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Skills

  • Corrective action planning
  • Process improvement
  • Health Informatics
  • Managing high-volume chart workloads
  • Siemens Soarian Financials
  • Managing compliance during state-level audits
  • DRG assignment
  • Organization
  • MS Office
  • Facilitating insurance approval processes

Work Experiences

  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Avoided costly penalties.
  • Co-dependent review with billing department ensured that chart info aligned accurately with billing codes, reducing discrepancies by 61%.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Addressed frequent chart issues.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Answered 5 calls per two years to help customers with their questions and concerns.
  • Achieved results within 5 months.
  • Achieved results within the past year.
  • Discovered new ways to improve the management of medical records.

Summaries

  • Achieved a 82% compliance improvement.
  • Achieved faster and more accurate audits.
  • Adept Chart Reviewer proficient in healthcare documentation.
  • Accomplished Chart Reviewer with a background in reducing billing errors through accurate chart audits and compliance checks. Proven success in increasing reimbursement rates by 81% through improved documentation review processes.
  • Accomplished Chart Reviewer with a results-oriented approach to reviewing medical records, having led a team that achieved Innovation Award recognition in 2018 for quality improvements. Effectively reduced review times by 83% through process innovation.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Audited 17 medical records in compliance with regulatory standards.
  • Achieves a 56% reduction in chart review errors.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Within Miscellaneous, senior Chart Reviewer and outstanding performer in risk assessment and performance reporting.

Accomplishments

  • Resolved product issue through consumer testing.
  • Documented and resolved category which led to program.
  • Trained clinical staff on updated chart review protocols, ensuring adherence to new data entry standards with 48% compliance.
  • Maintained a 18%+ accuracy rate in daily chart reviews, ensuring long-term consistency in medical record quality.
  • Monitored regulatory changes and proactively adapted chart review procedures, maintaining continuous compliance with local, state, and federal guidelines.
  • Created real-time error reporting dashboards with Asana, decreasing chart review times by 21% and improving team efficiency.
  • Audited 16 patient records to identify patterns and trends in charting errors, leading to a reduction of recurring mistakes by 54%.
  • Assessed and validated corrections in clinical documentation during regulatory audits, achieving a pass rate of 73% for compliance audits.
  • Led an initiative to review historical patient records, identifying compliance risks and resulting in category for two years.
  • Collaborated with the billing department to reduce discrepancies by 62%, saving the organization system per month in rejected claims.

Affiliations

  • National Institute of Standards and Technology (NIST) Healthcare IT initiatives
  • Healthcare Information and Management Systems Society (HIMSS)
  • Society of Human Resource Management
  • International Society for Quality in Health Care (ISQua)
  • EHR Association (EHRA)
  • National Association of Healthcare Access Management (NAHAM)
  • Jaycees
  • Healthcare Financial Management Association (HFMA)
  • National Association for Healthcare Quality (NAHQ)
  • American College of Healthcare Executives (ACHE)

Certifications

  • Certified Professional Coder (CPC) by AAPC
  • Certified Clinical Medical Assistant (CCMA)
  • Certified Documentation Improvement Practitioner (CDIP)
  • Medical Compliance Certification
  • Certified Health Data Analyst (CHDA) by AHIMA
  • Certified Medical Reimbursement Specialist (CMRS)
  • Apple Certified Associate (ACA)
  • Certified Healthcare Access Associate (CHAA)
  • Fundamentals of Health Records Management
  • ServSafe

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