Carla Bennett

• Increased accuracy of medical records by reviewing and abstracting patient charts for relevant data.
• Extracted, structured and analyzed data from medical charts to build database.
• Facilitated audits by maintaining organized and up-to-date files on all chart abstractions performed.
• Evaluated and reported on the effectiveness of chart abstraction efforts, using data-driven insights to inform ongoing process improvement initiatives.
• Resolved member's complaints with empathy, resulting in increased loyalty and repeat business.
• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts with members' measures
• Assisted members in scheduling doctor's appointments, navigating the company's wellcare cite
• Following up with members for well check-up appointments
• Collaborated with team members to develop consistent HEDIS data collection and analysis methodologies.
• Promoted a culture of quality improvement within healthcare settings by emphasizing the importance of accurate HEDIS measure adherence during member phone calls

• Processed medical records requests from outside providers according to facility, state, and federal law.
• Maintained patient confidence by keeping patient records information confidential.
• Maintained relationships with medical providers, suppliers, and reporters.
• Reviewed charts and flagged incomplete or inaccurate information.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Uploaded physician progress notes, history, and physicals into electronic medical records.
• Maintained patient records in compliance with security regulations.
• Assisted healthcare providers with timely access to patient information, facilitating optimal treatment decisions.
• Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
• Followed up with patients about medical and healthcare processes.
• Maintained compliance with HIPAA regulations through thorough staff training and continuous monitoring of security protocols surrounding patient data management.

• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Executed billing tasks and recorded information in company databases.
• Followed up with appropriate parties to obtain prompt payments.
• Assisted in the development of customized billing solutions, catering to unique client requirements.
• Developed strong relationships with clients, fostering trust and effective communication regarding billing matters.
• Determined proper codes for medical records and patient services.
• Collaborated with other departments for accurate invoicing and prompt resolution of discrepancies.
• Minimized lost revenue by proactively identifying inaccuracies within invoicing records and taking necessary corrective actions.
• Ensured compliance with relevant regulations and industry standards throughout all aspects of the billing process.

· Utilized Amisyis, que pend, change healthcare, and data van t to manage and confirm patient data, such as insurance, demographic, and medical history information.

· Reviewed, analyzed, and managed medical records for coding diagnostic and treatment procedures for the HEDIS project.

· Maintained accuracy, completeness, and security for medical records and health information.

· Input data into computer programs and filing systems

· Sorted, scanned, and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.

· Followed up on medical records request in a timely manner

· Used critical thinking to break down problems, evaluate solutions and make decisions.

· Completed EHR audit quality maintenance procedures, processed chart requests, facilitated chart purges, and organized medical record copy requests.

· Reviewed medical records and data after locating, retrieving, and sending it to appropriate places

· Organized over medical records through diverse systems of classification, storage retrieval and indexing

• Developed strong relationships with provider offices, facilitating efficient communication and access to medical records during field visits.
• Assisted in training new hires on HEDIS measures and review processes, ensuring a smooth onboarding experience for team members.
• Stayed informed on changes to HEDIS measures and guidelines, integrating updates into the field review methodology as needed.
• Collaborated with team members to develop consistent methodologies for HEDIS data collection and analysis.
• Identified areas of non-compliance in HEDIS measures, recommending corrective actions for improvement.
• Participated in team meetings and ongoing training sessions for professional development purposes, staying current with industry best practices regarding HEDIS measurement standards.
• Demonstrated strong attention to detail and analytical skills when identifying trends or patterns in HEDIS measurement data, enabling informed decision-making by organizational leaders.

• Ensured compliance with HIPAA regulations through diligent management of confidential patient data.
• Optimized storage solutions for physical medical records while ensuring easy retrieval when needed.
• Assisted healthcare providers with timely access to accurate medical records, contributing to better patient outcomes.
• Assisted patients in understanding their rights regarding personal health information privacy under HIPAA regulations.
• Contributed to revenue cycle management by accurately coding services rendered for billing purposes.
• Enhanced patient care by accurately organizing and maintaining medical records and health information.
• Assisted in the implementation of health plan-specific quality improvement projects aimed at advancing HEDIS scores.
• Conducted comprehensive audits on medical records to ensure compliance with NCQA standards and guidelines.
• Fostered strong relationships with providers, facilitating communication regarding patients'' needs and contributing to improved continuity of care.
• Improved the accuracy of HEDIS measures by meticulously reviewing medical records and identifying gaps in care.

• Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
• Maintained relationships with medical providers, suppliers, and reporters.
• Participated in committees to discuss electronic health records and methods to improve overall workflows.
• Recruited and hired top-performing individuals bringing undeniable experience and wealth of skills to organization.
• Implemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.
• Collaborated with interdisciplinary teams to establish best practices for maintaining accurate and timely medical records across the organization.
• Enhanced patient privacy by implementing strict confidentiality policies and procedures in managing health information.
• Followed up with patients about medical and healthcare processes.
• Reduced errors in coding and billing processes by providing ongoing education opportunities for coding specialists, enhancing revenue cycle management outcomes.
• Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.

• Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
• Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
• Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
• Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
• Researched and resolved billing discrepancies to enable accurate billing.
• Reduced errors in financial records by conducting regular audits of billed accounts.
• Reduced errors in coding diagnoses and procedures by meticulously reviewing medical records for accuracy.
• Implemented quality control measures within the department, resulting in improved accuracy rates in medical record keeping.
• Enhanced patient care by accurately organizing and maintaining medical records and health information.
• Managed the release of information process, safeguarding sensitive patient data while adhering to legal requirements.
• Optimized storage solutions for physical medical records while ensuring easy retrieval when needed.

• Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
• Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
• Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
• Assisted with the transition to an electronic health record system, ensuring a seamless migration of patient data while maintaining strict confidentiality standards.
• Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
• Processed medical records requests from outside providers according to facility, state, and federal law.
• Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
• Scanned medical records in digital format for easy retrieval and accessibility.
• Reviewed charts and flagged incomplete or inaccurate information.
• Maintained patient records systems by archiving, scaning and indexing important documents and files.
• Uploaded physician progress notes, history, and physicals into electronic medical records.