Summary
Overview
Work History
Education
Skills
Certification
Languages
References
Activities
Personal Information
Accomplishments
Affiliations
References
Timeline
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Reco Farmer

Knightdale,United States of America

Summary

Experienced Health Information and Education Manager, as well as EMR Administrator, renowned for enhancing regulatory compliance and patient care coordination at Senior Community Care of NC. Proficient in HIPAA compliance and adept in patient documentation management, showcasing a strong ability to adapt and work independently. Notable achievements include the implementation of innovative processes that significantly improved overall operational efficiency and team training outcomes. Committed to further advancing healthcare delivery through strategic leadership and effective information management.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Health Information/ Education Manager /EMR administrator

Senior Community Care of NC
Durham, NC
02.2014 - Current
  • Facilitate daily interdisciplinary meetings, focusing on effective group conversations and positive outcomes
  • Scribe for interdisciplinary team meetings using active listening skills to capture an accurate synopsis for the discussions held
  • Assist the interdisciplinary team with evaluating the needs of the participants
  • Develop and implement new processes to meet regulatory policies and guidelines for CMS
  • Initiate and maintain documents related to enrolled participants eligibility for PACE services
  • Assure that all documents related to a participant emergency care plan is updated and accurate in Electronic Medical Record and internal documents to ensure that the front-line staff can effectively and efficiently respond to emergent participant needs
  • Scan, organize and file documents into the Electronic Medical Records
  • Provide direct supervision to Medical Records Assistant
  • Coordinate training for all new users of Electronic Medical Records
  • Administer and facilitate 1st level support for users of Electronic Medical Record
  • Providing ongoing education and training for end users
  • Create appropriate materials/ flow charts to aide in retaining information
  • Work closely with interdisciplinary team to meet regulatory compliance related to the development of individualized care plans
  • Conduct clinical reviews and audits to assure policies and procedures are being followed
  • Request, maintain and distribute medical records according to HIPAA regulations
  • Identify and manage issues pertaining to medical records
  • Perform new enrollment duties ensuring that all internal documents are provided for approval by the state
  • Assist with state and federal audits, providing one on one guidance through various start to finish analysis of participant records
  • Review authorizations and orders, serve as back up to review approvals for processing payments
  • Upload and analyze claims for resource utilization; and provide recommendations for improved utilization
  • Review appeals and provide supporting data to support approval or denial of claims
  • Work closely with quality assurance manager to develop and implement new tools to aide in compliance of internal processes
  • Coordinate and serve as a liaison on status calls between SCCNC and contracted provider for Third Party Administrators and Electronic Medical Records

Customer Resolution Manager

Fidelity Investments
Durham, NC
09.2012 - 02.2014
  • Applied verbal de-escalation techniques to address escalated customer concerns
  • Evaluated customer's existing and potential needs and maintain contact throughout escalated concerns
  • Identified resource discrepancies and input updates as needed
  • Identified patterns that can impact call volumes
  • Provided coaching, feedback and guidance to colleagues

Total Benefits Outsourcing Specialist

Fidelity Investments
Durham, NC
08.2009 - 08.2012
  • Established a rapport with customers in order to provide excellent customer service while efficiently responding to customers' needs and processing transactions
  • Increased customer understanding of account details and Fidelity Investment products and services such as 401k, Pension, Health & Life Insurance
  • Identified when calls should be escalated to ensure resolution

Education

Wake Tech Community College
Raleigh, NC
05.2021

Nursing Program Prerequisites

Winston Salem State University
Winston Salem, NC
05.2009

Skills

  • Expertise in Advanced Office Applications
  • Proficient in MS Word
  • Proficient in MS Excel
  • MS Outlook
  • MS Power Point
  • Digital Information Gathering
  • Chrome
  • Adaptability to change
  • Patient Documentation Management
  • Health Records Oversight
  • HIPAA compliance
  • Patient confidentiality
  • Records organization
  • Medical office administration
  • Workforce Education Initiatives
  • Strong Independent Worker
  • Healthcare Terminology
  • Data Archiving
  • Case management
  • Customer Relationship Management

Certification

  • Medication Technician
  • CPR
  • CNA

Languages

Spanish, Conversational

References

  • Samantha Chrisp, Administrative Assistant, 919-637-8719, Samantha-1117@hotmail.com
  • Gayle Bertolotti, Retired Quality Assurance Manager, 704-618-1592, gbertolotti@voa.org
  • Brittney Newton, Policy Analyst, 404-641-5462, Brittney.newton09@gmail.com

Activities

  • NC PACE Education Committee, 2018, current
  • Diversity, Equity and Inclusion committee, local and national

Personal Information

Citizenship: United States of America

Accomplishments

  • Diversity Equity and Inclusion Award of the year

Affiliations

  • DIY projects
  • puzzles
  • diamond painting

References

References available upon request.

Timeline

Health Information/ Education Manager /EMR administrator

Senior Community Care of NC
02.2014 - Current

Customer Resolution Manager

Fidelity Investments
09.2012 - 02.2014

Total Benefits Outsourcing Specialist

Fidelity Investments
08.2009 - 08.2012

Wake Tech Community College

Nursing Program Prerequisites

Winston Salem State University
Reco Farmer