Quality Assurance Project
Resume:
Celetra K. Daugherty
Madison, Tennessee 37115
Hm # 615-***-**** / Cell# 615-***-****
Objective:
To obtain employment that will utilize my knowledge and experience in Health Information Management, and provides opportunity for development and growth.
Education:
Volunteer State Community College May 2008
Gallatin, TN. Major: Health Information Tech. GPA: 3.5
Tennessee State University August 2001-May 2005
Nashville, TN. Major: Nursing GPA: 3.5
Professional Association Membership: AHIMA, THIMA
Work Experience:
December 2011-Present HIM Analyst, Maxim Healthcare Nashville, TN
Primary Responsibilities:
Analyze medical records of hospital and clinic patients consistent with medical, administrative, ethical, legal, and regulatory requirements.
Maintain internal system tables such as provider ID and chart locator for
The HIM department to ensure efficient use of the system and accurate
Information in MEDITECH.
Process e-messages from physicians using the e-signature system in order to
Resolve problems with reports or other questions.
Along with the electronic system corrections, update any associated paper
Documentation to be consistent with the electronic systems.
Scan paper charts into EMR system.
January 2009-December 2011 Quality Assurance Coordinator, Tennessee Donor Services Nashville, TN
Primary Responsibilities:
Accepts, assembles, and reviews donor records to determine level of compliance with established DCIDSTS policy and procedures, AATB standards and FDA regulations.
Accepts and reviews laboratory results from each processing lot. Prepares paperwork required for investigative steps
Performs release of suitable tissue allograft into distribution inventory. Removes from active or quarantine inventory, tissues found unsuitable for transplantation. Ensures tissue is discarded as warranted.
Generates labels and assists in labeling of tissue allograft prepares the processing charts for labeling.
Conducts audits as directed to determine compliance with established DCIDSTS P&P. Audits may involve reviewing records and codes, conducting interviews with DCIDSTS staff, reviewing off site DCIDSTS operations, etc.
Performs other related duties as requested.
September 2007-January 2009 Claims Processor Associate, Cigna Government Services, Nashville, TN
Primary Responsibilities:
Approving and validating appropriate demographic information for clients prior to processing claims for payments.
Provide final verification of billing codes, denials and approvals prior to payment to service providers through the VMS system.
Responsible for validating system parameters within the claims payment system for final preparation of payments for services.
June 2004-July 2007 Clinical Project Assistant, Information Technology and Services Hospital Corporation of America (HCA), Nashville, TN
Primary Responsibilities:
Provided project assistance to Implementation Clinical Manager
Created spread sheets utilizing Microsoft Excel software
Scheduled meetings and distribute meeting minutes to appropriate team members
Assisted Clinical Consultants with policy and procedure development
Maintained project files, and published status updates for clinical projects via Corporate intranet
Prepared hospital records for transport and storage for future references
Ordered project hardware/software and maintained records of equipment ordered and received
Incorporated and maintained budget/post and validated charges for travel
September 2006 - November 2006 Clinical Experience, Metro center Healthcare Group
131 French Landing, Nashville, TN
Primary Responsibilities:
Electronic Medical Records- Medformatix system 6.0
Verify patient information
Tagging Medical Records to patient charts
(Reference available upon request)
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