Health Informatics analyst

Vyshnavi Marneni

Health Informatics Analyst

Email: ****************@*****.*** Phone: 804-***-****

SUMMARY:

Health Informatics Analyst with over 3 years of experience in analyzing healthcare data, implementing data management strategies, and ensuring compliance with health policies and regulations.

Proficient in utilizing Epic EHR systems and other healthcare technologies to enhance data integration, streamline workflows, and support clinical decision-making.

Skilled in developing and optimizing RESTful APIs and utilizing SQL for data extraction and analysis, contributing to improved operational efficiency and data accuracy.

Experienced in conducting training sessions and workshops on EHR best practices, ensuring effective user adoption and adherence to health informatics standards.

Adept at performing data validation, quality assurance, and auditing processes, ensuring the integrity and reliability of health information systems.

Strong understanding of healthcare regulations, including HIPAA, and experience in developing documentation for compliance and reimbursement policies.

Proficient in utilizing data visualization tools like Tableau and advanced Excel techniques to present actionable insights to stakeholders.

Collaborative team player with strong communication skills, committed to enhancing the quality of patient care and optimizing healthcare delivery through technology.

TECHNICAL SKILLS:

Data Analysis

SQL, R studio, SAS STUDIO

Healthcare Systems

Epic EHR, HCPCS

Data Reporting

Advanced Excel (Pivot Tables, VLOOKUP), Tableau, Power BI

Health Policy Compliance

HIPAA regulations, reimbursement policies

Data Management

Auditing, quality assurance, workflow design

Collaboration Tools

Microsoft Teams

Clinical Knowledge

Understanding of clinical procedures and diagnostic methods

Public Health Knowledge

Familiarity with public health principles related to rare diseases

Visual Management

Experience with visual management tools

EHR Implementation

Experience in EHR system configuration and deployment

Training and Support

EHR training, end-user support, creating training materials

Quality Improvement

Familiarity with quality improvement initiatives.

Regulatory Reporting

Experience with HEDIS reporting and compliance metrics

Interoperability Standards

Understanding of HL7, FHIR, and other data exchange standards

Project Management

Experience in managing projects using Agile or Waterfall methodologies

Data Security

Knowledge of data privacy and security best practices in healthcare.

Other Skills

Strong verbal and written communication for stakeholder engagement

PROFESSIONAL EXPERIENCE:

Client: CJ Diamond world Inc 08/2024 – 05/2024

Project: Daily Sales and Financial Reporting Automation

Role: Data Analyst Intern

Location: Baltimore, Maryland

Responsibilities:

Utilized SQL and InFlow software to query and update daily sales data, ensuring accurate records of transactions across the business.

Utilized SQL and InFlow software to query, update, and monitor daily sales data, ensuring the accuracy and integrity of transaction records across the business, enabling timely reporting and data-driven decision-making.

Conducted comprehensive data validation and cleanup using SQL and Excel, identifying and resolving discrepancies to improve the reliability and accuracy of sales reports, supporting more precise analysis.

Automated daily sales reporting through Excel macros, reducing manual reporting efforts by 20% and ensuring consistent, timely distribution of sales reports to management.

Developed and maintained interactive Tableau dashboards to visualize key sales metrics, revenue performance, and customer behavior trends, providing stakeholders with actionable insights for better decision-making.

Collaborated with the accounting team to track and reconcile sales and inventory-related financial transactions using QuickBooks, ensuring accurate financial reporting and alignment with overall business operations.

Partnered with sales, finance, and management teams to deliver data-driven insights that improved strategic decision-making, enhancing sales performance and operational efficiency.

Impact:

Improved sales reporting efficiency by 20% through automation and streamlined data processes.

Provided real-time sales performance insights using Tableau, enabling the business to make quick adjustments during high-demand periods.

