KANEISHA PERRY
Summary
Motivated and dedicated professional with years of experience in administrative support, healthcare, and organizational tasks. Growing track record of success in customer service and client relations. Demonstrates expert insight and proficiency in following policies and procedures. Skilled and collaborative team leader with experience in coordinating, planning, analyzing, and supporting daily operations. Experienced with quality documentation processes and standards critical to maintaining compliance and operational efficiency. Utilizes document control systems and technical writing to support organizational goals. Knowledge of regulatory requirements and quality management principles ensures consistent and accurate documentation.
Overview
18
18
years of professional experience
3
3
Certification
Work History
Remote Quality Documentation Specialist
Microsoft Corporation
08.2023 - 11.2024
- Increased clinical documentation rate by 98% through direct entry of clinical data into EPIC and SHRs, adhering to specific customer guidelines
- Enhanced customer satisfaction by communicating with healthcare providers to resolve queries related to patient data in EMR systems
- Supported healthcare providers by documenting medical encounters into artificial intelligence technology, Dragon Ambient eXperience (Nuance DAX)
- Provided 100% clinical documentation coverage for specialties including Family Medicine, Gastroenterology, Otolaryngology, Orthopedics, and Neurology
- Collected and documented information about patients' diagnoses into a computer database
Remote Quality Documentation Specialist
Nuance Communications
06.2022 - 08.2023
- Assessed all patient medical documents to ensure accuracy and tracked information regarding diseases
- Educated medical coders and billers on standard procedures for composing medical documents
- Recommended strategies for improving record-keeping processes
- Identified areas of risk related to incomplete or inaccurate documentation practices
- Maximized accuracy and completeness of medical records through in-depth audits regarding patient information reviews
- Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines
Remote Care Management Associate
Lucent Health Solutions
02.2019 - 07.2022
- Conducted patient's health assessments needs, developed care plans, and monitored progression goals
- Compiled data from various sources for use in research studies examining quality of life outcomes among elderly populations
- Managed multiple channels of communication from the care management team and patients (including telephonic, mobile, and email)
- Aided members with prescription coverage and medication issues
- Verified patient's benefits and eligibility
- Manage patient's confidential medical information
- Handled inbound/making outbound routine and urgent patient calls
- Initiate patient's intake process for medication verification and complete applications for assistance from pharmaceutical company
- Received, coordinated, dispensed, and shipped from external special pharmacies for medication refills
- Contacted providers to obtain their signatures and complete applications
- Fax patient's completed applications to pharmaceutical company/patient assistance programs
- Inputted patient's data into the Narus Health software platform for applications - MD Cares, and Prescription Benefit Managers - Rx Clearinghouse & Drexi portal
- Worked with employers and insurers to provide various sources of information
- Execute and maintain multiple Excel reports for medication fills, financial assistance, and other metrics deemed necessary for tracking information for operations and the client
Remote Medicare Representative
Florida Blue - Blue Cross Blue Shield of Alabama
09.2014 - 02.2019
- Answered incoming phone calls from customers and identified the assistance a customer needs (I.e
- Benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
- Inquired about appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
- Intervened with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
- Assisted customers in navigating Florida Blue websites, encouraged, and reassured them to become self-sufficient
- Took ownership of customer problems, providing resolutions in real time or through thorough and timely member communication
- Researched complex issues across multiple databases
- Work with support resources to resolve customer issues and/or escalated issues
- Provided education and status on previously submitted pre-authorizations or pre-determination
- Worked in a queue – based environment- providing real time support to our Elite Advocate4Me members
- Assisted with behavioral health questions and escalations regarding benefits, referrals, claims, appeals, complaints / grievances, and administrative authorizations
- Achieved timely resolution to urgent and non – urgent issues
Certified Nursing Assistant
Greenbriar at The Altamont
05.2007 - 09.2014
- Managed and maintained patient's rooms, shared-living areas, and nursing stations
- Reminded patients to take prescribed medications or nutritional supplements
- Examined and treated patient lacerations, contusions, and physical symptoms and referred patients to other medical professionals
- Distributed drinking water and nourishment to residents
- Assisted patients with daily living activities, including bathing, dressing, and grooming
- Safeguarded patient's privacy with strict adherence to HIPAA protocols
- Facilitated activities of daily living, personal hygiene management, feeding and ambulation
- Assisted residents in preparing for activities and social programs
- Helped residents walk with or without self-assisted devices
- Maintained medical supply room and patient's rooms stocked with necessary supplies, equipment and instruments
- Provided physical support to assist patients with bathing, dressing and toileting
- Exhibited compassionate care and communication regarding issues surrounding death and dying
- Provided comfort measures such as back rubs and positioning pillows to patients for additional comfort
Education
High School Diploma -
Huffman High School
Birmingham, AL01.2005
Skills
- Clinical Documentation Oversight
- Case Management Documentation
- Review Medical Records Management
- Microsoft Office Suite
- EPIC Medical System
- Cernet Power Chart
- Allscripts Program
- HIPAA Compliance
- Healthcare Administration
- Inbound Calls
- Insurance Policies
- Medical Technology
- Managed Care
- Claims Processing
- Outbound Calls
- Intermediate ICD /CPT Codes
- Customer Relationship Management (CRM)
- Coordination of Benefits (COB)
- Medicare Part (A, B, C & D)
Accomplishments
Health Insurance Portability and Accountability Act (HIPPA) | Microsoft Corporation | HIPPA | 2023
EMR Systems – EPIC®, Cerner PowerChart® Allscripts Paragon® |Microsoft Corporation|EPIC and PowerChart | 2023
Proficient in Microsoft Office applications including MS Project | Microsoft Corporation | Microsoft Office | 2023
Certification
- Certified Nursing Assistant, Greenbriar at Altamont, 2021
- Certified Phlebotomist, Phlebotomy Ink, 2013
- Certified Patient Care Technician, Phlebotomy Ink, 2013
Timeline
Remote Quality Documentation Specialist
Microsoft Corporation
08.2023 - 11.2024
Remote Quality Documentation Specialist
Nuance Communications
06.2022 - 08.2023
Remote Care Management Associate
Lucent Health Solutions
02.2019 - 07.2022
Remote Medicare Representative
Florida Blue - Blue Cross Blue Shield of Alabama
09.2014 - 02.2019
Certified Nursing Assistant
Greenbriar at The Altamont
05.2007 - 09.2014
High School Diploma -
Huffman High School
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