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medical records and health information technician resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary
  • Medical Records Clerk highly skilled in maintaining records in accordance with established procedures and legal guidelines. Strengths include coding, file management and inventory control.
  • Seasoned Medical Records Clerk with 26 years of hands-on experience managing patient health files in healthcare facilities. Well-versed in preparing new patient records, processing admission procedures and discharge records and obtaining records from off-site storage facilities. Organized and coordinated individual committed to adhering to HIPAA privacy policies.
  • Organized Medical Records Clerk brings top talents in data entry, records filing and administrative correspondence. Creates new medical records, retrieves existing medical records and collects demographic information from various sources to gather patient information.
  • Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Skills
  • Information Analysis
  • Insurance Billing
  • Office Health Records Preparation
  • Problem-Solving
  • Verbal and Written Communication
  • Standard Classification Systems
  • Data Entry
  • Treatment Documentation
  • Medical Billing Processing
  • Attention to Detail
  • Medical History Recording
  • Patient Medical Records Maintenance
  • Time Management
  • Clerical Functions
  • Health Record Index Maintenance
  • Information Classification
  • Word Processing Software
  • Work Well Independently
  • Inventory Coordination
  • Client Relations
  • Records Scanning
  • Patient Admission Documents Processing
  • Electronic Health Record Applications
  • Charting and Clinical Documentation
  • Records Review
  • Computerized Indexing Systems
  • Patient Information Verification
  • Discharge Documentation
  • Medical Translation
  • Doctor Communication
  • Demographics Information
  • Medical Histories and Vital Statistics
  • Medical Terminology
  • Medical Information Computerization
  • Patient Rights
  • Protected Health Information
  • Microsoft Excel
  • EMR Systems
  • Patient Health Information Access
  • Records Accuracy
  • Electronic Filing System Organization
  • Medical Release of Information ROI
  • Hospital Inpatient and Outpatient Records
Experience
Medical Records and Health Information Technician, 10/1996 - Current
Touchstone Communities Penitas, TX,
  • Processed and invoiced records requests from patients, providers and third parties.
  • Mentored junior team members and managed employee relationships.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Released information to persons or agencies according to regulations.
  • Managed release of information requests and identified requestors as patient, relation or provider.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Streamlined day-to-day office processes to meet long-term goals.
  • Processed patient admission and discharge documents.
  • Transmitted information or documents to customers through email, mailings or facsimile machine.
  • Safeguarded medical records to maintain patient confidentiality.
  • Kept department clean, organized and professional.
  • Scanned and validated medical records for upload.
  • Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
  • Observed confidentiality and safeguarded all patient-related information.
  • Maintained positive working relationship with fellow staff and management.
  • Scanned incoming documentation.
  • Ordered and restocked supplies in line with budget limits and office needs.
  • Located and retrieved files, assisting public with general information.
  • Assigned patients to diagnosis-related groups using appropriate computer software.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Determined and implemented techniques to improve medical records retrieval process.
  • Purged inactive files and destroyed obsolete files following procedures.
  • Pulled patient charts for upcoming appointments.
  • Set up patient charts and documented information in various company software.
  • Obtained information by contacting appropriate personnel or patients.
  • Pulled patient records and transferred information to appropriate parties.
  • Organized patient charts, gathering medical histories, lab results and consents.
  • Compiled and coded patient data using standard classification systems.
  • Consolidated diverse medical records.
  • Supported administration staff with records requests to support patient care.
  • Handled incoming calls and directed callers to appropriate department or employee.
  • Retrieved medical charts for healthcare staff for filing in medical records.
  • Verified record copies before handing each over to check for and remove unnecessary details.
  • Tracked and processed release of information requests.
  • Purged outdated files.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
Certified Nursing Assistant, 01/1994 - 10/1996
Ambulnz Corpus Christi, TX,
  • Observed and reported unusual symptoms and changes to charge nurse.
  • Supported non-ambulatory residents in range of motion exercises.
  • Used mobility devices to transport patients.
  • Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
