Proactive and detail-oriented Medical Records Analyst with 3+ years of experience, with a background in DSM 5 and ICD 10 codes. Specialties include communicating closely with health care professionals and retrieving, creating, processing new and incorrect medical records verbally and in writing, in a fast paced environment. Organized and dependable candidate successful at managing multiple priorities and projects.
Overview
9
9
years of professional experience
Work History
Electronic Medical Records Specialist
Connections Health Solutions
08.2022 - 12.2022
Process high-volume release of information requests in timely manner.
Release patient medical records in compliance with HIPAA and hospital regulations.
Responsible for transition of hard copy petitions and court ordered evaluation/treatment documents into electronic health record.
Prepare and redact medical records for patient and staff safety.
Provided helpful and clear customer service through phone calls, email, fax and in person.
Enhanced patient care by efficiently organizing and managing confidential medical records, ensuring prompt access to vital information for healthcare providers.
Health Record Technician
Department Of State Hospitals-Atascadero
05.2021 - 07.2022
Adhere to established procedures for handling sensitive and classified documents to retain chain of custody integrity.
Engage in daily communications with internal partners and identify document-related issues that require interdepartmental cooperation.
Process and respond to requests of information and prepare correspondence.
Process medical records requests from outside providers according to facility and state law.
Keep accurate log of requests for medical information and records.
Accurately execute audits for patient chart review, discharges, transfers, and chart maintenance.
Review charts and flag incomplete or inaccurate information.
Maintain accuracy, completeness and security for medical records and health information in compliance with HIPAA regulations.
Create new medical records and retrieve existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
Deliver charts behind security to assigned areas of hospital by following established routing procedures.
Maintain statistical databases: Admission, Discharge, Transfer (ADT), Hospital Census.
Maintain numerous filling and tracking systems: CRIS, Correspondence Log, Movement Log.
Review medical records for completeness and file records in alphabetic and numeric order.
Abstract and code patient data using classification manuals and standard systems in compliance with ICD-10.
Coordinate with physicians and healthcare providers to ensure records are accurate.
Handle high-volume data entry of demographics, disease etiology and associated procedures or treatments.
Process patient admission and discharge documentation.
Psychiatric Technician
Department Of State Hospitals-Atascadero
01.2019 - 02.2021
Charted on patients daily, completed 15 minute rounds, and assisted patients in ADLs.
Proficient knowledge of mental health crisis, manic episodes, suicide prevention, DSM 5 diagnoses, genetic disorders, and developmental/intellectual disabilities.
Took and monitored vital signs, administered medications and managed patient behavior.
Administered Insulin, PPD, and IM injections according to protocol.
Created and maintained peaceful milieu on treatment units.
Counseled patients on importance of attending treatment groups.
Taught and encouraged patients to utilize healthy coping skills.
Helped patients understand their penal code, assisted patients in learning court process.
Assisted patients in studying, reading, and writing.
Counseled and mentored clients on substance use and life choices.
Helped patients prepare for step-down programs to reintegrate into society once discharged from hospital.
Coordinated with medical professionals, social workers, and rehab therapists to provide appropriate input and effectively formulate and implement treatment plans for patients.
Applied restraints for therapeutic intervention, patient and staff safety.
Awareness of body language when interacting with patients and analyzing patient body language and behaviors.
Analyzed patient behavior for precursors of violence, self harm ideology, medical emergencies and adverse reactions to medication.
Lead Custodian
G&B Janitorial
06.2014 - 12.2018
Performed custodial duties to maintain area in clean and habitable condition.
Led, oversaw and trained team of four to perform routine custodial duties and basic maintenance and repair.
Monitored employees to enforce proper use of personal protective equipment, supplies and equipment.
Maintained inventory of supplies and submitted supply orders weekly.
Identified repair needs and major maintenance concerns, and escalated issues to management.
Education
Training Program - Psychiatric Technician
Cuesta College
San Luis Obispo, CA
01.2020
Associate of Arts - Liberal Arts Social Science
West Hills College - Lemoore
Lemoore, CA
08.2018
Skills
Patient Records Management
Records Management Systems
Medical Translation
Data Entry Software
Customer Service
Document Preparation
License/Certifications
Licensed Psychiatric Technician
License number: 41679
Timeline
Electronic Medical Records Specialist
Connections Health Solutions
08.2022 - 12.2022
Health Record Technician
Department Of State Hospitals-Atascadero
05.2021 - 07.2022
Psychiatric Technician
Department Of State Hospitals-Atascadero
01.2019 - 02.2021
Lead Custodian
G&B Janitorial
06.2014 - 12.2018
Training Program - Psychiatric Technician
Cuesta College
Associate of Arts - Liberal Arts Social Science
West Hills College - Lemoore
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