KANETHIA BUTCHER
Houston
Summary
Dedicated healthcare professional with expertise in regulatory compliance and patient coordination. Analyzes health data to uncover gaps and execute strategic improvements. Successfully enhancing operational efficiency and quality of patient care.
Overview
10
10
years of professional experience
Work History
CLINICAL ADMIN COORDINATOR/AUDITOR
UNITED HEALTH GROUP
03.2021 - Current
- Analyze clinical data and patient documentation to assess care quality, identify gaps, and recommend strategic improvements.
- Reviewed electronic and paper-based medical records for compliance with Healthcare Effectiveness Data and Information Set (HEDIS) standards, ensuring quality of care.
- Collaborated with providers, coders, and quality improvement teams to enhance accurate reporting and optimize care delivery processes.
- Contributed to audit readiness and process refinement by offering feedback on documentation practices and quality metrics, strengthening overall compliance.
- Ensure strict adherence to HIPAA regulations and organizational standards in all record-handling procedures.
- Supported project management by maintaining documentation and tracking timelines.
- Developed presentations to communicate project updates to leadership teams effectively.
CLINICAL COORDINATOR
VILLAGE MD
12.2019 - 03.2021
- Coordinated communication among patients, medical providers, and administrative staff to ensure seamless care delivery.
- Managed scheduling, referrals, insurance verification, and medical record updates to improve patient access and continuity of care.
- Handled patient intake and triage support, addressing inquiries with professionalism and empathy.
- Identified inefficiencies in appointment flow and implemented process improvements to streamline operations.
- Supported compliance with regulatory standards and internal protocols, improving clinical documentation accuracy.
CERTIFIED MEDICAL ASSISTANT
TEXAS ENT SPECIALISTS
02.2019 - 12.2019
- Collected and documented detailed patient histories and vitals, supporting timely and informed clinical decision-making.
- Assisted physicians with exams and procedures, administering immunizations and medications to enhance patient care.
- Educated patients on treatment plans, pre- and post-operative care, and preventive health practices to promote informed health decisions.
- Coordinated lab testing and referrals, ensuring accuracy in billing and insurance documentation for streamlined patient services.
- Maintained medical records in compliance with both clinical guidelines and legal requirements.
CERTIFIED MEDICAL ASSISTANT
PULMONARY AND SLEEP ASSOCIATES
08.2016 - 12.2019
- Administered medications and immunizations under physician supervision, ensuring patient safety and comfort.
- Performed clinical duties including taking vital signs, preparing patients for exams, and assisting with in-office procedures.
- Communicated with patients about test results and treatment plans, providing health education to support informed decision-making.
- Collaborated with physicians, nurses, and administrative staff to deliver efficient and compassionate care.
- Managed patient records in electronic health systems (EHR) while ensuring HIPAA compliance.
- Scheduled appointments, processed insurance documentation, and coordinated follow-up care to enhance patient experience.
Education
BACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION
CAPELLA UNIVERSITY
Minneapolis01-2024
CERTIFIED MEDICAL ASSISTANT PROGRAM -
LONE STAR COLLEGE
Houston08-2016
Skills
- Quality Improvement (HEDIS)
- Health Data Analysis & Compliance
- Regulatory Compliance (HIPAA)
- Medical Documentation & EMR Management
- Clinical Project Management
- Patient Engagement
- Data Management
- Microsoft Office Suite (Excel, Word, Outlook)
- Cross-Functional Team Collaboration
- Patient coordination
Timeline
CLINICAL ADMIN COORDINATOR/AUDITOR
UNITED HEALTH GROUP
03.2021 - Current
CLINICAL COORDINATOR
VILLAGE MD
12.2019 - 03.2021
CERTIFIED MEDICAL ASSISTANT
TEXAS ENT SPECIALISTS
02.2019 - 12.2019
CERTIFIED MEDICAL ASSISTANT
PULMONARY AND SLEEP ASSOCIATES
08.2016 - 12.2019
BACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION
CAPELLA UNIVERSITY
CERTIFIED MEDICAL ASSISTANT PROGRAM -
LONE STAR COLLEGE