Artemiss Pourmand

Mobile: 818-***-****

Email: acpxfr@r.postjobfree.com

Professional Summary

Clinical data abstraction, ICD-9/CPT coding, release of information field

specialist for audit purposes, EMR support, clinical document analysis,

management and distritubtion in workflow and indexing,

Qualifications

10 years of medical terminology

10 years of document management, data abstraction, clinical data

review/analysis and billing support

3 years of medical coding of ICD-9, CPT, HCPCS

1 year of HEDIS

5 months of Anesthesiology coding

Familiar with SQL and relational database

Working knowledge of : NexGen, AllScripts, eClinicalworks, AmazingCharts,

Sage Intergy, Epic super user, Epic Hyperspace (UCLA & UCSD) Epic CSLink

(Cedars-Sinai), Practice Fusion, Cerner, Medsuite, Ingenix Encoder Pro,

Kareo, OfficeAlly, SalesForce, Quickscan, FTP Voyager, Snomed, PCIMS,

Visiflow, Tiger (Mysis), general knowledge of HL7, Netsuite, Goldmine,

Microsoft Word & Excel

Experience

Harbor Health Plan (Detroit, MI) thru Robert Half International

04/15/2015 - 05/15/2015

HEDIS Consultant

Responsible for the HEDIS project by over reading both paper and electronic

documents abstracted by RN field reviewers. Managing the follow ups

conducted by the nurses for missing data. Analysis and correction of errors

for accuracy and compliance. Reporting the abstracted data in QSHR.

Educating the abstractors for quality improvement and training them on

specifications of HEDIS guidelines. Consulting information with the quality

manager for improvement in reporting.

Molina Healthcare thru Morgan Stephens

1/26/15 - 3/18/15

HEDIS Specialist

Retrieving electronic medical records from CMCM (Central Medical Chart

Management) FileNet database (IBM platform), converting them into pdf

format to work with annotating tool, Nitro 9. Analyzing the chart in

electronic format to extract specific clinical data per HEDIS guidelines.

Using Inovalon's HEDIS tool (QSHR; Quality Spectrum Hybrid Reporting) for

reporting NCQA metrics.

Analysis of clinical data gaps in pending queue in order to fullfill the

discrepancy in meta data and the maintenance of the metrics in QSHR

database. Using QNXT for supplemental data.

AltaMed thru Healthcare Talent

7/17/2014 - 10/17/2014

Health Information Representative

Health record analysis, management and indexing: Importing the incoming pdf

faxes of patient health records from all AltaMed clinics and facilities by

using the Image Control System (ICS) module of NextGen. Indexing patient

health records into proper patient accounts. Re-filing patient health

records by analyzing the documents according to document type, splitting

the pages into proprietary categories for an organized documentation

workflow and faster retrieval.

City of Hope thru Kore1 Technologies

4/14/2014 - 5/2/2014

EMR lab order entry specialist

Analysis, quality control and back-loading of physician lab orders from

paper charts into Sunrise Enterprise of Allscripts C.P.O.E. For "go live"

support.

Entered lab orders for Generic use and Medical Oncology with a variety of

panels and multiple dates for multiple cycles involving pre and post

chemotherapy treatments as well as assisting/training the team members upon

request.

HealthPort thru RemX

4/15/2013 - 3/22/2014

March 20, 2014 - March 22, 2014

ROI Specialist, Field reviewer

Sharp Rees-Stealy Foundation Balboa/San Diego

Release of clinical information for HEDIS audits for CIGNA according to

HEDIS guidelines. Using Allscripts EMR, for gathering clinical data.

January 24, 2014 - January 28, 2014

ROI Specialist, Field reviewer

UCSD Medical Center, Hillcrest/San Diego

Release of patient health information of 1400 charts per Optum request for

Risk adjustment audits. Highly technical data extraction using several

softwares including Epic of UCSD and SmartLink of HealthPort.

Nov 14 & 15 of 2013

ROI Specialist, Field reviewer

Mercy General Hospital, HIM Dept, Sacramento

Extracting patient health information from media and transferring through

SmartLink for auditing purposes.

