Professional Summary
Overview
Work History
Education
Skills
Work Ethic
Timeline

Carmel Shuford

Aspirus At Home
Huntersville,NC
13
years of professional experience

Proactive Billing Integrity Specialist recognized for outstanding problem-solving abilities and training development. Adept at streamlining processes and ensuring compliance, contributing to enhanced patient satisfaction and operational excellence.

Work History

Billing Integrity Specialist

11 Years 8 Months
Aspirus At Home | 12.2014 - Current
  • Streamlined documentation processes, increasing accuracy and reducing turnaround times for patient information management.
  • Developed training materials for staff to improve knowledge of home health protocols and best practices.
  • Facilitated patient care coordination to enhance service delivery across multidisciplinary teams.
  • Collaborated with healthcare providers to optimize resource allocation and enhance patient experience metrics.
  • Followed all company policies and procedures to deliver quality work.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
  • Collaborated with cross-functional teams to achieve project goals on time and within budget.
  • Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
  • Facilitated workshops for professional development of junior staff members.
  • Led quality assurance efforts, maintaining high standards for all products and services.
  • Developed training materials to enhance staff proficiency and productivity.
  • Collected, arranged, and input information into database system.
  • Generated reports detailing findings and recommendations.
  • Maintained database systems to track and analyze operational data.
  • Developed effective improvement plans in alignment with goals and specifications.
  • Created and managed project plans, timelines and budgets.

Medical Records Analyst

1 Year 7 Months
Portage Home Health and Hospice | 04.2013 - 11.2014
  • Ensured compliance with HIPAA regulations through meticulous record-keeping practices.
  • Ensured compliance with HIPAA regulations through meticulous recordkeeping practices.
  • Collaborated with healthcare teams to streamline documentation processes and improve workflow efficiency.
  • Developed training materials for staff on electronic health record (EHR) systems usage and best practices.
  • Conducted audits of medical records to maintain data integrity and identify discrepancies.
  • Assisted in the development of internal policies related to record management, contributing to an environment of continuous improvement within the department.
  • Improved patient care by accurately analyzing and organizing medical records for easy access and retrieval.
  • Increased efficiency in the medical records department by developing a well-organized filing system that allowed for quick access to vital information.
  • Assisted in maintaining compliance with HIPAA regulations by diligently protecting patient privacy while handling sensitive information.
  • Conducted regular audits of medical records to identify inconsistencies or inaccuracies, working closely with staff to correct any discrepancies promptly.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Followed up with medical staff regarding missing information in patient records.
  • Researched and resolved medical record discrepancies.
  • Developed and implemented a new filing system for medical records to improve efficiency.

Education

No Degree - Accounting

Dallas County Community College | Dallas, TX

4.0 GPA

High School Diploma

American School of Chicago | Chicago, IL
  • Relevant Coursework: Business & Administration

Skills

Critical thinking
Compliance monitoring
Team collaboration
Electronic health records
Analytical thinking
Data analysis
Management collaboration
Reliability
Data integrity
Problem-solving aptitude

Work Ethic

Quality is not an act, it is a habit.

- Aristotle

Timeline

Billing Integrity Specialist

Aspirus At Home
12.2014 - CurrentRead More

Medical Records Analyst

Portage Home Health and Hospice
04.2013 - 11.2014Read More

Dallas County Community College

No Degree from Accounting
Read More

American School of Chicago

High School Diploma
Read More
Carmel Shuford