MDS Coordinator

• Jan 2023 - Present

Clinic Registered Nurse

• Jun 2021 - Present

MDS Director

• Sep 2022 - Oct 2023

Wound Care Licensed Practical Nurse

• Aug 2020 - Jun 2021

Wound Care Nurse

• Jul 2018 - Aug 2020

Treatment Nurse

• Jul 2014 - Aug 2020

Medical Records Assistant

• Aug 2015 - 2016

• Monitors and reports on quality issues and trends. Works with other EMR team in improving the quality and accuracy of the documents for the Electronic Medical Record System using SRM. • Follows auditing procedure prior operating the scanning / indexing equipment to convert paper documents into “quality” scanned digital images accessible to health care teams through computer terminals • Performs daily maintenance of scanner for proper image quality • Assists when needed in training… Show more • Monitors and reports on quality issues and trends. Works with other EMR team in improving the quality and accuracy of the documents for the Electronic Medical Record System using SRM. • Follows auditing procedure prior operating the scanning / indexing equipment to convert paper documents into “quality” scanned digital images accessible to health care teams through computer terminals • Performs daily maintenance of scanner for proper image quality • Assists when needed in training other team members in sharing new trends and knowledge in applications. Maybe be ask to perform as “lead team member” when needed in absence of supervisor. • Reviews scanned documents ensuring proper indexing based on electronic health record guidelines. Show less • Monitors and reports on quality issues and trends. Works with other EMR team in improving the quality and accuracy of the documents for the Electronic Medical Record System using SRM. • Follows auditing procedure prior operating the scanning / indexing equipment to convert paper documents into “quality” scanned digital images accessible to health care teams through computer terminals • Performs daily maintenance of scanner for proper image quality • Assists when needed in training… Show more • Monitors and reports on quality issues and trends. Works with other EMR team in improving the quality and accuracy of the documents for the Electronic Medical Record System using SRM. • Follows auditing procedure prior operating the scanning / indexing equipment to convert paper documents into “quality” scanned digital images accessible to health care teams through computer terminals • Performs daily maintenance of scanner for proper image quality • Assists when needed in training other team members in sharing new trends and knowledge in applications. Maybe be ask to perform as “lead team member” when needed in absence of supervisor. • Reviews scanned documents ensuring proper indexing based on electronic health record guidelines. Show less

Medical Records Designee

• Nov 2013 - Apr 2015

• Guarantees health information accuracy through thorough chart audits in compliance with state standards. • Provides regular orientations and training when needed to care providers on proper documentations and use of health information software available. • Updates resident records by encoding Physician Orders to the electronic medical record using health web applications (VistaKeane, CERNER, COMS Daylight, PointclickCare, HCS, Dart Charting ) • Improves the functionality of medical… Show more • Guarantees health information accuracy through thorough chart audits in compliance with state standards. • Provides regular orientations and training when needed to care providers on proper documentations and use of health information software available. • Updates resident records by encoding Physician Orders to the electronic medical record using health web applications (VistaKeane, CERNER, COMS Daylight, PointclickCare, HCS, Dart Charting ) • Improves the functionality of medical record forms and charts for admission, discharge and or transfer of residents. • Retrieves and releases medical records copies and correspondence for subpoenas and other requests. • Functions as Unit Secretary to assist the health care team members on patient admission and discharge, completing admission forms, encoding physician orders and informing. Makes follow-up calls to ensure that patient is seen by physician within 72 hours. • Assist in assigning proper diagnosis code on admission records for billing purposes. Show less • Guarantees health information accuracy through thorough chart audits in compliance with state standards. • Provides regular orientations and training when needed to care providers on proper documentations and use of health information software available. • Updates resident records by encoding Physician Orders to the electronic medical record using health web applications (VistaKeane, CERNER, COMS Daylight, PointclickCare, HCS, Dart Charting ) • Improves the functionality of medical… Show more • Guarantees health information accuracy through thorough chart audits in compliance with state standards. • Provides regular orientations and training when needed to care providers on proper documentations and use of health information software available. • Updates resident records by encoding Physician Orders to the electronic medical record using health web applications (VistaKeane, CERNER, COMS Daylight, PointclickCare, HCS, Dart Charting ) • Improves the functionality of medical record forms and charts for admission, discharge and or transfer of residents. • Retrieves and releases medical records copies and correspondence for subpoenas and other requests. • Functions as Unit Secretary to assist the health care team members on patient admission and discharge, completing admission forms, encoding physician orders and informing. Makes follow-up calls to ensure that patient is seen by physician within 72 hours. • Assist in assigning proper diagnosis code on admission records for billing purposes. Show less

Medical Records Assistant

• Apr 2013 - Nov 2013

• Updates health information of residents by encoding Physician Telephone Orders to the electronic medical record using the HCS (Health Care System Web application) • Processes correspondence, request and release of records to and from other agencies. • Assist in admissions by preparing the chart and assigning proper diagnosis code on admission records for billing purposes. • Prepares miscellaneous reports and records, as directed by the Director of Nursing Service including organizing… Show more • Updates health information of residents by encoding Physician Telephone Orders to the electronic medical record using the HCS (Health Care System Web application) • Processes correspondence, request and release of records to and from other agencies. • Assist in admissions by preparing the chart and assigning proper diagnosis code on admission records for billing purposes. • Prepares miscellaneous reports and records, as directed by the Director of Nursing Service including organizing and management of clinical forms. • Record management of discharged patients. Show less • Updates health information of residents by encoding Physician Telephone Orders to the electronic medical record using the HCS (Health Care System Web application) • Processes correspondence, request and release of records to and from other agencies. • Assist in admissions by preparing the chart and assigning proper diagnosis code on admission records for billing purposes. • Prepares miscellaneous reports and records, as directed by the Director of Nursing Service including organizing… Show more • Updates health information of residents by encoding Physician Telephone Orders to the electronic medical record using the HCS (Health Care System Web application) • Processes correspondence, request and release of records to and from other agencies. • Assist in admissions by preparing the chart and assigning proper diagnosis code on admission records for billing purposes. • Prepares miscellaneous reports and records, as directed by the Director of Nursing Service including organizing and management of clinical forms. • Record management of discharged patients. Show less