Tim Norris

• Accurately documented patient assessments, progress notes, treatment plans, and outcomes in electronic medical records (EMRs) while adhering to HIPAA and facility guidelines.
• Entered clinical data into healthcare information systems into Rehab Optima to support billing, care coordination, and regulatory reporting.
• Reviewed, updated, and maintained patient records to ensure data integrity, timely completion, and compliance with CMS documentation standards.
• Monitored therapy metrics and key performance indicators (KPIs), including minutes delivered, functional scores, and discharge outcomes, to support quality assurance efforts.
• Collaborated with interdisciplinary teams to input and review treatment goals, therapy outcomes, and functional status data for care planning and MDS reporting.
• Performed audits of documentation for accuracy, completeness, and consistency across the rehab department.
• Generated reports and summaries for department managers and external regulatory agencies using clinical data extracted from patient files and therapy logs.
• Ensured timely submission of clinical documentation to meet internal deadlines and external compliance requirements.
• Participated in data-driven care planning meetings, offering insights based on therapy trends and patient functional data.

Let me know if you’d like a version tailored specifically for a resume summary, c