Ethel Lueder

Houston, TX *****

ad13g0@r.postjobfree.com

+1-832-***-****

Highly experienced and self-directed professional offering demonstrated leadership, excellent customer service and a positive attitude, knowledge in medical terminology anatomy and physiology. Ability to prioritize multiple tasks and work independently highly organized and detail oriented seeking a growth-oriented position with room for advancement. Dedicated Supervisor with 20 years of experience supervisory management role in a traditional Medical Records / Health Information Management Department. Proficient and forward-thinking professional, well versed in setting goals in line with company's vision. Possess in-depth experience monitoring production processes and creating strategies to enhance productivity.

Authorized to work in the US for any employer

Work Experience

Medical Records Director

GARDEN TERRACE OF HOUSTON - Houston, TX

February 2023 to Present

Overseeing and managing all aspects of the medical records department this includes

• maintain department productivity, quality and efficiency for all processes within the department.

• maintaining accurate, complete, and confidential patient records, as well as ensuring compliance with legal and regulatory requirements.

• maintains confidentiality of all proprietary and/or confidentiality information.

• Implement processes and systems to support accurate and complete medical record documentation.

• effectively communicate with physicians, nursing staff, and allied health personnel.

• oversee and assist with data collection, storage,-retrieval, assembly analysis, filing and retention of medical records/data.

• oversee and/or complete coding according to current ICD and CPT coding classifications. ensure accurate coding for reimbursement and clinical care

• audit records and data for accuracy, compliance and timeliness. review results with administration, medical, nursing and clinical staff.

• ensure documentation is filed in the medical records in an accurate and timely manner and ensure that the medical records is complete (including signatures)

• contact physician for order clarifications and transcribe and communicate to nursing staff when indicated

• train and educate staff

Health Information Management Supervisor

The Rose Breast Imaging Center - Houston, TX

November 2019 to Present

Plans, develops, and manages activities, workload, and special projects for the Featherwood Health Information Management Department to meet the standards of ACR and MQSA. Assists in the planning of administrative and technical policies of the Health Information Management department & supervises employees who analyze, distribute and store permanent medical records of patients.

Recruits, selects, trains, and supervises subordinate personnel. Recommends various personnel actions, including, but not limited to, hiring, performance appraisals, promotions, transfers, and vacation schedules.

Review's performance in area in supervision in relation to established goals to include standards and criteria, audit of deficiencies and follow-up; assists in implementing changes to effect continual improvement in services provides; and assures compliance with regulatory and legal requirements. Prepares monthly, quarterly, and annual statistical reports. Analyzes the data and develops any necessary corrective action plans.

Provides mammography reporting system training for Radiologists and new employees and assists in implementing program changes and troubleshooting reporting errors. HIM/ Credentialing Director

Oceans Behavioral Hospital - Katy, TX

January 2015 to August 2019

Oversees the daily operations of the HIM Department. Include release of information, record processing and retention, physician chart completion, scanning, transcription, and data integrity job functions. planning, organizing workflow, quality, productivity, performance evaluation, prepare timecards and oversee time and attendance of staff members. Assist with the day-to-day operations and serve as the primary contact in the absence of the Operation Manager.

Responsible for developing teamwork within the assigned service area and creating a culture. Operates multiple integrated software applications, word processing equipment, dictation systems, and other programs including a variety of e-resources and email. Setting priorities and coordinating multiple tasks and simultaneous projects to maintain control of workflow.

Supervising the credentialing staff in all of their duties, including maintaining initial credentialing, re- credentialing and the continuous credentialing processes for Individual and Organizational Providers; maintaining the integrity, accuracy and completion of Provider data in credentialing files and database; complying with regulatory and accreditation standards and performance expectations related to credentialing quality control, delegation oversight, departmental and personal improvement goals; and interacting with Medical Directors and organizational leaders internally/externally to resolve credentialing and provider data issues.

HIM Director/ /Credentialing

Legend Healthcare - Houston, TX

June 2013 to December 2014

Manages all health information responsibilities including patient record maintenance, ensuring that appropriate medical record components are completed accurately by medical staff and filed properly and timely in accordance with various accrediting agencies and established institution policies and procedures.

Assures timely completion, integrity and authenticity of medical records; places discharged charts in accepted chart order; scans documents into system to be sent up for billing; backs up HIM information for safety.

