Christine Shaw
Ridgewood,NJ
Summary
Collaborative clinical system analyst recognized for producing accurate, timely reports and meeting stringent deadlines. Well-versed in cataloging patient data and records and developing new methods of managing patient information. Familiar with structures and functions of complex database technologies paired with extensive understanding of vocabulary and commonalities of large information systems. Accountable for clinical practice performance, including improvement on CMS, CIN, HEDIS, and STARs gap closure, coding accuracy, and facilitating effective education and reporting. Experience with various clinical applications- Epic Systems and Cerner Registries, Health Endeavors, and other clinical EMRs. Ensure compliance with protocol and all regulatory policies, procedures, and guidelines during clinical workflow strategies by training/guiding and follow-up of corrective actions. Structure and develop comprehensive, provider-specific plans to increase physician practice performance, reduce readmissions, and improve health and business outcomes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Population Health Clinical Systems Analyst
Hackensack Meridian Health System
2014.09 - Current
- Positioned to help drive clinical relationships and engagement with industry stakeholders, physician practices, and members while connecting with office managers, Health Care Economics and Analytics, Medical Directors, Reporting, and Health Plan market leaders to improve health, well-being, quality, practice performance, and reduce medical costs
- Accountable for clinical practice performance, including improvement on CMS, CIN, HEDIS, and STARs gap closure, coding accuracy, and facilitating effective education and reporting
- Experience with various clinical applications- Epic Systems and Cerner Registries, Health Endeavors, and other EMR systems.
- Ensure compliance with protocol and all regulatory policies, procedures, and guidelines during clinical workflow strategies by training/guiding and follow-up of corrective actions
- Structure and develop comprehensive, provider-specific plans to increase physician practice performance, reduce readmissions, and improve health and business outcomes.
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
- Validated results and performed quality assurance to assess accuracy of data.
- Queried databases for information needed for report processing.
- Identified and resolved problems through root cause analysis and research.
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
- Recommended process improvements to continually identify, analyze and fix constraints and challenges.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Travel to respected offices to ensure compliance with all ACO policies and procedures
- Monitor the workflow, and analyze patient medical records to ensure documentation conforms to CMS and commercial payer's guidelines.
- Perform annual GPRO audits for CMS and bi-annual audits for Aetna, Horizon, United Health, and other commercial payers for participating practices.
- Assisted in decision-making processes by presenting accurate, data-driven recommendations to stakeholders.
Certified Medical Asst./Patient Care Technician
Hackensack Meridian Health System
2009.01 - 2014.09
- Monitored vital signs and reported any abnormalities to nursing staff, promoting prompt medical intervention when necessary.
- Maintained a clean and organized work environment, contributing to overall safety and hygiene standards.
- Developed rapport with long-term patients, fostering trust through consistency in quality care provision.
- Contributed valuable input during interdisciplinary meetings discussing individualized care plans, emphasizing the importance of patient-centered care.
- Collaborated with interdisciplinary healthcare team members, enhancing communication and coordination of patient care plans.
- Provided emotional support to patients and their families, fostering a positive healing environment.
- Educated patients about procedures, answered questions, and provided comforting words to control anxiety and enhance procedure results.
- Performed diagnostic tests and reported results to healthcare providers.
- Actively participated in handoff reports between shifts to ensure continuity of care for each patient.
Education
Master of Science - Clinical Informatics and Analytics
University of Arizona
Bachelor of Arts - Graphic Design
Saint Leo University
Diploma - Certified Nursing Assistant (C.N.A.)
HoHokus School of Business and Medical Science
Skills
- Value-Based Care
- Process Improvement
- Problem-solving
- Critical thinking
- Clinical Data Management
- Health Information Exchange
- Data Analysis
- Strategic Planning
- Project Management
- Team Collaboration and Leadership
- Documentation and Reporting
- Predictive Analytics
- Regulatory Compliance
- SQL and Databases
- Risk Mitigation
- Data Integrity Assurance
- Healthcare IT systems
- Clinical Workflow Optimization
- HIPAA Compliance
- Application Support
- Clinical Process Knowledge
- Information Systems Improvements
- Policy Development
- Workflow Improvement
- Information Security
- Metrics Analysis
- Data Migration
- Verbal Communication
- Application support
Certification
- HIPAA Compliance
- Research - Basic/Refresher
- Certified EKG
- CPR
- Phlebotomy
Personal Information
- Specialization: Clinical Informatics and Analytics
- Location: Relocating to Naples Florida before year end.
- Full Time or Contract Remote/ Hybrid positions
References
Reference upon request.
Timeline
Population Health Clinical Systems Analyst
Hackensack Meridian Health System
2014.09 - Current
Certified Medical Asst./Patient Care Technician
Hackensack Meridian Health System
2009.01 - 2014.09
Master of Science - Clinical Informatics and Analytics
University of Arizona
Bachelor of Arts - Graphic Design
Saint Leo University
Diploma - Certified Nursing Assistant (C.N.A.)
HoHokus School of Business and Medical Science
- HIPAA Compliance
- Research - Basic/Refresher
- Certified EKG
- CPR
- Phlebotomy
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