Proactive Health Record Analyst with extensive experience in Health Information Services, specializing in coding, abstracting, and data submission. Proven success in improving data accuracy and efficiency, facilitating system transitions, and upholding HIPAA regulations. Skilled in ICD-10 coding, interdisciplinary collaboration, and maintaining confidential patient information.
* Worked as Health Record Analyst in Health Information Services as Supervision and Team Lead for the Waterford Site.
* Duties involved daily running of office, scheduling, payroll, providing statistics and information from clinical records for all stakeholders.
* Responsible for coding, abstracting and data submission to CIHI.
* Continuously updated professional expertise through participation in conferences, workshops, webinars or self-study, ensuring the application of current best practices in HIM.
* Facilitated smooth transitions during system upgrades or migrations by assisting with data conversion processes while maintaining data integrity throughout the transition period.
* Collaborated with interdisciplinary teams to enhance communication, promoting a seamless flow of health information between departments.
* Increased efficiency in record retrieval by utilizing ICD-10 coding and classification systems effectively.
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* Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
* Performed regular quality and validation assessments on patient data to verify accuracy.
* Secured confidential patient information from unauthorized access.
* Retrieved medical data for physicians and patients.
* Upheld HIPAA regulations and standards for protecting patient information.
* Enhanced patient data accuracy by diligently reviewing and validating medical records.
* Increased efficiency in record retrieval by utilizing ICD-10 coding and classification systems effectively.
* Monitored patient progress and adjusted treatment plans accordingly.
* Cooperated and communicated with physicians to deliver patient satisfaction and meet compliance with set standards.
* Operated and maintained medical equipment used to diagnose and treat patients.
* Cared for patients by providing personal assistance and ambulation.
* Cleaned and sterilized instruments, equipment and surfaces.
* Streamlined department operations by maintaining equipment, supplies, and records in an organized manner.
* Maintained accurate documentation of all relevant clinical data, ensuring compliance with regulatory standards.
* Utilized time management skills to prioritize tasks effectively, allowing for efficient completion of daily responsibilities.
* Implemented infection control measures, ensuring a clean and safe environment for patients and staff.
* Obtained patient vital signs and input/output measurements from inpatients.
* Assisted with admissions, appointments, transfers, and discharges.
* Performed wound care treatments using sterile techniques, promoting healing and preventing complications.
* Adhered to treatment plan instructions when administering medications and treatments to patients.
* Documented accurate and complete patient information to address patient problems and expected outcomes.
* Enhanced patient satisfaction levels through effective communication and empathetic listening skills.
* Accurately recorded interactions in medical charts, documenting accidents and interventions applied.
* Addressed any concerns or questions posed by patients or family members promptly to maintain confidence in their care plan.
* Assisted physicians during examinations or procedures as needed, playing a vital role in the overall patient experience.
* Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
* Supported the delivery of evidence-based interventions by staying current on best practices in the field of nursing.