Carolyn VanDalsem

I am responsible for applying public laws, rules, regulations and exclusions governing confidentiality of the medical record, including the Privacy Act, Freedom of Information Act (FOIA) and 38 U.S.C. 7332 governing the release of records containing information regarding the treatment of or referral for drug and/or alcohol abuse, Sickle Cell Anemia, and infection with Human Immunodeficiency Virus (HIV). I process all incoming requests to the facility for Release of Information (ROI). My duties also entail evaluating the validity of each request, determining which information is to be released in compliance with existing laws (Privacy Act of 1974, FOIA, and Health Insurance Portability and Accountability Act).

I also ensure that proper authorization exists before release is made and inputting all requests into eROI+ for logging and tracking of these requests. I also provide advisory and technical assistance to patients, administrators and professional staff regarding release of information, as well as, receiving and directing callers and visitors.

Medical Records Technician- ROI at Department of Veteran Affairs (2025-07 – Present)

I am responsible for applying public laws, rules, regulations and exclusions governing confidentiality of the medical record, including the Privacy Act, Freedom of Information Act (FOIA) and 38 U.S.C. 7332 governing the release of records containing information regarding the treatment of or referral for drug and/or alcohol abuse, Sickle Cell Anemia, and infection with Human Immunodeficiency Virus (HIV). I process all incoming requests to the facility for Release of Information (ROI). My duties also entail evaluating the validity of each request, determining which information is to be released in compliance with existing laws (Privacy Act of 1974, FOIA, and Health Insurance Portability and Accountability Act).

I also ensure that proper authorization exists before release is made and inputting all requests into eROI+ for logging and tracking of these requests. I also provide advisory and technical assistance to patients, administrators and professional staff regarding release of information, as well as, receiving and directing callers and visitors.

Clinical Documentation Specialist at Bon Secours Mercy Health (2022-11 – 2025-07)

I sorted, scanned and indexed medical records for several Bon Secours Mercy Health facilities. I used ConnectCare to locate patients and enter their records into the system; our EMR system changed to EPIC, and I now utilize that system to enter patient information. I order labs, radiology testing and other orders for providers and enter in the results.

I process referrals and scan and index the results from the patient's referral visit into EPIC. I met and exceeded the productivity goal of 150 scans per day.

Unemployed (resigned to care for sick child) (2022-04 – 2022-11)

Disability Analyst at DDS/DARS (2020-10 – 2022-04)

I was responsible for adjudicating Title 2 and Title 16 adult disability claims on behalf of the Social Security Administration (SSA). I maintained a high caseload, which would be anywhere between 180-250 claims. I would answer incoming calls from claimants regarding letters that they have received from me or claim status/questions.

I would compose letters to claimants, and compose a medical history analysis/summary, based on the claimant's medical and work history and their ADL's. I would set up psychological exams and physical exams for claimants, to assess the full extent of their disability. I attended additional training and seminars.

Unemployed (laid off due to COVID) (2020-05 – 2020-09)

Site Client Supervisor at CIOX Health (2020-01 – 2020-04)

Served as the liaison between the Regional Manager and HIM Director by giving advice on procedures, reports and other matters necessary to implement policies and procedures. Supervised a small team of 5 medical records techs. Tracked attendance and performance goals.

Interviewed potential employees. Screened callers, ascertaining nature of the call and determining how to proceed. Took notes for various meetings, singling out action items and following up as required.

Pulled productivity scores for my team and would do Huddles twice a week to relay any changes to policies and procedures. Processed medical record and billing requests for court issued subpoenas, medical record requests and audits for Southside Regional Hospital.

Document Imaging Team Lead at HCA/Parallon (2018-07 – 2020-01)

I was responsible for prepping, scanning, and indexing medical records into the system in a timely manner. I entered PTO and other time off hours into Kronos for my team and I make sure they are adhering to the attendance policy. I did monthly quality reviews for my team, which includes making sure they are prepping, scanning and/or indexing the records correctly and if there are any errors, I relayed that information to them by the end of the month during our one-on-one meetings.

I relayed any departmental policy changes to the staff on behalf of my manager and/or director. I ran the daily report and made sure it is complete by 11am that day. All other duties as assigned by the Document Imaging Manager or Director.

HIM Assistant at Mental Health and Developmental Services (2017-05 – 2018-02)

I was responsible for processing medical record requests, subpoenas, and maintaining the spreadsheet for Henrico Area Mental Health. I supervised and coordinated tasks for an hourly worker that worked in my close chart room daily. Other tasks include archiving paper charts, filing, and working closely with the clinicians and County Attorney.

I was also responsible for ordering chart room supplies and maintaining the supply closets, archiving financial records for the finance department, and maintaining the closed chart room.

Medical Records Assistant at Patient First (2016-02 – 2017-05)

My job responsibilities included answering incoming calls from patients, doctor's offices, nurses, centers and attorney offices, that is calling to either have medical records faxed to them or are checking the status of a pending medical records request. I was responsible for verifying the HIPAA authorization with reps from PSS and letting them know if the person they have on the other line has a valid authorization on file. My job included placing outbound calls to doctor's offices to ensure that I will be faxing the records to the correct fax number on a patient's behalf.

Light administrative work as assigned. I also complete and update the missing information sheet for patient's that call in to our office in reference to have received a PCP Letter in the mail. I also took payments for medical records from vendors.

Senior Medical Records Rep at CIOX Health (2015-08 – 2016-02)

My job duties included processing medical records requests for Overland Park Hospital, Lee's Summit Medical Center and Spotsylvania Hospital. I was responsible for answering legal questions and processing certifications for hospital directors and lawyers. I was also responsible for ensuring that I adhere to the HIPAA laws when processing a medical records request and preparing a correspondence to the requestors if there was missing information or if a second identifier is needed in order to process their request.

I would take incoming calls and place outgoing calls to attorneys, hospital directors and patients. I operate a scanner, fax machine, printer and two computer monitors. I also created spreadsheets in MS Excel to give to the hospital directors, so they will know which requests are pending for their site.

Other duties as assigned by the Site Coordinator or Area Manager.

Bachelors of Science in Health Information – Capella University (2027-10)

Associates of Applied Science in Business – Bryant & Stratton College (2010-12)