Medical Record Specialist

Corey Meyer

Medical Record Specialist

********@*****.*** • 952-***-****

LinkedIn • Rogers Minnesota 55374

Summary

Detailed oriented and performance-driven professional with over 12 years’ experience in maintaining, managing, and analyzing medical records in a fast-paced healthcare environment.

Qualifications Summary

Repeated success in leveraging deep understanding of medical terminology, record management systems, and regulatory guidelines.

Adept at locating, retrieving, and organizing medical records to support accurate and timely patient care.

Proficient in utilizing advanced technology and information management systems to streamline the retrieval process.

Proven ability to meet strict deadlines while maintaining confidentiality and adhering to regulatory guidelines.

Committed to providing exceptional service and contributing to overall efficiency and effectiveness of medical record management.

Excel at strong communication and interpersonal skills, collaborating effectively with medical professionals, legal teams, and insurance providers to ensure smooth record retrieval and documentation.

Areas of Expertise

Medical Record Retrieval

Medical Terminology

Quality Control & Accuracy

Health Information Management

Record Organization & Maintenance

Data entry & Documentation

HIPAA Compliance

Medical Record Analysis

Customer Services & Satisfaction

Career Experience

Blue Cross Blue Shield, (Telecommute), MN 2021 – Present

Medical Record Specialist

Leverage multiple EMR systems, including Epic, NextGen, Cerner, and Allscripts, through clinics' portals to efficiently upload and retrieve patients' records. Overcome technical obstacles at clinics by retrieving specific and detailed records required for various reviews, such as HEDIS, RADV, and risk adjustment projects from diverse sources, including EMR systems, fax, and mail. Gather, organize, and annotate PDFs, Excel spreadsheets, Microsoft PowerPoint presentations, and SharePoint documents to streamline data management processes. Conduct overreading, quality assurance, and hybrid data mining on HEDIS measures within multiple patient records using Cotiviti software for audit reviews. Devise and upload records securely using appropriate transfer methods while maintaining strict adherence to HIPAA regulations.

Attained daily quota of 250 charts while closely monitoring relevant metrics to ensure productivity and efficiency.

Contributed to data collection activities while navigating through unexpected technical issues that may arise at each clinic.

Optimized data integrity and quality by identifying and mitigating potential inaccuracies in records or patient information.

Guaranteed timely completion of retrieval tasks by exhibiting resourcefulness in finding alternative solutions and methods for obtaining records from different clinics' EMR systems.

Blue Cross Blue Shield, (Telecommute), MN 2019 – 2020

Medical Record Field Tech

Planned and traveled to various clinics across Minnesota to collect medical records for insurance projects, exhibiting exceptional dedication and commitment. Identified and resolved the technical obstacles encountered during retrieval process. Ensured smooth retrieval of medical records despite encountering unexpected technical challenges at each clinic by operating and navigating multiple EMR systems, including Epic, NextGen, and Cerner.

Achieved desired results by utilizing troubleshooting skills and resourcefulness and accessing records from all EMR systems.

Accomplished utmost confidentiality of detailed medical information by uploading the retrieved records using secure transfer methods.

Met and surpassed daily targets by successfully managing quota of charts, leveraging outstanding organizational skills and attention to detail.

Re-Docs, (Telecommute), MN 2017 – 2019

Abstractor

Acquired and analyzed medical chart interpretation and data entry details from various types of medical reports, including hospital records, imaging/diagnostic reports, depositions, IME/QME reports, AME reports, PQME reports, orthopedic reports, and neurological reports. Compiled consultations and information exclusively from workman compensation cases, systematically organizing crucial data into specific categories within software system. Reviewed and processed intricate medical information, showcasing acute attention to detail.

Spearheaded adherence to strict deadlines and efficiently completed cases within designated timeframes.

Attained concise and accurate representations by summarizing and distilling essential information from medical records.

We Help Foundation, (Telecommute), MN 2016 – 2017

Enrollment Marketing Director Appointment Setter

Managed inbound calls round-the-clock, promptly addressing individuals and responding to advertisements. Developed and implemented comprehensive follow-up procedures, resulting in successful enrollment of workshop participants into housing program. Provided guidance to potential candidates through series of inquiries, elaborating on program details and effectively showcasing the numerous benefits. Operated on commission-based structure and achieved remarkable success by effectively conveying value proposition and garnering high enrollment rates.

Orchestrated scheduling of attendees for informative workshops, exhibiting the effectiveness of the housing program.

Attained exceptional outcomes by motivating candidates to recognize profound positive impact of services.

Humana, Minnetonka, MN 2013 – 2016

Medical Retrieval Specialist

Oversaw the Medicare Risk Adjustment department, efficiently serving multiple clinic locations in five states to effectively address Medicare Risk Adjustment and prepare for HEDIS chart review activities. Managed collection and negotiation of fee payments and invoices for medical records, ensuring accurate financial transactions. Performed comprehensive searches in CAS and CCP2 databases to retrieve claims information, including dates, locations, and contracts between clinics and our organization. Leveraged software systems to review clinics for HEDIS compliance, organizing and analyzing all relevant information. Communicated with clinics to obtain new provider and patient details, enabling accurate clinic assignments. Facilitated retrieval of authentic signatures from clinics for coders, ensuring compliance with necessary documentation requirements. Coordinated with minimal direction while working remotely or in Minnetonka office, displaying versatility and adaptability in different work environments.

Attained up-to-date and accurate data by executing thorough investigations and research on clinic and provider information by proactively contacting clinics.

Directed the scheduling of hundreds of clinics, while meticulously organizing and maintaining thousands of patient records, names, and dates of birth.

Orchestrated scheduling appointments and persistently following up until all necessary information is obtained through over 100 daily calls to providers.

Additional Experience

Success Strategy Coach Funding rep, The High-Ticket Sales Company, MN

Quality Assurance Over reader, United Healthcare, (Telecommute), MN

Sales Operation Specialist, United Healthcare, (Telecommute), MN

HEDIS Quality Assurance Over reader, United Healthcare, (Telecommute), MN

Medical Record Field Tech, Blue Cross Blue Shield, Eagan, MN

Over reader, United Healthcare, (Telecommute), MN

Abstractor Over reader, HEDIS United Health Group Project, (Telecommute), MN

The appointment experts (telecommute), MN

Evine home shopping network, order capture (Telecommute), MN

Blue world pools, (Telecommute), GA

Education & Credentials

Medical Assistant Diploma

MN School of Business, Brooklyn Center, MN

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