Services Administration Medical Billing
Resume:
Deniz Kardesoglu
Wilson, NC *****
ado64y@r.postjobfree.com
Healthcare Administrator with ten years of experience seeking to apply my background in office administration, information technology, medical coding and patient services within a steadfast and competitive organization. Experienced in various patient record system Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Ryan White Continuous Quality Improvement Associate Carolina Family Health Centers Inc - Wilson, NC
January 2019 to August 2021
Highly adaptable and experienced healthcare management professional with background in administration of a rapidly growing, changing healthcare environment. Transitional talent with ability to guide personnel through change from public healthcare institution to ownership by private health system. Experienced in most widely used computer software, cloud programs, databases, healthcare terminologies and documents processing.
• Analyzed metrics and results used to measure business requirements to determine inefficiencies and areas for improvement.
• Documented process flows and assisted in documenting work instructions.
• Utilized the document control systems of CDC Infectious Disease Document Manager
• Conducted quality audits of business processes and made recommendations based on the findings.
• Monitor quality performance of assigned providers and develop action plans in collaboration with key stakeholders for continuous quality/process improvements.
• Participate in quality improvement initiatives and manage associated projects, including data collection, quality improvement aids, and evaluation of program effectiveness for members.
• Conducts medical record reviews, including electronic medical records, to support regulatory requirements for the purposes of plan audits.
• Request missing documentation, from providers via telephone, fax, written correspondence, on- site visits or review of electronic data necessary to make informed clinical decisions.
• Document clinical data in appropriate systems
• Conduct reviews of member complaints related to Quality of Care and Quality of Service issues and provide resolution within mandated timelines.
• Participate in the Quality Management Committee, Quality Improvement Committee, and supports completion of annual quality improvement work plan and reports as needed.
• Participates in the NCQA accreditation processes as needed
• Flowsheet management.
• Annual RSR preparations and responsible for submitting.
• Health Resources and Services Administration-HRSA access and performance measure reporting Patient Care Coordinator
Carolina Family Health Centers Inc - Tarboro, NC
July 2015 to December 2019
The Care Coordinator works in collaboration and continuous partnership with chronically ill or "high- risk" patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach Promote timely access to appropriate care
• Increase utilization of preventative care
• Reduce emergency room utilization and hospital readmissions
• Increase comprehension through culturally and linguistically appropriate education
• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals.
• Increase patients' ability for self-management and shared decision-making
• Connect patients to relevant community resources, with the goal of enhancing patient health and wellbeing, increasing patient satisfaction, and reducing health care costs.
• Breast Cervical Cancer Coordinating Program data entry, identify clients and enrollment to the program.
• Care plans for patients
Ryan White Continuous Quality Improvement Assante
Carolina Family Health Centers Inc - Wilson, NC
April 2010 to January 2015
Highly adaptable and experienced healthcare management professional with background in administration of a rapidly growing, changing healthcare environment. Transitional talent with ability to guide personnel through change from public healthcare institution to ownership by private health system. Experienced in most widely used computer software, cloud programs, databases, healthcare terminologies and documents processing.
• Analyzed metrics and results used to measure business requirements to determine inefficiencies and areas for improvement.
• Documented process flows and assisted in documenting work instructions.
• Utilized the document control systems of CDC Infectious Disease Document Manager
• Conducted quality audits of business processes and made recommendations based on the findings.
• Monitor quality performance of assigned providers and develop action plans in collaboration with key stakeholders for continuous quality/process improvements.
• Participate in quality improvement initiatives and manage associated projects, including data collection, quality improvement aids, and evaluation of program effectiveness for members.
• Conducts medical record reviews, including electronic medical records, to support regulatory requirements for the purposes of plan audits.
• Request missing documentation, from providers via telephone, fax, written correspondence, on- site visits or review of electronic data necessary to make informed clinical decisions.
• Document clinical data in appropriate systems
• Conduct reviews of member complaints related to Quality of Care and Quality of Service issues and provide resolution within mandated timelines.
• Participate in the Quality Management Committee, Quality Improvement Committee, and supports completion of annual quality improvement work plan and reports as needed.
• Participates in the NCQA accreditation processes as needed.
• Flowsheet management.
• Annual RSR preparations and responsible for submitting.
• Health Resources and Services Administration-HRSA access and performance measure reporting Medical Records Clerk
Carolina Family Health Centers Inc - Wilson, NC
January 2009 to August 2010
Responsible for maintaining the files included in a patient's health information portfolio, including medical history, symptoms, examination results, diagnostic tests, treatment methods, and other services.
• Organize and manage patients' health information data.
• Ensure paperwork is properly filled out.
• Verify accuracy and accessibility of files.
• Ensure all files are secure.
• Communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.
• Maintain electronic health records (EHR) databases.
• Analyze electronic data.
• Maintain data on patient safety, patterns of disease, and disease treatment and outcome.
• Improve upon EHR software usability.
• Develop and maintain health information networks.
• Codify patients' medical information for reimbursement purposes.
• Assign a code to each diagnosis and procedure by using classification systems software.
• Review patient records and pathology reports and assign codes for the diagnosis Wis international
WIS International - Wilson, NC
2009 to 2009
Inventory associate.
Shift Leader
Cracker Barrell
January 2002 to 2007
Duties include managing money, resolving guest and employee conflicts and making sure all the equipment is in top shape. Ultimately, it’s the shift leader’s responsibility to ensure every aspect of their shift runs smoothly and efficiently.
Education
2 Years in Health Information Technology
Edgecombe Community College - Tarboro, NC
July 2016 to 2018
High school diploma
Wilson Community College - Wilson, NC
Skills
• NCQA Standards
• Quality Audits
• HEDIS
• Process Improvement
• Quality Management
• Data Collection
• Utilization Management
• ICD-10
• CPT Coding
• ICD-9
• EMR Systems
• Medical Records
• Usability
• Quality Assurance
• Case Management
• HIPAA
• Medical Terminology
• Epic
• Medical Coding
• Medical Receptionist
• Medical office experience
• Phone etiquette
• EHR systems
• Insurance Verification
• Databases
• Medical Scheduling
• Medical Billing
• Analytics
• Auditing
• Epic (1 year)
• Turkish
• Expert
• Document Management
• Microsoft Excel
• SAP
• Microsoft Word
• Customer service
• Filing
• Documentation review
• Typing
• English
• Microsoft Office
• Data entry
Links
https://www.linkedin.com/in/deniz-kardesoglu-166758165 Certifications and Licenses
American Health Information Association November 2020 to November 2021 NC CSA Ahima membership
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