Susan Gutierrez

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

Belen, NM *****

505-***-****

Objective:

To continue growing and learning in my career.

Experience:

Ardent Health Services: Data Integrity Specialist (January 2018- Present)

PRIMARY RESPONSIBILITIES

Merges/unmerges duplicate MRNs in EPIC and combines the actual record in paper form and/or electronic form through verification of identification, diagnosis, demographics, signatures or any identifying information available in the patients’ chart

Creates chart correction cases from the help desk fold from the in-basket in EPIC

Works all chart correction cases in EPIC, including and not limited to wrong patient documentation, correct patient wrong data, wrong manual charge, wrong encounter, missing documentation, wrong patient registered, 2 or more patients with 1 medical record number, inappropriate HARs and the same patient with 2 medical record numbers

Notifies all downstream departments/systems of data that needs corrected, as appropriate

Educates providers/staff on errors

Reviews all patient overlay resolution reports and notifies the appropriate parties of corrections needing made

Follows up on all tasks needing completed to complete corrections

Completes accounts from EPIC Waiting for Documentation and Missing Document work queues when missing documentation is received

Follow-up with ancillary/nursing departments for missing documentation as outlined

Follow-up with providers regarding missing documentation/dictation preventing the account from being coded

Sends expired physician queries back to coding at 3 days that are non-NOX queries

Add daily HIM account notes regarding follow-up status on all accounts worked

Reviews medical record documentation in electronic medical records and, creates appropriate charting deficiencies in the deficiency management system, and assigns those deficiencies to the appropriate provider(s)

Actively manages various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion

Adheres to established company standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing

Identifies systematic problems and routes to the DT Manager for facility resolution

Meets or exceed corporate productivity standards

Meets or exceeds corporate quality standard of 95% or greater

Assists in maintaining all equipment and supplies required to provide services in an optimal manner

Promptly reports issues and trends not complying with facility or corporate policies/standards

Documents all workflows, including any alterations, modifications, and changes that will occur based on the processes that will be implemented or enhanced

Assists and coordinates in the documentation of systems policies and procedures as well as training materials

Works effectively on special project teams and meets deadlines in accordance to manager's expectations

Perform Quality Reviews

Responsible for administering quality control functions for transcription services on voice and text files to include blanks and inaccuracy data

Responsible for maintaining transcription standards, data tables and files. Responsible for researching dictation and transcription reports, as needed

Completes pended files for distribution to EMR

Makes corrections to transcribed documents

Verifies fax numbers for those maintained in EMON

Resubmits reports to EMR should the document fail or need corrections

Sends soft deletes to Manager as needed for record accuracy

Assist with external in internal customer calls related to transcription

Maintains provider roster in EMON

Reviews documents transcribed by vendor to ensure quality standards are met

Assists in cross-training other employees as necessary

Able to work independently as a remote employee

Performs other duties as assigned

Lovelace: HIM Specialist II (August 2013 – December 2017)

I am located at Lovelace Westside Hospital for 3 1/2 years as an HIM Specialist

My duties include the following:

DI- Dr. Suspension

Medical Billing

Unbilled reports

Billing

Contacting Dr’s keeping good communication and helping them complete deficiencies assigned to them

Training New Hires

Prepping impatient, outpatient, ER, Bariatrics, Physical Therapy, Radiology and Surgery Records

Scanning all Records

Indexing all Records

Charge Reconciliation

Bariatric Chart Indexing

ROI (Release of Information) to Providers, Patients, Attorneys… Ect.

Answer Phones

Calling Patients

Charge Entry

Data Entry

Compliance

Working on electronic and paper charts

Medical Record Analysis

Training New Employees

Medical Chart Quality Review

Birth Registry/Certificates

Typing

Lovelace: Patient Account Representative (March 2011 - August 2013)

I was located at the Central Business office for 2 years as a Patient Account Representative my duties included the following:

Following up with Patient demographics

Verify insurance

Data entry

Medical Billing

Coding

Government follow-up

Collections

Citi Cards: Collector (April 2009 - November 2010)

Customer Service

Accounting

Collections

Peer Resource

Quality Champ,

Data Entry

Training New and Tenured Employees

Citi Cards: Customer Service Rep (January 2007 - April 2009)

Customer Service

Accounting

Peer resource

Activating new credit cards

Managing call times.

Training New Employees as well as Tenured Employees

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