Environment: SQL, Excel, InFlow software, Tableau, QuickBooks

Client: Devi Dental Clinic 04/2022– 11/2022

Project: Healthcare Claims Data Analysis Project

Role: Health Informatics Analyst

Location: Ongole, India

Responsibilities:

Utilized SQL to extract, clean, and analyze large sets of healthcare claims data, identifying trends in reimbursement delays, payment errors, and financial inefficiencies.

Conducted cost-benefit analysis of medical procedures and treatments by querying claims data, evaluating the financial impact of existing reimbursement policies, and suggesting improvements.

Created custom SQL queries to monitor claims processing efficiency, reducing bottlenecks in claims approvals and achieving a 15% reduction in processing times.

Developed SQL reports that highlighted pending claims and flagged those requiring manual review for coding discrepancies (CPT, ICD-10) or policy compliance, reducing rejected claims by 20%.

Collaborated with clinical and billing teams to improve claims coding accuracy and ensure compliance with national coding standards, which improved overall claims accuracy by 30%.

Conducted in-depth research into claims processing and reimbursement policies, contributing to policy alignment with benefit guidelines and improving decision-making processes.

Supported cross-departmental meetings to discuss claims processing workflows and implement benefit and policy changes that improved operational efficiency.

Documented business processes, contributing to the development of new claims processing policies and enhancing system workflows for better claims management.

Impact:

Reduced claims processing times by 15%, improved claims accuracy by 30%, and decreased rejected claims by 20%, leading to increased operational efficiency.

Environment: SQL, Epic EHR, Data Analysis Tools, Medical Coding (CPT, ICD-10), Claims Management Systems.

Client: Manipal Hospitals 03/2021– 03/2022

Project: Dental Public Health Reporting and Insurance Policy Compliance Project

Role: Dental Intern

Location: Mangalore, India

Responsibilities:

Assisted in the implementation of a specialized EHR module for dental services, integrating public health guidelines and insurance policies into the system to ensure seamless tracking of patient treatments, billing, and reimbursement processes specific to dental care.

Collaborated with public health professionals and dental practitioners to map out workflows for capturing oral health data within the EHR system, ensuring that treatment records aligned with national and regional public health standards for dental care.

Developed custom SQL queries to analyze trends in dental procedures and treatment outcomes, providing insights into how insurance policies and public health guidelines influenced care delivery and patient costs.

Conducted audits of dental claims to ensure that submitted claims were compliant with insurance policies, including preventive care coverage, pediatric dental services, and emergency oral health treatments. This audit led to a reduction in rejected claims by 25%, ensuring that the hospital received timely reimbursements.

Worked closely with dental clinicians to ensure accurate documentation of common dental procedures (such as cleanings, extractions, and fillings) using dental terminologies, aligning with insurance policies to minimize discrepancies in claims submissions.

Generated detailed reports for hospital management, highlighting how public health dental initiatives, such as community fluoridation programs and school-based screenings, impacted patient health outcomes and insurance reimbursements.

Ensured that the dental EHR module adhered to both local and national insurance policies by incorporating preventive care benefits into the system, such as child dental exams and fluoride treatments covered by Medicaid or private insurers, reducing out-of-pocket costs for patients.

Worked with the insurance and billing departments to automate the process of tracking and submitting claims for dental procedures under varying public health insurance policies, enhancing claims processing speed and accuracy.

Participated in interdisciplinary meetings to discuss how the hospital’s dental care services could further align with public health goals, including preventive care outreach and early oral health interventions.

Impact:

Reduced rejected dental claims by 25%, improved compliance with public health guidelines and insurance policies, and enhanced the integration of dental services within the EHR system, leading to better patient care and faster reimbursement cycles.

Environment EHR Systems (Epic), SQL, Dental Terminologies, Claims Auditing, Public Health Guidelines, Insurance Policy Compliance, Data Analysis Tools.

Education:

Masters (M.P.S): Health Information Technology,

University of Maryland Baltimore County. 01/2023 – 12/2024

Bachelor’s degree: Dental Surgery

University: Manipal Hospitals 09/2016 – 03/2021

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