Edilene Gonzales

To contribute to the company's growth and development. To learn new things to become more competitive and successful in my career. To establish an excellent working experience with the company.

Medical Chart Auditor - Limitlessli LLC - Remote

(2024-09 - 2025-02)

• Review medical records and clinical documentation (specifically Wound Care) to ensure accuracy, completeness, and compliance with regulatory standards.
• Identify and verify patient eligibility for wound care treatment based on clinical documentation and established guidelines.
• Assist in the initial insurance verification process for eligible patients (Medicare, Medicaid, etc.)
• Ensure thorough and timely documentation of the patient's ongoing wound care treatment to support medical necessity, compliance with payer requirements, and continuity of care.
• Communicate audit findings to healthcare providers and medical assistants offering guidance on necessary documentation improvements and compliance strategies.

Clinical Auditor - Ista Personnel Solutions - Remote

(2022-10 - 2024-06)

• Conduct thorough reviews of prehospital patient care records to ensure compliance with established protocols and regulatory requirements.
• Verify the accuracy and completeness of documentation, including assessments, treatments, interventions, and other relevant information.
• Identify discrepancies, errors, or omissions in patient care documentation and provide constructive feedback to clinical staff and management.
• Collaborate with clinical teams to address and rectify identified issues, and provide guidance on best practices for accurate record-keeping.
• Generate reports summarizing audit findings and trends, and present findings as needed.
• Participate in quality improvement initiatives to enhance overall patient care quality and documentation accuracy.

Clinical Auditor - Smart Healthcare Solutions - Remote

(2021-10 - 2022-10)

Nurse Auditor - ACS Pro Global Corporation - San Isidro, Nueva Ecija

(2020-06 - 2021-01)

Nurse - San Antonio District Hospital - San Antonio, Nueva Ecija

(2017-10 - 2019-12)

Bachelor of Science - Nursing - College of the Immaculate Conception (2007 - 2011)

Secondary - St. Paul School (2003 - 2007)

Elementary - St. Paul School (1997 - 2003)