Professional Summary:
Experienced Business Analyst with a demonstrated history of working in the Health information technology and population health management industry. Over 6 years of experience in Healthcare Information Technology (HIT), Business analysis, project management and Healthcare administration, Microsoft tools, Entrepreneurship, Team Building, Public Speaking and Strong research professional with an ECFMG certification and focused in Medicine. Graduated as a physician from the Indian medical school. Well versed with good working knowledge of interpretation and implementation of various quality measures like HEDIS, ACO, GPRO, PQRS and ECQM. Strong Knowledge in international coding standards like ICD, LOINC and SNOMEDS.
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I also develop and create logic using Decision trees which analyze the data and produces results necessary for interpretation and submissions. For the purposes to customize this automation tool we also developed a process to create a test bed where all kinds of scenarios can be tested. I am involved actively in creation, testing and updating of these test scenarios.
Trainings attended:
During my course of work, I have been actively involved in different training and development activities. I am trained in Business analysis and project management. Our work cycle transitioned to agile methodology recently, so I was trained in agile methodology. I also got an opportunity to get trained in different products offered by Nextgen and Mirth like Next pen, HQM, HER portals.
Role and Responsibilities: As a Requirements engineer and a Business Quality Analyst, I was responsible for analysis of performance, safety, clinical, and compliance data and information.
• I was actively involved in aggregations and reporting of data and information to effectively analyze and determine opportunities to improve outcomes and/or processes.
• I assisted Quality team members in the maintenance of an organizational performance measurement system (quality, clinical quality, patient safety, risk management, case management and utilization management) and database, including assisting in the
I am a data science professional with special interests in providing solutions by implementing statistical methodologies and data visualizations to give insights and help organization decision makers make better decisions. I have over five years of work experience as an analytics specialist and the opportunity to work on several data science projects that involves clients in different sectors such as retail, education, insurance, market research and non-profit. My past job responsibilities included: analyzing large volumes of data to draw actionable insights, performing data cleaning, manipulations and analysis to identify pattern and trends
Data collected provides the health care organization, providers, administrators and the patients with valuable information. Tools assist the organization by measuring the performance data that provide the information to improve the patient experience and improve their care. These tools engage the organization in self-evaluation on an ongoing basis. These tools also provide and effective method of containing costs and provides the means to meet the regulatory requirements to improve quality care. Tools allow organizations to provide a
List at least five of the ways you see physicians employing meaningful use in their practices
I have decided to pursue a career in health information technology. My eventual goal is to get a job in a medical billing and coding setting. I am lucky enough to have a couple of family members that currently work in this field, so I am ahead of the curve in knowing what to expect and where are good places to apply.
In any continuous quality improvement effort, measurement is the key element (Sollecito, & Johnson, 2013). “Measurement and statistical analysis are used to assess the impact of an improvement effort” (Sollecito & Johnson, 2013). To Measure the impact of the program, the hospital utilized a departmental quality improvement assessment with a scoring matrix for self-assessment (McLaughlin, et. al., 2012). The scoring matrix consisted of five category ratings which each department head had to complete. Univer4sal Charting and Resource Utilization were also used for measurement (McLaughlin, et. al., 2012).
Some alcohol and drug abuse records were inadvertently left accessible via the internet. Fifty patients were affected.
Healthcare organizations have a responsibility to its consumers and various stakeholders to ensure only the highest quality care is delivered. Quality measures such as performance measurement and quality improvement processes play a critical role in helping organizations achieve quality outcomes. This paper will contrast performance measurement and quality improvement processes. In addition, this paper will discuss a healthcare organization, Gulf Coast Medical Center, its mission and QI goals, and the role of the consumer and stakeholders in the QI process.
Requirement Analysis: collect the business needs, document the requirements, and help team members to prepare Functional and enhancement Specification Document and Technical detail design document.
Accountable, diverse results oriented Medical Billing and Coding leader with 15 years of experience specializing in executing measurable and sustainable results supporting growth and innovation agendas. Outstanding qualifications in building and managing relationships with deep expertise in medical coding and reimbursement driving change through public affairs activities
SUMMARY: A professional minded veteran with the ability to maintain a positive attitude and strong work ethic, having served the US Army Medical Command for 4 years as an active service member, by demonstrating proficiency in delivering healthcare, training and managing the workflow by problem solving and utilizing healthcare technologies and systems. A part time graduate student in Information Technology, with college experience in software development, transitioning to expand knowledge & experience towards building a solid IT career.
Data is one of the most valuable assets in any healthcare organization. The adoption and use of EHR systems makes it possible to collect, store, and analyze more data than ever before. Through the use of analytical tools this data is being turned into meaningful and qualitative information with which to support the clinical, operational, and financial decisions of the healthcare facility. The process of organizing and managing data so as to drive quality improvement efforts and business development within the healthcare industry is known as healthcare informatics. The article, Making Data Smart: Practical informatics is helping transform data into health intelligence, and now moving into day-to-day HIM work, by Mark Crawford, details how the HIM professional can utilize the emerging EHR applications and technologies to support health informatics and streamline workflows, improve quality care, and reduce expenditures.
Clinical practices are increasingly focused on QI strategies to improve population-based health outcomes and health-care systems” (Hoyle & Johnson, 2015, p. 15). Performance metrics that focus on patient outcomes, safety, and cost are identified and routinely monitored. Continuous quality improvement is embedded into the clinic and each provider team uses the PDSA framework. Refer to Appendix A. Work plan goals are developed , reviewed with staff, evaluated on a systematic basis, and are recorded in the performance narratives. Work teams are developed to address goals not met and changes are made as
Development of test cases and will be required to work with QA during testing • Proactive approach to removing barriers, ability to be self-directed • Maintain confidentiality and assume responsibility.
My future plans and goals with Health information technology is beyond the means as a coder. My plans are to further my education to Health Information Management and rolling as a current student at Louisiana Tech University. As I obtain my degree in Health Information Management, I hope to gain employment at a local Shreveport facility or at one of our neighboring states. Taking all my knowledge from school and from my employed facility will encourage me to take on a management position. The Manager of Health Information Management is responsible for ensuring accuracy and efficiency in the medical records and transcription departments. The Manager of HIM reviews processes and identifies areas for improvement taking into account user needs.
First in today’s marketplace, healthcare organizations are highly scrutinized on quality and outcomes of patient care ("Quality Measures," 2015). So this project alone will place a lot of pressure on me as this can make or break the organization future success.