Health Information Quality Assurance

Summary of Qualifications

Heath Information Management officer with 10+ years of experience in successfully managing the privacy and release of patient health information in accordance with internal/external policies ensuring protected information is appropriately used and disclosed. I am seeking a position where I can exercise my expertise in interpreting and applying laws, data management, and quality assurance to contribute to the overall efficiency of the organization. Additionally, I possess a vast acumen in patient care techniques, and strong interpersonal skills to effectively communicate with patients, families, and healthcare professionals

Signature Talents

Ability to work under pressure

Health Information Management systems

HIPAA Compliance

Keen Attention to Details

Records Management/ Patient Protected Health Information (PHI) compliance

Microsoft (Excel, PowerPoint, Word)

Pathophysiology

Onboarding/Offboarding

Policy & Procedure Development

Procuring Equipment/Supplies

ICD-10 Coding

CPT Coding

Effective Communicator

Training & Development

Education

Associate of Applied Science Health Information Technology 2019

Ultimate Medical Academy Clearwater, FL

Professional Experience

HIM Privacy and Compliance Officer 02/2021 – Present

Roosevelt Hospital Warm Springs, Ga 40 Hours/Week

Supervisor: Tinise Moses

Phone: 706-***-****

May Contact

Administers Electronic Health Record (EMR) system, ensuring data integrity and compliance with HIPAA regulations. Provides HIPPA/Privacy & Security training to new employees. Maintains current content with regulatory changes.

Monitors the daily record for History and Physical to be compliant within 24 hours of admission. Prepares monthly reports for the Quality committee. Reports to the Chief Medical Officer on specific providers compliance quarterly or as requested.

Completes the Cerner HIM Manager competency check. Manages the electronic documentation issues as identified by clinicians thru the service request system and provides follow up as needed. Participates in AMS calls as scheduled to discuss progress of the SR.

Release of Information Officer (ROI) manages requests for records from patients, payer sources, attorneys, and regulatory/governmental agencies.

a)Ensures the correct release of information forms are signed and valid prior to release.

b)Creates invoice for payment and monitors receipt of payment prior to release

c)Uploads EMR records into the secure data base for first and third-party requestors

d)Maintains current knowledge of and adheres to all regulatory requirements regarding ROI.

e)Maintains log of release of information and provides as needed.

Certified Nursing Assistant 07/2019 – 02/2021

WellStar Lagrange, GA 40 Hours/Week

Supervisor: Wendy Ogletree

Phone: 706-***-****

May Contact

Attended to the individual needs of patients including assistance with grooming, bathing, oral hygiene, feeding, incontinent care, colostomy care, prosthetic appliances, transferring, ambulation, range of motion or other needs in keeping with the individuals' care requirements

Documented or otherwise reported observations of patient behavior, complaints, or physical symptoms

Assisted with mobility and transfers using proper techniques and equipment, ensured patient safety and comfort

Collaborated with healthcare professionals to develop and implement care plans, supporting the physical and emotional well-being of patients

HIM Director 02/2011 – 07/2019

Pruitt Greenville, GA 40 Hours/Week

Supervisor: Toni Smith

Phone: 706-***-****

May Contact

Conducted patients interviews to complete documentation, case histories, intake, and insurance forms

Assigned applicable medical codes for diagnoses, procedures, billing, and reimbursement purposes

Performed regular audits to ensure accuracy of authorization for release of information requests; identified, investigated, and reported any breaches of PHI covered entities

Trains & educates new staff members on medical record management processes and coding regulations

Certified, processed & tracked correspondences from patients, payer sources, attorneys, and governmental agencies; ensures correctness of medical release of information requests

Certified Nursing Assistant 07/2013 – 05/2016

Warm Springs Nursing Center Warm Springs, GA 40 Hours/Week

Supervisor: Karen Daniel

Phone: 706-***-****

May Contact

Provided direct patient care, including assistance with daily living activities

Monitored and recorded vital signs, such as blood pressure, pulse, and temperature, reported any abnormalities

Maintained a clean and organized patient environment, including regular cleaning and disinfecting of equipment and patient rooms

Provided emotional support and companionship to patients and their families

Early Career

Medical Record Director 04/2008 – 01/2011

Haymount Rehab Center Fayetteville, NC

Medical Record Director 05/2004 – 04/2008

Highland House Fayetteville, NC

References

Available upon request

Contact this candidate