09/12/2013 - 09/26/2013

ROI Specialist, Field reviewer

Health Net in Huntington Beach, Ca

As an ROI field specialist completed 10000 chart conversion.

4/15/2013 - 05/07/2013

ROI Specialist, Field reviewer

Medical records field reviewer for HEDIS projects in hospitals and medical

clinics. Responsible for auditing and analyzing medical records according

to HEDIS guidelines, collecting data, scanning necessary documents per

HEDIS measures and uploading them using Smart Link. Worked with Amazing

Charts, Cerner, NextGen, Sage Intergy, GE Centricity, also worked

extensively with Epic in UCSD medial center.

Cedars-Sinai Altegra Health Remote

10/11/2013 - 11/11/2013

Data abstractor

Reviewing, analyzing patient health information in two different EMR

systems. Transferring patient data from Practice Fusion into CS Link

(Cedars Sinai's Epic system).

ABEO Management Corporation Onsite

1/3/2012 - 6/6/

Medical Coder for anesthesiologists

Medical coding for Anesthesiologists, both outpatient and inpatient,

diagnosis (ICD-9) and procedures (CPT) using Ingenix Encoder Proand

Medsuite.

Summit Medical Billing Solutions Onsite

12/6/2010 - 11/4/2011

Diagnosis (ICD-9) coder

Managed the clerical team for outpatient coding, diagnosis (ICD-9) for SNF

(Skilled Nursing Facility) using Kareoand Officeally.com.

Helped and supported with medical claims.

Avaunte Inc., Los Angeles, Ca and on-site

UCMG (University Cardiovascular Medical Group)

UPG (University Podiatry Group)

7/1/2002 - 10/29/2010

Health Information Services

Data abstraction from Tiger (Mysis) into Avaunte's web-based RCM

application.

Reviewed and analysed data for quality assurance.

ICD-9 coding

Updated patient health information periodically.

Responsible for accounts receivable, collections and posting of charges for

both UCMG and UPG.

Reviewed claims for quality assurance in Officeally.com

Reconciled checks from patients.

Assisted the programer with medical data entry in Intersystems'Cache

database on Ensemble platform, using Snomed well as mapping of ICD-9 codes

in the in-house RCM system. I created an alphabetical hierarchy of disease

descriptions using Snomed. Extracted the ICD-9 codes from Ingenix software

and entered them in the in-house interface for mapping purposes of one-to-

one or one-to-many.

Responsible for AR projects for both UCMG and UPG.

Managed CMS-1500 Health Claim Forms (paper claims) by printing, sorting,

matching, verifying, as well as acquiring medical reports from UCLA PCIMS

(patient centric information management systems) and mailing them out. Also

used SQL to search for certain patient information.

Scanned, split, indexed and distributed documents images for UCMG & UPG

according to document type and patient account number for better workflow

management using Visiflow for faster patient data retrieval from Avaunte's

in-house web-based revenue cycle management (RCM) application.

Alhambra Police Department

9/15/1999 - 6/28/2002

Assistant Network Administrator Contractor)

Assisted the network administrator in supporting the network, hardware and

software for 80 users in Alhambra Police Department by solving user

problems as well as user training.

Responsible for computer software updates and hardware replacements.

Windows NT 4.0 workstation, Windows 2000, and Windows XP professional

operating systems.

EDUCATION/TRAINING

Remote training for HCC/RxHCC coding/mapping for MRA/RAF

November 2014

Epic super user training by UCLA thru AHP

August of 2013

Glendale Community College, Ca.

Health IT, Spring of 2013

AAPC Salt Lake City, UT

CPC - September 2010

Glendale Community College, Ca.

Certificate in Advanced Medical Insurance Billing - 2007

NACC Glendale, Ca

Microsoft Certified Systems Engineer- May 1999

Universite de Bordeaux II, France

June 1989 B.S. Orthoptics (eye muscle and vision therapy in lazy eye,

amblyopia)

Languages

Fluent in French, Armenian and Farsi, can understand written Spanish.

Contact this candidate