Data Entry Medical Records

Martha Cortez

*** ***** ***** *** *, Englewood NJ 07631 (H) 201-***-****

(E) ******.********@*****.***

Health Information professional with 20 years of extensive experience in all aspects of a medical record and an excellent communicator and team player. Multi-tasking, self-motivated and a dependable individual. Strengths include commitment to maintaining relevancy and keeping up to date in regulatory compliance.

I am seeking a challenging position in the healthcare setting which will allow me to utilize my clinical and administrative experience and skills in order to efficiently benefit and support the medical team and community.

Skills

Excellent organization skills. A highly motivated individual with well developed written and oral communication skills, including the ability to engage new employee training.

Language : Fluent in English and Spanish

Experience

03/2018 - Current

Montefiore Nyack Hospital - Nyack, NY MPI DNFB

Coordinator

Maintains and monitors the McKesson MPI system and the MPF work queues. Troubleshoots potential data entry errors and reports them to the Data Integrity Coordinator. Coordinates and manages day-to-day DNFB. Works with areas listed on the unbilled to process accounts. Works with all coders and abstractors to obtain missing physician documentation for coding and billing. Reports all outstanding accounts with issues weekly to the Revenue Committee. Ensures appropriate charge master description (CDM) is added to each account.

Daily completion of the facility charge to include all appropriate charges in the EDIM's System. Identify and rectify identified discrepancies within the ED facility charges by reaching out to the ED Nursing contact.

Monitors Possible Duplicate Person report on a daily basis, identifies potential duplicates and once confirmed updates the MPI and merges the medical records. Monitors daily discharge census report for missing records. Identifies missing records so they appear on the DNFB under the appropriate department. And other duties as needed.

08/2009 - 07/2018

Nyack Hospital - Nyack, NY Birth Certificate Coordinator To record and complete all the data retired by the Hospital and New York State in connection with birth certificates and fetal death certificates. Responsible for the awareness in maintaining vital statistics. Abstraction of birth registry

Check log-book for all births from the Labor and Delivery unit and assign numbers. Verify data for submission to the Bureau of Vital Statistics, prepare and enter all information from worksheets into the Electronic Birth Certificate software as required by the State of New York and remit vital statistics vis E-Mail after release by the Village Clerk. Prepare a list of births and fax to the Journal News.

Have the physician sign the Birth Certificate and have them delivered to the Village Clerk. Update name changes for newborns into the Paragon and UDS System. Have all Medicaid Birth Certificates completed within 5 days of birth. Scan and index all birth certificate workbooks into the HPF.

General contacts with Physicians, Nursing, Patients, NYSDOH Bureau of Vital Statistics, Village Clerks Office, Attorneys and other outside agencies. Coordinate as needed, any personnel involved in completion of the Birth Certificate Registration Process.

04/2008 - 07/2009

Nyack Hospital - Nyack, NY ER Record Reimbursement Abstractor

Abstracting Medical Records Coding Data Entry Completion of the facility charge sheet to include all appropriate charges, documentation of charges such as E&M level charges, supplies and pharmaceutical charges Daily data entry of the Evaluation and Management codes Locating and processing outstanding accounts on the accounts not selected for the billing report. Communication of discrepancies and/or resolution to Medical Record Coding.

01/2007 - 02/2008

River Drive Surgery Center - Elmwood Park, NJ Medical Records Specialist

Maintain the confidentiality, security and physical safety of the surgery center records. Review the medical records for the timely completion and accuracy. Review the contents of medical records to identify the information to be abstracted to complete the statistical reports in accordance with the New Jersey State Law. Maintain a filing system of records that meets the facilities need. Assist the medical staff by providing data from medical records for Quality Review.

Ensure that the records are reviewed by the staff and physicians before records are released for any reason.

04/1999 - 01/2007

Holy Name Hospital - Teaneck, NJ Health Information Management Assistant

Ensure timely retrieval, completion and authorization of medical record by the physicians for patient care and hospital reimbursement. Review and verify completeness of patients' medical record. Follow up done until the record is complete. Assist physicians to ensure timely completion and authentication of medical records as required by standards of practice. Update the chart in the deficiency system. Correct duplicated medical record numbers of patients in the computerized master patient index.

Education and Training 1996 Dover Business College Paramus, NJ

Medical Assistant, Medical Assistant Diploma

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