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Medical Records Clinical Documentation

Location:
Providence, RI
Posted:
December 03, 2023

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Resume:

Contact

401-***-****

Phone

ad1n2a@r.postjobfree.com

Email

Orlando, FL

Location

Rute Peixoto

M e d i c a l R e c o r d s P r o f e s s i o n a l As an adept medical records analyst with healthcare expertise, I specialize in comprehensive clinical documentation analysis and management. With a sharp eye for detail and proficiency in electronic record-keeping systems, I ensure the quality of patient medical records. My technical skills in EHR systems and record management software streamline processes, ensuring compliance with laws and regulations. Exceptional communication skills enable effective collaboration with providers, customers, and colleagues. With a proven track record of managing medical records with optimal quality and productivity, I am well-prepared to contribute to any healthcare organization

Experience

Medical Records Analyst 2013 - 2023

Sturdy Memorial Hospital - Attleboro - MA

Mirian Hospital - Providence - RI

Meditech

Skills

Gathered, organized, and maintained patient medical records to ensure accuracy and completeness.

Ensured confidentiality of patient records by implementing privacy policies, restricting access, and obtaining proper authorization for record release. Managed records retention and destruction in compliance with state and federal regulations and industry best practices.

Monitored compliance with all applicable laws and regulations, including HIPAA and OSHA standards.

Conducted regular audits of medical records to identify errors or inconsistencies and corrected as necessary.

Conducted thorough analysis of Inpatient, Observation, ECC, Outpatient SDC, Endoscopy, and Pain Management records to ensure compliance with CMS Conditions of Participation and quality of clinical documentation. Reviewed records for accuracy of clinical authentication and ensured proper assignment of documentation by providers.

Scanned, quality checked, and validated paper records into the EMR system as needed, ensuring proper documentation and accuracy. Communicated effectively with providers, internal and external customers, peers, and colleagues to resolve documentation-related issues and maintain optimal quality and productivity of work.

Maintained compliance with all applicable laws and regulations related to clinical documentation.

English

Portuguese

Spanish

Cerner

Microsoft Office 360 Microsoft Teams

Medical Records Processor 2003 - 2011

Languages

Education

Toufic Julian HS - Completed

Teleradiology Associa - Present

RAYUS Radiology - Orlando - FL

Spearheaded the analysis and categorization of incoming documents, encompassing email attachments, CD uploads, etc., for integration into the document management system, ensuring precision and accessibility.

Functioned as the key data verification analyst, entering discrete data with accuracy and timeliness to support clinical decision-making. Conducted in-depth analysis of specialty referrals, creating consult orders to kickstart the scheduling process, optimizing healthcare workflows.

Upheld an exceptional standard of accuracy and productivity while actively suggesting and implementing inventive ideas to enhance efficiency within the document management system.

Took the lead in testing upgrades and new applications, ensuring seamless integration and functionality, contributing to the ongoing improvement of the medical records system.

Scanning / Faxing Fusion RIS MX

Aries Technologist

Acuo

Nuance Powershare



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