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xxxxxx Amber Ridge Circle, #0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx firstname.lastname@example.org
Medical Records Management Customer Service Regulatory Compliance
Documentation Quality Control & Assurance Data Analysis Problem Solving
Substantial skills in medical records administration, regulatory compliance, program billing, document control, quality assurance, data tracking, and information audits.
- Consistently adhere to strict rules, protocols, and requirements for quality assurance (QA) and ethical standards compliance.
Advanced knowledge of medical terminology, ICD-10 coding, and HIPAA guidelines.
- Possess exemplary problem solving, clinical, report writing, planning, and organizational skills.
- Extensive knowledge of Medicaid, Medicare, and third-party reimbursement regulations.
- Highly regarded for polished interpersonal skills, positive attitude, multi-tasking abilities, confidence, and prioritization skills.
Demonstrate tact, resourcefulness, poise, and diplomacy in effectively dealing with difficult situations.
Strong analytical and communication skills, and exhibit sharp attention to detail.
Discreet, trustworthy, and committed to ensuring confidentiality of sensitive information.
Microsoft Office (Word, Excel, PowerPoint, Outlook), Generations Homecare,
CRM, Macess, EpicCare, Diamond, Lotus Notes
Kaiser Permanente Regional Office, Rockville, MD, 2016 to 2017
Appeals and Correspondence Coordinator / Member Services Receptionist
Scanned and uploaded document in CRM and Macess, determined member Medicare/Medicaid eligibility via KMATE, and assisted with preparing appeals as needed.
Answered, screened, and routed incoming calls accordingly.
Provided quality service in promptly greeting guests and visitors, provided expert responses to inquiries, logged visitors into computer, and issued visitor passes.
Investigated complaints, appeals and grievances, and corresponded with relevant internal departments.
Capital Caring Hospice, Falls Church, VA, 2016
Medical Records Coordinator
Collected and processed admissions documentation to compile medical records for patients.
Systematically audited data to ensure proper documentation for consents and Certifications of Terminal Illness by attending physicians and hospice medical directors.
Processed physician signatures on all Physician Plan of Care and modified orders, faxed Physician Certificate Order, administered medical records for discharged and deceased patients, and enforced rigorous adherence to HIPAA privacy and security rules.
Trained, mentored, coached, and supervised medical records assistant and volunteers.
Prepared monthly billings and conducted regular staff performance evaluations.
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Housen Health Services, Laurel, Maryland, 2015 to 2016
Director of Medical Records
Spearheaded full-scope department operations including filing, handling, discharge, retention, and destruction of confidential medical records in compliance with state, federal, and HIPAA guidelines.
Coded patient diagnoses, responded to requests for medical records copies, and methodically managed release of health information for facility.
Accurately scanned and uploaded data into EHR system including nurses notes, client assessments, progress notes, laboratory reports, x-ray results, and correspondence.
Interviewed job applicants, conducted background checks, oriented departmental staff, maintained personnel records, and distributed paychecks.
Partnered with Director of Nursing to successfully achieve deficiency-free VA audit.
Housen Health Services, Laurel, Maryland, 2012 to 2015
Office Assistant / Medical Records Coordinator
Retrieved and delivered client medical records and efficiently maintained up-to-date databases containing critical mailing lists, contact lists, and client information.
Answered incoming calls, recorded and routed messages, distributed incoming mail, maintained office filing and storage systems, ordered/replenished supplies, and performed the complete range of office functions from filing and faxing to scanning and processing outgoing mail.
Diligently protected medical records from loss, destruction, or unauthorized access.
Frequently reviewed medical records to determine quality, accuracy, and completeness of contents.
Housen Health Services, Silver Spring, Maryland, 2012 to Present
Certified Nursing Assistant
Provide direct patient care encompassing medication reminders, assistance with ADLs (activities of daily living), medical documentation, and communication with main office to optimize patient care.
Self-employed, 2008 to 2010
Home Health Aide
Assisted clients in safely performing physical therapies, mobility, exercises and ADLs.
Monitored and recorded clients vital signs, temperature and respiration rate, documented health condition, and provided transportation to medical appointments.
Roper s Supermarket, Portland, Jamaica, WI, 1993 to 2005
Administrative Assistant / Payroll Clerk
Performed the complete spectrum of administrative and payroll functions including answering and routing incoming calls, receiving visitors, photocopying, faxing, mailing, file management (hard copies and electronic), and scheduling meetings, appointments, and travel logistics for management team.
Meticulously orchestrated payroll processing including deductions, correcting discrepancies, and maintaining up-to-date records by inputting changes, and generating payroll reports of earnings, hours worked, taxes, insurance, and leaves of absence.
Associate Degree, University of Phoenix, Tempe, AZ
Certified Nursing Assistant, Knowledge First
First Aid and CPR certified
Candidate, BS, Health Care Administration, Southern New Hampshire University
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