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Patient Care Medical Records

Location:
El Paso, TX
Posted:
July 15, 2023

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Resume:

Nellie Ortega

Criminal Justice, Medical Coder.

El Paso, TX 79912

adybml@r.postjobfree.com

+1-915-***-****

Established Patient Care Technician offering CPR certified and clinical training in acute care, medical surgical, skilled nursing, psychiatric, geriatric and rehabilitation units. Administered and assisted with glucose testing, injections, feedings and colostomy care. Proficient in nursing documentation, assessment and decision-making. Calm and effective in pressured and emergent situations. Patient-centered and responsive with strong clinical knowledge and assessment skills. Trained in personal care and hygiene, as well as equipment sterilization and inventory management. Excellent organizational, problem-solving and prioritization skills. Authorized to work in the US for any employer

Work Experience

Patient Care Technician

Advance Care Hospital - Las Cruces, NM

September 2009 to February 2011

Responded to patient alarms and needs-assessment requests to identify course of treatment. Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.

Recorded observations and baseline measurements to maintain accurate medical records. Supported healthy patient skin with bedside baths, wound care and integrity checks. Documented patient intake and dietary requirements and assisted with feeding. Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.

Examined and addressed lacerations, contusions and other physical symptoms in need of further attention.

Provided excellent customer service by effectively communicating with patients, families, staff and staff in other hospital departments.

Coordinated patient care needs with healthcare team and delivered compassionate assistance with activities of daily living.

Assisted doctors, nurses and support staff with preparation for and conducting patient procedures. Supported nurses in daily patient care activities by taking vital signs, documenting patient observations, abnormal blood pressures and abnormal oxygen levels. Collected lab specimens in adherence with safety protocols for patient tests. Monitored and charted fluid intake and output to stay current on patient conditions. Safely transported patients to other areas of hospital in wheelchairs and gurneys for tests, treatments and therapies.

Administered personal nursing assistance in pre- and post-operative situations. Improved patient care, safety and compliance by partnering with nurses. Used hospital devices, including pulse oxymetry and wheel chairs to transport and lift patients. Assisted with patient admission, discharge and transfer to maximize facility efficiency. Performed minor housekeeping tasks, including tidying up the rooms and throwing the trash to keep patient areas clean and sanitized.

Facilitated flow of patients through facility by accurately transferring and discharging patients in appropriate systems with the company software .

Assisted elderly patients with essential ambulatory care for transport to and from facility. Obtained patient vital signs and reported results to staff nurse or physician to note changes from prior measurements.

Responded to bell or light signal calls within maximum of 2 minutes to assist patients with needs Delivered outstanding care based on physical, psychological, educational and related criteria for heart patients.

Collected and labeled stools and Blood specimens to prepare for delivery to laboratory. Responded promptly to patient call lights to provide physical and emotional support. Kept instruments and equipment clean and effectively sanitized. Medical Records Specialist

Providence Memorial Hospital - El Paso, TX

November 2004 to November 2005

Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.

Logged all requests for medical records into spreadsheets. Set up patient charts and documented information in various company software. Verified record copies before handing each over to check for and remove unnecessary details. Managed the day-to-day functions of the office.

Pulled patient records and transferred information to appropriate parties. Maintained electronic medical records for all clients Determined and implemented techniques to improve medical records retrieval process. Traveled to different clinical sites to review procedures. Streamlined day-to-day office processes to meet long-term goals. Entered patient insurance, demographic and health information into software and confirmed records. Consistently served as liaison between collecting agencies and medical facilities, developing professional relationships through quick problem resolution and response to questions. Pulled patient charts for upcoming appointments.

Followed-up with insurance companies and individuals to resolve discrepancies. Scanned incoming documentation.

Designed improved training procedures to help new staff acclimate quickly. Purged outdated files.

Maintained 100% compliance with all hospital and government regulations. Maintained complete confidentiality in accordance with organization and legal requirements. Kept department clean, organized and professional. Disseminated information to correct department, individual or outside location. Wrote reports, emails, memoranda, letters and releases. Observed confidentiality and safeguarded all patient-related information. Consolidated diverse medical records.

Typed medical orders for procedures and laboratory tests. Updated daily logs to track information movements. Assigned patients to correct diagnosis-related groups. Patient Care Assistant

Englewood Hospital and Medical Center - Englewood, NJ September 2000 to June 2004

Communicated changes in patient conditions and other unit concerns to multidisciplinary team. Contributed to unit improvements by providing cost-effective care in line with performance targets. Promoted patient comfort by quickly responding to calls and handling diverse needs. Documented information in patient charts and communicated status updates to interdisciplinary care team.

Documented patient intake and dietary requirements and assisted with feeding. Ambulated patients with appropriate assistive devices and in line with proper body mechanics. Supported unit efficiency by maintaining current and accurate clerical paperwork. Counseled patients on pain management best practices, including treatment procedures, disease prevention, medication risks, special diets and physician instructions. Obtained vital signs and collected biological samples to assist with diagnostic testing and ongoing assessments.

Provided care, comfort and emotional support to children and adolescents facing serious illnesses and medical procedures.

Interviewed patients to obtain medical information, weight and height measurements and vital signs to aid physicians with patient care planning.

Optimized patient satisfaction, assisting senior leadership with medical procedures while explaining all exams and processes.

Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.

Responded to bell or light signal calls within maximum of [Number] minutes to assist patients with needs Learned [Language] to enhance communication and support for [Type] patients. Administered personal nursing assistance in pre- and post-operative situations. Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness. Education

Associate of Arts in Criminal Justice

Ashworth College Norcross - Norcross, GA

September 2019

Medical Billing

Ashworth College Norcross - Norcross, GA

June 2009

Nursing

New Mexico State University - Dona Ana Community College Las Cruces - Las Cruces, NM March 2008

Skills

• Broad medical terminology Collecting specimens

knowledge Respiratory equipment training

Acute and rehabilitative care Monitoring fluids

Mobility assistance Documentation procedures

Clinical training expert

Feeding assistance specialist General housekeeping ability Patient positioning understanding Catheter change and Sterilization techniques preparation

Cultural awareness and sensitivity Preparing meals Infection control standards Calm and level-headed under Flexible duress

Medical device products and Quick problem solver

services Performing patient intakes

Healthcare expertise Helping with medication

Quality assurance controls Medical terminology knowledge Infection control procedures Grooming and bathing assistance Collecting vital signs

• Typing 45

• Bilingual

• Problem-solving

• Flexibility

• Team Work

• Reliability

• Pain Management

• Laboratory Procedures

• EMR Systems

• Senior Leadership

• Laboratory Experience

• Medical Billing

• Medical Coding

• Experience Administering Injections

• Anatomy Knowledge

• Employee Orientation

• ICD-10

• Epic

• Teaching

• Research

• Athenahealth

• Medicare

• Microsoft Excel

• Microsoft Word

• Medical records

• Patient Care

• Insurance Verification

• Nursing

Certifications and Licenses

Teaching Certification

March 2021 to June 2021

I am taking child development and teaching . I will get my certificate in 3 months . Currently my GPA is 400



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