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medical records director resume example with 19+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary

Dedicated medical professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Experienced medical coder with over five years of experience in medical coding. Excellent reputation for resolving problems and improving customer satisfaction.

Skills
  • Patient education and counseling
  • Staff Management
  • Training and mentoring
Work History
Medical Records Director, 09/2015 to Current
North Shore Healthcare Support CenterMineral Point, WI,
  • Assisted coworkers in switch from Matrix to Point Click Care and completed subsequent training sessions in 3 days.
  • Created and maintained safeguards against unauthorized access and use of computer-based medical records.
  • Oversaw secure transfer of patient records to other health care providers to support requests and authorizations.
  • Evaluated requests for information and maintained and tracked releases to comply with federal and state laws.
  • Abstracted information from records as authorized or requested by insurance companies and other third-party payers.
  • Developed and implemented record storage and retrieval system to comply with record retention laws and maintain accessibility.
  • Discussed medical histories with Medical Provider's in effort to provide most accurate medical record.
  • Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
  • Communicated with patients, ensuring that medical information was kept private.
  • Direct day-to-day clinical records functions for 125-bed facility, providing guidance and leadership to over 1 employees .
Certified Nursing Assistant, 08/2007 to Current
Blessing HospotalQuincy, IL,
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
  • Checked patient vitals such as temperature, blood pressure and blood sugar levels.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
  • Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Oversaw and maintained patients' rooms, group living areas and nurse stations.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
  • Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
  • Maintained patient stability by checking vital signs and weight and recording intake and outtake information.

Medical Records, 09/2021 to 09/2021
Trio HealthcareJamestown, OH,
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Processed medical records requests from outside providers according to facility, state and federal law.
  • Gathered patient information by collecting demographic information from variety of sources.
  • Maintained patient records in compliance with security regulations.
  • Uploaded physician progress notes, history and physicals into electronic medical records.
  • Maintained patient confidence by keeping patient records information confidential.
  • Used correct diagnosis-related groups based on patient encounter details.
  • Handled high-volume data entry of demographics, disease etiology and extent and associated procedures or treatments.
  • Secured medical records against loss or unauthorized access.
  • Followed exact procedures for handling transfers and other releases of medical records.
  • Communicated effectively with staff, patients and insurance companies by email and telephone.
  • Prepared and processed forms for government healthcare programs.
  • Processed patient admission and discharge documentation.
  • Compiled, abstracted and coded patient data using classification manuals and standard systems.
  • Input data into computer programs and filing systems.
  • Maintained database for storage and retrieval of medical records.
  • Supported smooth admission and discharge processes by handling associated documents.
  • Maintained accuracy, completeness and security for medical records and health information.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.
  • Compiled electronic patient records covering conditions, treatments and diagnoses.
Certified Nursing Assistant, 09/2001 to 10/2006
Blessing HospotalQuincy, IL,
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
  • Supported ambulation and physical therapy needs by conducting planned exercise routines.
  • Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
  • Checked patient vitals such as temperature, blood pressure and blood sugar levels.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
  • Oversaw and maintained patients' rooms, group living areas and nurse stations.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
  • Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
  • Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
  • Facilitated personal hygiene management, feeding and ambulation.
Education
High School Diploma: , Expected in 06/1996 to Hermiston High School - Hermiston, OR
GPA:

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Resume Overview

School Attended

  • Hermiston High School

Job Titles Held:

  • Medical Records Director
  • Certified Nursing Assistant
  • Medical Records
  • Certified Nursing Assistant

Degrees

  • High School Diploma

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