Medical Records Record
Resume:
Aaron Vargas
Mission, TX *****
**************@*****.***
Objective: To acquire a position where I can best utilize my skills and knowledge. Diligent of all office functions, with a solid background in the healthcare field. Excel at multitasking in a fast-paced environment and completing projects within a timely manner. Willing to relocate. Willing to relocate to: San Antonio, TX
Authorized to work in the US for any employer
Work Experience
Quality Improvement Specialist
Centene Corporation - Mission, TX
January 2024 to April 2024
• Retrieve, collect and prioritize all request for medical records made through the organization, patients and affiliates.
• Record and track all records requests, releases and authorizations within the Electronic Medical Record HPI.
• Verify legitimacy, accuracy and authority of all such requests and then process and invoice as appropriate.
• Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulation.
• Review, develop and implement standards and procedures for processing medical records requests with administrative support
• Maintain an up to date understanding of applicable policies, processes, laws and regulations.
• Report breaches, instances of non compliance, patient complaints, problems or similar instances to supervisor in an effort to protect patient HPI.
• Assist patients, staff and affiliates with medical records requests. HEDIS Coordinator
MyCare Medical - Rio Grande Valley, TX
March 2023 to October 2023
● Strong knowledge of HEDIS program processes, including measures and processes.
● Basic knowledge of quality management principles and practices.
● Basic knowledge of medical record abstraction and review, with the ability to conduct simple medical record reviews.
● Basic knowledge of the healthcare and managed care industry, its products, services and major business processes.
● Gather and compile data and information, and perform simple analysis.
● String facilitation, problem solving and conflict resolution skills, with the ability to use tact and diplomacy to diffuse emotional situations.
● Intermediate Windows and Word skills; advanced Excel skills.
● Experience as an administrative assistant in a healthcare setting.
● Collaborates with QI team and leadership to assist in identifying quality issues and root causes and helps to coordinate intervention plans.
● Scheduled educational sessions for medical groups and physicians on issues identified during QI and/or HEDIS processes.
● Monitored project progress and timelines; escalates issues to supervisor as necessary.
● Primary point of contact for HEDIS/vendor related to data runs, chase logic, system issues and submission of data and reports.
● Traveled to clinics during the HEDIS season.
Population Health Management Coordinator
RGV Adult and Internal Medicine - Weslaco, TX
January 2022 to March 2023
● Initiated the medical record by creating and processing the patient care record folder • Maintains record availability by processing charts into the digital patient database.
● Retrieved medical records by following chart-out procedures.
● Keeps health care providers informed by communicating the availability of requested records.
● Served as the insurance representatives liaison to gain a better understanding of quality measure benchmarks.
● Performed chart reviews to extract data for necessary reporting.
● Ensured patient and family education on the importance and benefits of completing measures.
● Encouraged clinical patient care team to embrace concepts of preventive health care program and team approach to health care delivery,
● Actively participated in developing and configuring areas in the EMR to support clinical decision support.
● Ensured evidence based guidelines that were considered when designing clinical decision support tools.
Medical Assistant/Clinical Coordinator
Dynamic Pain Management - McAllen, TX
September 2020 to March 2021
● Performed receptionist duties: greet patients, answer phones and direct calls.
● Design and implement new systems.
● Train and supervise medical assistants.
● Notify patients of changes/cancellations and prioritize appointments.
● Update patient information and track referrals.
● Obtain patient charts, medical records and verify completeness.
● Process medical records and monitor chart preparedness.
● Maintain patient files up to date.
● Work closely with intake and providers.
● Schedule Imaging.
● Fluoroscopy.
● Triage patients, take vitals and record information in the EMR system. Lead Medical Assistant/C-Arm Technician
Quantum Pain and Orthopedic - McAllen, TX
August 2018 to March 2020
● Strong customer service skills to interact positively with patients.
● Exceptional communication skills with both patients and medical care providers to relay necessary information.
● Ability to juggle and prioritize multiple responsibilities and handle interruptions.
● Strong organizational skills to keep patient information confidential and organized.
● Problem-solving skills for scheduling conflicts, missing documentation and other issues.
● Attention to detail to ensure all patient information is accurate and available.
● Understanding the importance of confidentiality.
● Answer phone calls and deal with inquiries such as appointments, rx, imaging, and all other concerns regarding patient care.
● Notify patients of changes/cancellations and prioritize appointments.
● Update patient information and track referrals.
● Obtain patient charts, medical records and verify completeness.
● Retrieve, scan and upload medical records.
● Triage patients, take vitals and record information in the EMR system.
● Travel to sub clinic/perform front desk, scheduler and medical assistant duties.
● Work closely with physicians to meet substantial goals and patient care. Education
Certificate of Healthcare Management in Healthcare Management Cornell University - Ithaca, NY
April 2021 to August 2021
Master of Sports Medicine in Sports Medicine
United States Sports Academy - Daphne, AL
June 2013 to December 2015
Bachelor in Sports Science
United States Sports Academy - Daphne, AL
January 2011 to May 2013
Skills
• Supervising
• Proficient in MS Office Suite (Word, Excel, Outlook)
• HIPAA
• Medical office experience
• Customer service
• Triage
• Leadership
• Patient Care
• Medical terminology
• Bilingual (Spanish)
• Medical Imaging
• Typing (50 wpm)
• Proficient with EMRs (eCW, Greenway, Practice Assist)
• Conflict management
• Medical records
• Medical Scheduling
• Insurance Verification
• Clerical
• Vital signs
• Typing
• Health information management
• Organizational skills
• HEDIS
• Anatomy Knowledge
• Healthcare Management
• EMR Systems
• Quality Management
• EHR systems
• Financial management
• Medical office management
• Medical billing
• Office management
• Google Suite
• Order entry
• Outpatient
Certifications and Licenses
CPR Certification
Certified Medical Assistant
Non-CDL Class C
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