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Medical Quality Assurance

Location:
Blythewood, South Carolina, 29016, United States
Posted:
March 31, 2011

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******* M. ********, BS, RHIA

*** ***** **** ******

BLYTHEWOOD, SC 29016

Home: (803)***-**** Cell: (803) ***-****

**********@**.**.***

EDUCATION

Graduate of the Medical University of South Carolina

Bachelor Degree in Medical Record Administration

American Health Information Management Association/SCHIMA

Registered Health Information Administrator License No. 14215

EXPERIENCE

February 2009 - Present, Medical Record Reviewer, Outcomes Health

Information Solutions, Tarpon Springs, FL

Review and abstraction of medical records by utilization of a performance

measurement strategy (Healthcare Effectiveness Data Information Systems)

for collection of aspects of care in Cervical Cancer Screening, Breast

Cancer Screening, Childhood Immunization, Colorectal Cancer Screening,

Comprehensive Diabetes Care, Controlling Hypertension, Prenatal and

Postpartum Care and Beta Blocker Treatment via use of a laptop computer

and scanning equipment.

Coordinates the transmission of data for quality assurance performance and

analysis

December 2008 - February 2009, Inpatient Coder, Palmetto Richland Hospital

Woodham & Associates, Columbia, SC

Coding and DRG assignments as applicable to all inpatient records

April 2003 - October 2008, Independent Government Contractor/Medical Data

Coordinator-Special Medical Studies/Core and Non-Core Measures

Affiliated Computer Services Federal Healthcare, Inc., /Lockheed Martin

Federal Healthcare, Inc., Fairfax, VA

Telecommuter position under the direction of TRICARE and the National

Quality Management Program performs clinical data abstraction via on-line

computer to support the military treatment by collection of patient care

data for Hospital Core Measure (AMI-CHF-PN-SCIP-HOP-CAC-VTE) from inpatient

and outpatient medical records and enters the data into an electronic data

base. Verifies coding, reports medical documentation issues and clinical

findings of studies to facility personnel and provides explanation of the

outcome of the medical record abstraction

Coordinates the pre and post conferences with hospital personnel to

identify data analysis and trends and action plans for improvement

******* M. ********, BS, RHIA

215 LOWER GLEN CIRCLE

BLYTHEWOOD, SC 29016

Home: (803) ***-**** Cell: (803) ***-****

**********@**.**.***

December 2000 - April 2003 Forms and Records Manager/HIPAA Privacy Officer

South Carolina Department of Juvenile Justice, Columbia, SC

Management of the agency's forms and records management program which

includes the inventory, retention and disposition of agency records

Coordinate policy and procedure issues through Legal Counsel and the Office

of the

Inspector General

Serves as Senior Consultant to Medical Record Improvement practices and

HIPAA initiative training and awareness program

June 1996 - November 2000, Medical Auditor/Field Representative

Forensic Medical Advisory Services, Inc., /DynCorp. Reston, VA

Travel position responsible for performing on-site medical record review in

acute care hospitals of military facilities under the National Quality

Management Program. Use of specific medical quality criteria (JCAHO ORYX)

on an electronic system to collect data for assessment of medical care,

surgical appropriateness and postoperative occurrences in Military

Treatment Facilities

May 1995 - May 1996, Medical Records Coordinator

Richland Springs/Palmetto Health Richland, Columbia, SC

Managed and coordinated medical record administrative activities for

psychiatric patients, developed policies and procedures for medical records

and quality assurance

January 1994 - September 1994, Associate Director of Medical Records

Athens Regional Medical Center, Athens, GA

Oversee operations of the Medical Records Department, which includes a

staff of 50 plus employee supervision, coordination of job duties for

staff, temporary employees and volunteers

Preparation of hospital statistics and data analysis of hospital trends

December 1990 - January 1994, Hospital Registrar

South Carolina Department of Mental Health, Columbia, SC

Management of Medical Records Department in long-term care

Facilitated management activities and quality improvement techniques

Workflow analysis and office layout and design

February 1989 - November 1990, Quality Review Specialist

Carolina Medical Review, Columbia, SC

Identification of quality of care issues and preparation of written

communications to physician consultants for resolution of health care

issues

******* M. ********, BS, RHIA

215 LOWER GLEN CIRCLE

BLYTHEWOOD, SC 29016

Home: (803) ***-**** Cell: (803) ***-****

**********@**.**.***

September 1986 - February 1989, Director of Medical Records

Family Health Centers, Inc., Orangeburg, SC

Management of 12 FTEs in patient registration, medical record assignment,

insurance verification, coding/billing and patient reception.

Workflow analysis of rural health care medical record systems

Planned and converted medical record systems, developed policies and

procedures for record management activities and managed patient

registration and orientation to facility services

Developed a brochure for Cross Family Health Center



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