Gathers, receives, and monitors all information on in-coming patients in accordance with standard policies and procedures.

Ensures all transcribed records are complete, correct and placed on patient records. Accurately releases information in timely manner.

Assures immediate access of any chart of any chart using acceptable filing, coding, and deficiency tracking.

Maintains an accurate and efficient filing system. Sends completed records to offsite storage facility for storage once complete. Assist with the onboarding of providers by initiating the Initial Credentialing process Corresponding with new hires, collecting documents, references, updating checklist, obtaining missing documents. Monitors and maintains certification and license files for MD's, DO's, NP's, and PA's. Verifies provider licenses and certifications such as DEA, Specialty Boards, NPI, NPDB, OIG, SAM. Query NPDB annually. OIG/SAM exclusions automatically ran monthly through Credential My Doc. Enters and maintains providers and expiring documents into Credential My Doc. Add and term provider's to/from company's malpractice insurance carrier. Prepare Initial and re-credentialing files for review and approval. Submit list of initial and re-credentialed providers for Governing Board approval. Medical Records Manager

Ashford GARDENS NURSING HOME - Houston, TX

October 2010 to June 2013

Assembles and analyzes medical records.

Retrieves and files medical records.

Performs Document Imaging functions to include scanning and review of scanned images. Releases medical records in accordance with appropriate laws/agencies. Perform a variety of clerical duties involved in maintaining patient medical records to include filing, retrieving, and distributing medical records, loose notes, and reports. Maintains associated logs and records in accordance with established priorities as well as procedures in any section of the HIM Department.

Medical Records Manager

WEST OAK REHABILITATION & HEALTH - Houston, TX

July 2007 to May 2010

Responsible and accountable for the record keeping procedures and storage of all medical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities. Recruits, hires, provides orientation/training, and retains enough qualified staff to carry out the responsibilities of the Medical Records area. Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis. Directs the preparation of charts for new admissions. Closes medical records upon discharge.

Develops schedule for and conducts audits of the clinical records. Maintains the computerized physician order program and monitors physician visit schedule. Maintains master index system.

Orders, maintains, and distributes medical records forms. Completes sections of the Minimum Data Set as required. Establishes and monitors procedures to ensure confidentiality of patient information and guard against loss or destruction of data.

Maintains records and completes required forms and documents in accordance with company policy and state and/or federal regulations.

Medication Aide/Medical Records Clerk

PARK MANOR OF QUAIL VALLEY - Houston, TX

March 2006 to July 2007

Assemble medical records in the approved record order and remove all duplicate or non-legal medical record material.

Analyze medical records for completion and assign deficiencies as needed. Assist internal and outside agencies with information regarding patient records ensuring request are prioritized appropriately.

Maintain an Accounting of Disclosure log and a Production of Documents file to meet appropriate time frames.

Prepares and administers medications to residents following established procedures. Verifies identity of resident receiving medication and records name of drug, dosage, and time of administration on specified forms or records.

Clarifies any order or treatment regimen believed to be inaccurate, ineffective, or contraindicated by consulting with appropriate licensed practitioner. Notifies supervisor when making the decision not to administer.

Takes and records vital signs upon administration of medications when required. Orders and re-orders medications and returns all discharge medications for credit in compliance with federal and state regulations.

Maintains neat, clean, and orderly medication room and cart. Takes appropriate precautions to make sure residents / patient do not have access to medications other than those prescribed. Completes required forms and documents in accordance with company policy and state and/or federal regulations.

Education

Certification

DeVry University - Houston, TX

1990

High school diploma or GED

Skills

• Organizational development

• Time management

• Medical information release

• Regulatory compliance

• Data analysis and Records review

• Written and verbal communication

• Leadership

• Issue resolution

• Financial Management

• Training and development

• Accurate documentation

• HIPAA

• Health records review

• Effective communication

• Data Entry

• Detail-oriented

• Self-Starter

• Digitization

• Medical Records

• Physiology Knowledge

• Transcription

• Medical Terminology

• MDS

• Anatomy Knowledge

• Employee Evaluation

• Hospital Experience

• Employee Orientation

• Medical Billing

• Medical Office Experience

• Recruiting

Links

http://ad13g0@r.postjobfree.com

Military Service

Branch: N/A

Service Country: United States

Certifications and Licenses

Certified Medication Aide

Contact this candidate