  • Collected specimens, monitored vitals and maximized patient comfort to maintain optimal environment.
  • Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
  • Documented activities and recorded information in EMR system.
  • Examined and treated patient lacerations, contusions and physical symptoms and referred patients to other medical professionals.
  • Exhibited compassionate care and communication regarding issues surrounding death and dying.
  • Answered signal lights, bells or intercom systems to determine resident needs.
  • Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
  • Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Helped residents walk with or without self-help devices.
  • Distributed drinking water and nourishment to residents.
  • Assisted residents with bathing and dressing to promote personal hygiene.
  • Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
  • Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
  • Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
  • Assisted residents in preparing for activities and social programs.
  • Managed and maintained patient rooms, shared-living areas and nursing stations.
  • Facilitated activities of daily living, personal hygiene management, feeding and ambulation.
Emergency Medical Technician, 07/1993 - 01/1994
Gpm Investments Loves Park, IL,
  • Observed and assessed incident scenes to maintain safety of first responders.
  • Documented patient condition and treatment to facilitate plan of care.
  • Operated emergency vehicles with caution to keep patients, public and first responders safe.
  • Asked patients questions about over-the-counter medications, prescriptions and illicit drug activity to identify side effects or signs of overdose.
  • Transported patients from accident scenes to hospitals in emergency vehicles.
  • Monitored patients from scene to hospital transfer while conducting in-transit care.
  • Performed CPR and used cardiac defibrillator to revive patients in cardiac arrest or arrythmia.
  • Performed standard testing and administered medication to manage care in field and in transit.
  • Rendered direct patient care by stabilizing patients and determining course of action based on triage.
  • Reviewed inventory levels prior to shift and restocked ambulance to prepare for service.
  • Communicated with dispatchers and hospital personnel to arrange logistics for patient transport.
  • Explained to conscious patients steps involved for medical evaluations and need for possible hospital transport.
  • Evaluated patients at accident scenes to screen, assess and treat significant injuries.
  • Conducted equipment inspections and vehicle checks in adherence with required maintenance schedules.
  • Developed strong rapport with other medical professionals to foster quality and efficient patient care.
  • Evaluated patients' medical status and monitored vital signs during transit.
  • Remained level-headed and proactive during emergency situations.
  • Assessed patient condition to administer first-aid treatment or advanced level life support.
  • Demonstrated dedication to providing quality care through continued training and education.
  • Documented calls in reports detailing incident type and course of treatment.
  • Assessed emergency situations and prioritized medical care for patients.
Cashier Team Lead, 08/1991 - 06/1992
Dairy Queen Restaurant City, STATE,
  • Inventoried stock and placed new orders to maintain supplies for expected demand.
  • Oversaw work of cashiers to identify strengths and weaknesses in customer service, payment processing or merchandising plans.
  • Answered customer questions and provided store information.
  • Scanned, priced and bagged customer groceries quickly to keep lines moving.
  • Processed payments promptly for customers to exceed productivity standards.
  • Monitored cash drawers in multiple checkout stations to confirm adequate cash supply.
  • Assisted with training new cashiers and customer service team members to increase speed of onboarding.
  • Trained new team members in cash register operation, stock procedures and customer services.
Education and Training
Certificate: Phlebotomy, Expected in 05/2015
-
Southeast Kentucky Community And Technical College - Cumberland, KY
GPA:
Status -
Certificate : CNA, Expected in 01/1994
-
Southeast Kentucky Community and Technical College - Cumberland, KY
GPA:
Status -
Certificate: Emergency Medical Technician, Expected in 07/1993
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MSHA - Harlan, KY,
GPA:
Status -
High School Diploma: , Expected in 05/1993
-
Evarts High School - Evarts, KY,
GPA:
Status -
  • 1989-1993 - Honor Roll
  • Beta Club Member, 1989-1993
  • Cheerleader for Evarts Wildcats, Harlan Green Dragons 1987 to 1990
  • Captain for Evarts High School Band 1989 to 1993

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Resume Overview

School Attended

  • Southeast Kentucky Community And Technical College
  • Southeast Kentucky Community and Technical College
  • MSHA
  • Evarts High School

Job Titles Held:

  • Medical Records and Health Information Technician
  • Certified Nursing Assistant
  • Emergency Medical Technician
  • Cashier Team Lead

Degrees

  • Certificate
  • Certificate
  • Certificate
  • High School Diploma

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