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Clinical Informatics Analyst/ Specialist

Location:
Midland, TX
Posted:
January 18, 2021

Contact this candidate

Resume:

Hanadi Walid Asfoor

adjimt@r.postjobfree.com Phone: 541-***-****

Knowledge/Applications

PHYTEL- IBM WATSON data platform(Population Health)

EMR: Cerner, Meditech CS, Centriq, Essentris,, Acris.

MS Office applications.

PROFESSIONAL EXPERIENCE:

Clinical Informatics Analyst 3/2019 - Present

Midland Memorial Hospital

Grant and managed access to clinical applications users in Cerner; using PrivManit, PrefMaint, TaskAccess and BedRoock.

Train Nursing new hires on using Cerners’ PowerChart to navigate and chart medical records.

Provid on-call support to clinical end users of Cerner HER.

Address and resolved cases opened by users for maintenance and enhancements to their module, workflow or application.

Partner with team members to plan and implement Cerner 2018 code upgrade.

Clinical Informatics Specialist 04/2018 – 2/2019

Lower Umpqua Hospital District Reedsport, Oregon

Provide EMR training to physicians and nursing clinical staff

Address clinical documentation requirements for Medicare

and Medicaid MU requirements and address workflows accordingly

Strong knowledge of regulatory requirements for CMS

Set up user accounts in EMR (Centriq)

Provide EMR support to clinical end users when needed

Create order sets for providers as needed

Manage EHR issues with vendor and through incident/ticket tracking system

Liaise communication between clinical users of the EMR and IT department.

Created RFP and sent out to EHR vendors.

Clinical Informatics Specialist 05/2016 – 05/2017

Inspire Health Partners Indianapolis, Indiana

Population health management data reporting via Phytel -IBM WATSON population health management software.

Abstraction and compilation of aggregate data and report physician compliance with primary care incentive measures.

Analyzing patient attribution to Patient Centered Medical Homes (PCMH) physicians /outpatient clinics

Researching MSSP and MIPS programs requirements and align them with inspire primary care incentive measures.

Research and analysis of employer based risk stratification levels for employees and their family members.

Point of Contact for physicians' inquiries regarding HEDIS/Phytel measures and data mapping from clinics' EMR to Phytel population health management software

EMR data analysis and clean up for data mapping into Phytel population health software.

Assign risk stratification payout fees to PCMH physicians

Data analysis of HEDIS quality metrics among PCMH practices and benchmarking against national HEDIS standards

Clinical Informatics Specialist 04/2015 – 04/2016

American Hospital Dubai

Trained clinical end users on hospital EHR (Meditech c/s 5.64)

Performed Monthly Medical record audit to fulfill Joint Commission International (JCI) guidelines to ensure accurate and complete patient information in the patient’s medical record (paper and electronic)

Collected requirements from the nursing team and built electronic forms for nursing and rehabilitation staff.

Supported the Medical record department when systems issues occurred.

Performed gap analysis on workflows of different ancillary departments.

Testing system functionality as needed.

Reporting on physician e-prescription compliance daily report

Managed Quality Management module for incidents and issues from an IT perspective

Intern at HIM/Medical Records Department 07/2014 - 08/2014

O'Connor Hospital San Jose, California

I was trained on multiple Medical record general functions including but not limited to:

Chart Assembly, analysis and abstraction

Coding of outpatient, inpatient and ED records

Reporting on physician utilization of CPOE project.

EMR applications such as Arcis, Essentris, 3M encoder

Health Services Authorizations Coordinator 06/2011 – 03/2013

Central California Alliance for Health

Responsible for accurate, timely handling, distribution and filing of assertive authorization requests, provider referrals as well as processing of authorization requests and provider referrals

Verification of member plan eligibility

Communicate patients’ SOC (Share of Cost) information to the claims department.

Review TARs (Treatment Authorization Requests) for accuracy of information in terms of right member, service and provider and completion

Concurrent and retrospective review with concurrent review nurses case managers, and medical social workers regarding member authorizations and referrals

Performing extensive contact with providers and requesting additional information for review based on prior authorization requirement protocols where necessary.

Collaborating with supervisor, providers, and claims to resolve problematic authorization issues

Entering data into the Alliance ACT system, and notify the appropriate personnel immediately of problems related to the electronic system

Participated in the user testing of the Care Tracking system before it was pushed to production.

Assigned as the primary coordinator on the referral consultation requests queue

Assigned as the primary coordinators’ back up on the long-term, outpatient procedures and acute inpatient services queues.

Patients Accounts Department 11/2009 – 05/2010

University of Massachusetts Hospital (UMASS), Wing Memorial

Coordinated correspondence, perform data entry, client notifications and records maintenance along with other general administrative tasks as assigned

Responsible for responding to and resolving varied inquiries/requests received from patients and physicians, as well as clinical departments and offsite offices concerning collections on outstanding Self-Pay patient, third party payers

Worked on revenue management projects

Obtained authorizations to inpatient admissions through ER.

Obtained data and documentation for reports and projects

Reviewed credit and collection policy of the hospital

Performed detailed reviews of Wing’s credit collections policy to ensure all applicable requirements are met

Recruited self-pay patients to apply for health state program.

Screened self-pay patients over the phone for state program eligibility

Verified Insurance for inpatients coming through the emergency department

Screen and evaluate patients for existing insurance coverage, federal and state assistance programs

Re-verified benefits and obtains authorization

Volunteer-Patient Accounts Department 12/2008 – 04/2009

Informative Insurance Brochure

Designed and created a brochure to inform patients with little or no background information about health insurance, how and where to get health insurance

Patient recruitment and retention project:

Analyzed project baby boomer impact on the demand of the centers’ services

Defined the healthcare needs of the analyzed populations based on culture and age groups

Analyzed the center’s ability to currently meet the needs of analyzed groups

Discussed the impact of Universal Access to Health Care insurance on studied demographics

Health Safety Net Credit & Collections Policy Review:

Reviewed health safety net policy regulation in comparison to an internally created policy to ensure that the Center met all applicable requirements.

Interfaced with the regulatory agency and successfully got an approval for the center’s policy without any issues

EMR Analysis:

Participated in Core User Group meetings and interviewed the overall project manager in identifying processes in decision making, the challenges and obstacles in implementation.

EDUCATION:

B.A. in Communicative disorders and sciences, San Jose State University December 2006

M.S. in Health Care Administration, Worcester State University May 2009

A.A in Health Information Technology, Santa Barbara City College July 2014



Contact this candidate