Laura Longo
HEDIS/Medical Records Coordinator
Fort Myers,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
HIM/Electronic Medical Record Specialist
Lee Health Systems
07.2022 - 08.2023
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified and maintained accuracy of patient information in medical records and health information.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Scanned and uploaded medical records into electronic medical records system.
- Sorted and distributed incoming and outgoing medical records.
HEDIS Coordinator
Bright Health/Medix Staffing Solutions
10.2021 - 07.2022
- Received HEDIS requests from supervisor. Coordinated outbound (inbound) calls to facilities requesting medical records. Utilized a variety of software to enter information into database.
- Under general guidance from management, measures and medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
- Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations
- Assists in delivering specific metrics and coaches providers on gap closing opportunities.
- Supports quality improvement HEDIS and program studies as needed, requesting records from providers. Maintaining databases
- Reviews medical records to ensure standards are met as defined by NCQA and external auditor.
- Customer service skills with the ability to interact professionally and effectively with plans, corporate, providers, third party payers, physicians, and staff from all departments within and outside the company.
Medical Records Coordinator/ HEDIS Coordinator
Squirrel Hill Health Center
10.2013 - 09.2021
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Performed all aspects of medical front desk
- Input data into computer programs and filing systems.
- Verified accuracy of patient information in medical records.
- Uploaded records to patient's individual charts.
- Followed up with medical staff
- Tracked and monitored requests
- Assisted in training new staff
- Kept accurate log of requests for medical information and records.
- Responsible for compiling, processing, and managing the information generated in the facilities
- Reports directly to the Director of Nursing and Office Manager
Education
High School Diploma -
Bishop Boyle High School
Homestead, PANo Degree - Business Courses
CCAC
South Hills, PASkills
- HIPAA Compliance
- EMR Systems
- Excellent Customer Service
- Medical Release of Information ROI
- Answer and direct inbound/outbound
- Performs other duties as assigned
- Participate in Quality Assurance Performance Improvement as required
- Insurance verification
- Accounts Receivable
- Subpoena Processing
- Electronic Medical Record
- Physician Interaction
- Patient Information Verification
- Patient Admission Documents Processing
- Patient Rights
- Hospital Inpatient and Outpatient Records
- Doctor Communication
- Protected Health Information
- Medical Information Computerization
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The best way out is always through.
Robert Frost
Timeline
HIM/Electronic Medical Record Specialist
Lee Health Systems
07.2022 - 08.2023
HEDIS Coordinator
Bright Health/Medix Staffing Solutions
10.2021 - 07.2022
Medical Records Coordinator/ HEDIS Coordinator
Squirrel Hill Health Center
10.2013 - 09.2021
High School Diploma -
Bishop Boyle High School
No Degree - Business Courses
CCAC
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