.e., sleep studies, EKG, EEG, PFT, and other clinical notes to be
scanned from the military and civilian heath care facilities. Knowledge of HIPPA and other
Privacy Health Information rules and regulations IAW Army Regulation 40-66. Receives
telephone calls from Military Treatment Facilities, civilian facilities, and patient relating to
eligibility requirements, and location of medical records. Releases medical records upon request
to military personnel, family members, and military and civilian facilities according to
regulations. Retrieves medical records and loose medical documents from wards, and
administrative areas for appropriate distribution. Enters loose medical documents in individual
patient health records according to established guidelines and procedures. Sort researched reports
for mail outs to various MTFs- CONUS/OCONUS. Remain proficient on all applicable data
systems (AHLTA, CHCS, ESSENTRIS). Searches for missing medical records and assist in
outpatient records retirement. Assist patients with completion of retrieval request for records.
07/18/2011-09/30/2012, 40 Hours per Week, Medical Records Technician (OA) Landstuhl
Regional Medical Center, CMR 402, APO AE 09180, Maria Carmen B. Thorne, DSN 486-8475.
Reviews and researches Inpatient Medical and Ambulatory Patient Visits Records. Performs
quality control to ensure inclusion and completeness of notes, nurse notes, physician orders and
arrangement of records contents in prescribed sequence. Utilizes the ICD-9 manual to determine
diagnostic and operative terminology used is consistent with medical nomenclature. Consults
with medical staff to rectify apparent inconsistencies and discrepancies. Medical records are
assembled and forwarded to coding. Participates in the referral of select cases to appropriate
committee as identified in the review and analysis. Read lab test, graphic records, provider's
documentation for signatures and dates. Verifies admission and discharge dates of inpatient
records. Return records to physicians when there is no documentation to support the final
diagnoses. Types medical and Knowledge of HIPAA and other Privacy Health Information rules
and regulations. Uses personal computers, printers, modems and various software programs to
compile and prepare a variety of recurring and special reports. Types a variety of material from
rough draft into final form. Uses ESSENTRIS, AHLTA, and CHCS to maintain and retrieve
data/information. Utilizes word processing software which permits creation, formatting,
changing, and printing of documents Uses software to prepare reports, charts, graphs, tables from
information provided by staff. Searches for missing inpatient medical records. Assist in inpatient
medical records retirement. From July 18, 2011 to November 20, 2011, this position was YB-
675-01.d administrative data on each record. Generates final copy of cover sheet for each
discharged record.
EDUCATION
Central Texas College, Killeen, Texas 76542, Some College Coursework (36 SEM Hours)
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