Medical Records Data Analysis

ERIC SHULER

Philadelphia, Pennsylvania ***** 610-***-**** ***********@*****.***

Professional Summary

With over 17 years of experience optimizing healthcare systems and processes, this candidate brings a unique blend of healthcare and IT expertise. Strong focus on claims processing, SAP, and data analysis. Excels in project management and quality control, with specific emphasis on utilizing EMR systems like Cerner and Epic to improve operational efficiency and ensure industry-standard compliance. Demonstrates deep dedication to enhancing healthcare delivery and achieving positive outcomes.

Skills

• Medical Coding (ICD, CPT, HCPCS)

• Medical Records Processing & Management

• HEDIS & Risk Adjustment Documentation

EMR & EHR Systems (Epic, Cerner, NextGen,

eClinicalWorks, Allscripts)

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• Workers' Compensation Claims Processing

• HIPAA Compliance & Patient Data Security

• Healthcare Data Analysis & Quality Assurance

Pharmacy Prior Authorizations & Claims

Processing

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• Data Analysis & Reporting

• SQL & Database Management

• Software Testing & Functional Compliance

• System Integration & EMR Implementation

• Electronic Data Management & Archiving

• Process Automation & Optimization

• Project Coordination & Team Leadership

Workflow Optimization & Efficiency

Improvements

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• Training & Staff Development

• Regulatory Compliance & Documentation

• Vendor & Stakeholder Communication

• Financial Reporting & Budget Management

• Client Relations & Account Management

• Call Center Operations & Customer Support

• Problem-Solving & Conflict Resolution

• Cross-Functional Collaboration

• Medical Billing & Insurance Liaison

• Teamwork and collaboration

• Customer service

• Software updates

• Issue resolution

• Hardware repair

• Application support

Certifications

• RHIA

• RHIT

• Certified Coding Specialist

• Certified Professional Coder

• Epic

Work History

Health Information Analyst 02/2025 to 05/2025

Datavant – Remote

Processed patient health information requests while ensuring compliance with company policies.

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• Maintained confidentiality and security of all privileged medical records.

• Applied ICD, CPT, and HCPCS coding systems to extract, Analyze, and assign medical codes.

• Coded and processed healthcare data for billing, insurance claims, and regulatory compliance.

• Ensured HIPAA compliance while managing and safeguarding patient health records. Created, updated, and maintained electronic health records (EHRs) from paper and digital sources.

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• Verified accuracy and completeness of medical records for proper documentation.

• Assembled patient records in standard order to meet industry and regulatory standards.

• Collaborated with healthcare professionals to streamline medical coding and documentation.

• Monitored and reported workflow fluctuations to improve operational efficiency.

• Adhered to company and client facility regulations, maintaining industry best practices.

• Provided technical support for facility software, ensuring smooth data management.

• Maintained a high level of accuracy in data entry and health information processing.

• Promoted teamwork and effective communication among medical coding specialists.

• Assisted with additional administrative duties to support overall healthcare operations. Successfully migrated legacy systems to new platforms while minimizing disruptions to daily operations in the health information department.

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Reduced errors in medical coding by implementing quality control measures and providing ongoing training to staff members.

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Chart Retrieval Specialist 10/2024 to 02/2025

Independent Staffing

Facilitated medical record retrieval for quality projects, ensuring data accuracy and compliance.

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Collaborated with healthcare providers to streamline record access and improve workflow efficiency.

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• Utilized EMR systems like Epic and Cerner to optimize medical data management.

• Performed data entry and quality control, ensuring precise reporting and analysis.

• Coded and processed patient healthcare information for accurate billing and compliance.

• Extracted, Analyzed, and assigned medical codes using ICD, CPT, and HCPCS standards.

• Ensured proper documentation and coding for insurance claims and regulatory adherence.

• Corrected, modified, and upgraded software to enhance performance and efficiency.

• Tested functional compliance of company products to ensure alignment with industry standards.

• Coordinated software deployments, updates, and fixes, optimizing system functionality. Designed and developed data management systems to improve productivity and user experience.

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• Supported departmental operations, contributing to successful project completion.

• Maintained confidentiality and security of medical records in compliance with HIPAA.

• Monitored workflow fluctuations, ensuring smooth record retrieval processes.

• Promoted effective communication and teamwork within the department. EHR Analyst 04/2018 to 09/2024

Artech Solutions

• Optimized medical record retrieval across EMR platforms like Epic, Cerner, and eClinical Works.

