Medical records clerk

Sundra J. Johnson

**** ********* ***

Baltimore, Maryland 21229

443-***-**** **********.**@*****.***

Skills

Strong understanding of HIPAA and privacy laws

Outstanding organizational and computer skills

Great attention to detail

Exceptional understanding of medical file documentation

Great oral communication skills

Above- average file auditing skills

Proficient in ICD- 10 coding

Expert in medical terminology

Work Experience

Charlestown Retirement Community, Baltimore, MD

Home Supporter 2012 – Present

Assist clients with personal care and activities of daily living I accordance with their individualized care plan

Take client vital signs and keep record

Observation of client functioning and report changes to supervisor

Documents services provided on the appropriate form and submits the form to the office before leaving the campus

Companionship

Practice safety, infection control, and standard precautions

Maintain client’s rights and confidentiality

Saint Agnes Hospital, Baltimore, MD

Nurse Technician 2002- 2012

Assisted with treatments ordered by physician and supervised by a Registered Nurse (RN)

Assisted patients with tending to personal care and activities of daily living

Reports findings or changes in physical, mental, and emotional conditions to nursing staff

Assisted with keeping patient rooms clean and orderly

Take vital signs, blood sugar readings, entered readings into Meditech (computer system)

Complete other duties as assigned

Almost Family, Baltimore, MD

Certified Nurse Aide (CNA) 1999-2002

Updated 125 client’s vital signs into their medical records monthly

Transported clients to daily outings

Engaged clients in social activities

Served as a companion

Helped clients relax and regroup during crisis

Education

University of Phoenix, 2016- 06/2017

Medical Records, Baltimore, MD

High School Diploma, 1987

Edmondson Westside High School, Baltimore, MD

Certifications

Medical Records Certificate, 2017

Baltimore, MD

Cardiopulmonary Resuscitation (CPR), 2016

Baltimore, MD

Certified Nurse Aide, 1987

Baltimore, MD

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