Chelsie Goldsmith

Medical Record Specialist with 11 years of experience improving record retrieval and audit readiness through precise documentation and process oversight. Manages HEDIS uploads, ROI processing, and audit coordination to ensure HIPAA-compliant, audit-ready records and faster turnaround. Aims to strengthen quality controls and support operational decision-making in health information management.

Medical Records Technician (medical Records Tech) - Molina HealthCare - REMOTE

(2025-08 - 2026-05)

• Contacted provider offices by phone, fax, mail, EMR to collect medical records, improving retrieval timeliness with measurable results.
• Uploaded provider medical records into the HEDIS application accurately, ensuring data integrity for quality measurement and reporting.
• Coordinated annual HEDIS and related audits by organizing provider outreach, pursuit, collection and database uploads to support audit readiness.
• Provided project support to leadership by tracking, identifying and securing required medical records across teams to meet project deadlines.
• Collaborated with vendors on medical record collection processes to streamline workflows and reduce turnaround time.
• Assisted development and coordination of core health services reports to ensure regulatory compliance and timely delivery.
• Supported creation of quality improvement audit processes and tools to standardize performance reviews and reporting cadence.
• Designed and managed data review workflows to validate health services report accuracy and maintain data integrity.
• Reported quality monitoring outcomes to management to inform operational decisions and corrective actions.
• Managed databases, policies, and procedures for assigned areas to streamline recordkeeping and access controls.
• Coordinated committee activities and meeting deliverables for assigned areas to support cross-team quality initiatives.
• Processed medical record requests promptly and accurately, producing measurable reductions in turnaround time.
• Enforced access controls and verified releases met HIPAA and facility policies to protect patient privacy.
• Maintained confidentiality of protected health information through strict record handling procedures and audit-ready documentation.
• Organized patient charts by consolidating paper and electronic records and standardizing file order for faster retrieval.

Quality Improvement Specialist - Superior Health Plan - REMOTE

(2024-06 - 2025-05)

• Assisted development and coordination of core health services reports to ensure regulatory compliance and timely delivery.
• Supported creation of quality improvement audit processes and tools to standardize performance reviews and reporting cadence.
• Designed and managed data review workflows to validate health services report accuracy and maintain data integrity.
• Reported quality monitoring outcomes to management to inform operational decisions and corrective actions.
• Managed databases, policies, and procedures for assigned areas to streamline recordkeeping and access controls.
• Coordinated committee activities and meeting deliverables for assigned areas to support cross-team quality initiatives.

ROI Medical Records Specialist (release of Information Medical Records Specialist) - CIOX Health - REMOTE

(2024-01 - 2024-06)

• Processed medical record requests promptly and accurately, producing measurable reductions in turnaround time.
• Enforced access controls and verified releases met HIPAA and facility policies to protect patient privacy.
• Maintained confidentiality of protected health information through strict record-handling procedures and audit-ready documentation.
• Organized patient charts by consolidating paper and electronic records and standardizing file order for faster retrieval.

Retention Specialist - Spectrum - FLORIDA

(2022-10 - 2023-03)

• Improved customer retention by resolving inbound and outbound account issues while presenting targeted bundle options to reduce monthly costs.
• Managed high-volume calls and multiple systems to maintain service continuity and retain subscribers.
• Achieved sales of internet and phone packages through consultative calls, producing measurable revenue impact.
• Balanced multitasking across screens and platforms to expedite call resolution and improve response efficiency.
• Followed company and facility software standards and code of conduct to ensure consistent, compliant record processing.

ROI Medical Records Specialist (release of Information Medical Records Specialist) - Humana - TAMPA-FL

(2015-12 - 2017-09)

Reason for leaving company: Relocated from Florida to Texas. Evacuated hurricane Irma.

• Traveled to provider offices to collect medical records, improving retrieval timeliness and access for coding teams.
• Scanned and uploaded records into secure databases to ensure accurate availability for coding reviews.
• Collaborated with physician offices via phone, email, and in-person visits to meet documentation deadlines and reduce follow-ups.
• Followed HIPAA and CarePlus confidentiality standards to protect member information and maintain compliance.
• Scheduled and managed appointments efficiently to meet production goals and maintain workflow continuity.
• Accessed multiple EMR systems to retrieve records and support thorough chart compilation.
• Assisted with administrative projects and phone support to resolve issues and maintain team productivity.
• Transitioned from role to pursue an associate's degree in medical billing and coding while maintaining professional service delivery.

Associates of Science - Medical Billing and Coding - Ultimate Medical Academy (2023-03 - 2024-09)

Diploma - High school diploma - Emma Lee Broady Academy