• Led EHR integrations for Epic, eClinical, and Allscripts, managing a team of five for MFM Go-Live. Trained OB/Gyn and MFM staff on NextGen, improving workflow efficiency and system proficiency.

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Coded and processed healthcare information, ensuring compliance with ICD, CPT, and HCPCS standards.

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• Extracted and assigned medical codes from physician's notes for billing and compliance. Streamlined medical claims processing by integrating EMR systems, reducing errors and processing time.

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• Configured and maintained HIMS systems, ensuring seamless medical record management. Processed workers' compensation claims, verifying documentation for accuracy and compliance.

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• Resolved EMR software issues, collaborating with leadership to optimize system functionality.

• Created and maintained HEDIS records, ensuring accuracy and regulatory compliance.

• Managed data access for HEDIS and Risk Adjustment projects, enhancing reporting accuracy. Improved documentation workflows, optimizing compliance with industry and regulatory standards.

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• Ensured proper coding and documentation for insurance claims and reimbursement processes.

• Monitored and enhanced EMR system performance, implementing efficiency improvements.

• Promoted data security and compliance, adhering to HIPAA and industry regulations. Data Analyst 10/2016 to 03/2018

ICON Clinicals

• Labelled and tracked image data per study protocol, ensuring accuracy and compliance. Managed electronic document organization, improving data accessibility and retrieval efficiency.

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• Handled 35-50 inbound calls daily, updating tracking systems with precise data entry. Orchestrated image data labelling and tracking using the MIRA system for regulatory compliance.

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Streamlined document control processes, enhancing efficiency in data archiving and management.

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• Collaborated with project teams to ensure secure handling of client-specific data.

• Managed shipment retrieval and preparation, optimizing document control workflows.

• Ensured compliance with industry regulations, maintaining accuracy in clinical data tracking.

• Facilitated off-site archiving and electronic data management, improving data security. Enhanced workflow efficiency by implementing systematic data labelling and tracking strategies.

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Client Service Representative 04/2016 to 08/2016

Independent Staffing – Swedesboro, NJ

• Handled sensitive client information with discretion, ensuring confidentiality at all times. Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.

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Managed incoming calls, providing prompt and accurate information to clients about products and services.

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• Maintained accurate record-keeping with proactive attention to client information updates. Developed strong relationships with clients through proactive outreach and regular check-ins on progress and satisfaction.

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Participated in regular meetings with management to discuss performance goals, strategies for improvement, and ongoing challenges faced by the team.

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Helped large volume of customers every day with positive attitude and focus on customer satisfaction.

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Prior Authorization Representative 12/2015 to 03/2016 Optum Rx – Philadelphia, Pa

Handled 50-60 daily calls for pharmaceutical authorizations, ensuring compliance and accuracy.

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Facilitated seamless communication between medical facilities and patients, enhancing service efficiency.

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• Utilized problem-solving skills to resolve authorization issues, improving patient satisfaction.

• Collaborated with team to streamline call handling processes, reducing wait times.

• Applied analytical skills to track call metrics, contributing to operational improvements. Coordinated with healthcare providers to evaluate and authorize pharmaceutical requests, ensuring accurate documentation and timely response for critical medications.

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Streamlined authorization processes through efficient call handling and thorough documentation, reducing response times while maintaining quality standards.

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Built strong relationships with healthcare professionals while managing pharmaceutical authorizations, ensuring optimal patient care outcomes through clear communication.

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Account Specialist 06/2015 to 12/2015

Bettringer – Remote

• Adhered to standards of quality and service as well as all compliance requirements.

• Set up new customer accounts and updated existing profiles with latest information.

• Completed routine and complex account updates to resolve problems.

• Reconciled customer accounts and identified discrepancies for further investigation.

• Built strong relationships with clients, vendors and stakeholders for loyal, profitable accounts. Cross-sold wide range of services and products to increase new business and expand existing customer relationships.

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• Identified customer desires and goals through needs-based sales tactics.

• Increased company revenue Number% by selling various investment products. Worked with diverse product development teams to create software for qualitative structured solutions to validate and model emerging markets.

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Education

Associate: Liberal Studies 05/2004

Montgomery Community College - BLUE BELL, PA

High School diploma 05/1998

Rittenhouse Academy - PHILADELPHIA, PA

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