Lavorra Reid
Summary
Enthusiastic Health Service Facilitator eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of claims data and decision making and training in HEDIS Medical Records review. Motivated to learn, grow and excel in Healthcare Information.
Overview
16
16
years of professional experience
Work History
Post- Acute Care/Documentation Specialist
Grady Health System
03.2018 - Current
- Enhanced clinical documentation through robust concurrent interactions with physicians, nursing staff, and other patient caregivers; ensured that the clinical severity accurately reflected the level of service provided to all DRG-based payor patients
- Conducted training sessions for the patient care team, including physicians, allied health practitioners, and case management staff, on documentation guidelines
- Reviewed inpatient medical records and procured the necessary physician documentation to accurately represent the severity of the illness
- Improved the overall quality and completeness of the medical record documentation by managing the expected risk of mortality and complexity of patient care
- Communicated consistently with physicians regarding documentation requirements to support the length of stay, severity, and DRG assignment
- Coordinated and expedited patient transition to home care through our network of home health, durable medical equipment, and home infusion providers
- Verified the status of Medicaid for each Post-Acute Care patient
- Managed the entry of invoices into the AP system and provided daily operational support for the contracts database while liaising with multiple departments in the health system
- Organized regular meetings with partners to discuss patient care coordination and shared information about bed availability with the Manager of Clinical Transitions and Case Managers for timely patient placement.
Quality Improvement Specialist: Pain Clinic
MD Pain Care
08.2015 - 03.2018
- Monitored service quality and utilization through DRG review, HEDIS quality measures, and satisfaction surveys from payers, providers, and patients
- Reviewed the medical necessity and appropriateness of proposed services and procedures
- Ensured the quality of care through rigorous reviews of medical records and other documentation
- Audited the accuracy of diagnosis codes and physician charting for procedure approvals
- Maintained open communication lines with physicians, coding, billing, auditing, and various healthcare staff to ensure the accurate representation of clinical severity in the medical records
- Managed complaint resolution by identifying and implementing necessary corrective actions
- Conducted prospective, concurrent reviews to minimize the incidence of unnecessary or inappropriate service provision.
Medical Assistant Supervisor: Lilburn Pediatrics
Gwinnett Pediatric Partners
08.2013 - 07.2015
- Served as interim Back Office Supervisor
- Trained new employees, assisted with interviews, hires and fired employees
- Maintained all employees time
- Triaged all patients
- Performed immunizations and antibiotic injections, inserted Catheters, completed Labs (CBC, Lead, PKUs, and Urinalysis), forwarded labs to Quest and LabCorp
- Maintained all vaccination logs and counts
- Completed X-ray and Ultrasound requisitions.
Rheumatology Clinical Trials- Medical Assistant
Physicians East
12.2007 - 08.2010
- Maintained clinical records/documentation and review
- Coordinate clinical research study by identifying patients, tracking inventory, interacting with patients, collecting data, and overseeing protocols
- Collects and organizes clinical data obtained from the electronic medical record for a secondary data analysis of patients with rheumatoid arthritis
- Assists with literature review, data analysis, and creation of tables and figures of results
- Give injections, take vital signs and prepare patients for tests, procedures and x-rays.
Education
Master of Science in Medical Informatics -
Morehouse School of Medicine
Atlanta, GA12.2024
Bachelor of Science Degree in Healthcare Management (BS) -
University of Mount Olive
Washington, NC05.2012
Skills
- Document Control
- File Systems Coordination
- Ensure HEDIS data accuracy
- Electronic Document Preparation
- Auditing/Investigation of Data
- Records Management
- Analysis of HEDIS measures
- Policy Implementation
- Workflow Coordination
Timeline
Post- Acute Care/Documentation Specialist
Grady Health System
03.2018 - Current
Quality Improvement Specialist: Pain Clinic
MD Pain Care
08.2015 - 03.2018
Medical Assistant Supervisor: Lilburn Pediatrics
Gwinnett Pediatric Partners
08.2013 - 07.2015
Rheumatology Clinical Trials- Medical Assistant
Physicians East
12.2007 - 08.2010
Master of Science in Medical Informatics -
Morehouse School of Medicine
Bachelor of Science Degree in Healthcare Management (BS) -
University of Mount Olive
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