Gilly

Medical Records Reviewer with nearly two years of experience supporting medico-legal and healthcare documentation processes through accurate review, analysis, and organization of medical records. Experienced in evaluating orthopedic and spine-related clinical documentation, identifying inconsistencies, and maintaining the integrity and confidentiality of patient information in fast-paced remote environments. Recognized for exceptional attention to detail, analytical thinking, and the ability to interpret complex medical documentation using strong knowledge of medical terminology and healthcare workflows.

Demonstrates a consistent commitment to accuracy, quality assurance, and timely delivery while collaborating effectively within remote teams.

Medical Records Reviewer at Abstracta Transcription Services (2024-05 – 2026-04)

• Reviewed and summarized medico-legal medical records chronologically using SOAP format while following client-specific documentation protocols.
• Managed Workers' Compensation cases for California-based physicians, with experience reviewing claimant medical histories, treatment progression, and supporting documentation.
• Analyzed orthopedic and spine-related cases for Nevada and Texas-based physicians, reviewing clinical records related to injuries, diagnoses, and treatment outcomes.
• Reviewed various medical documents, including primary and secondary treating physician reports, progress reports, therapy notes, diagnostic reports, PQMEs, IMEs, emergency department reports, and hospital records.
• Evaluated medico-legal documents such as claims, employee and witness statements, depositions, recorded interviews, interrogatories, investigative reports, and billing documents to support case review.
• Extracted relevant medical information, identified inconsistencies, and organized documentation to create accurate summaries for client review.
• Maintained confidentiality of protected health information (PHI) while handling sensitive medical and legal records in a remote healthcare documentation environment.

Bachelor of Science in Medical Laboratory Science – Southwestern University Phinma