Touria Delmany
Brownsburg,IN
Summary
Health Information Manager with a strong track record in EMR analysis and project management at Raphael Health Center. Expertise in HIPAA, ICD-10, HEDIS, UDS, and PCMH guidelines, focusing on enhancing patient care and operational efficiency. Bilingual with skills in electronic records software, recruitment, coding, medical chart oversight, and documentation improvement. Resourceful leader known for effective decision-making and composure in tense situations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Health Information Manager, RHIA
Raphael Health Center
Indianapolis, IN
07.2021 - Current
- EMR super user, I oversee clinical forms, establish schedule templates, propose edits to forms for better workflow, and manage user access while addressing technical issues
- Expert in Quality Improvement and a Board member of the Quality Improvement Quality Assurance (QIQA) / Clinical Standards and Quality Committee of the Board (CQC)
- Collaborate with clinicians to address and close gaps in patient care
- Audit providers focus on ensuring continuity of care
- Conduct monthly audits for the 340B program at Walgreens, Capture Rx, and Well Partner
- Perform ongoing reviews and maintenance of the 340B portals, update provider information, and meet with 340B vendors for any changes and updates
- Azara Super User: Monitor data mappings in Azara to ensure data accuracy and validation
- Provide role-based training to new hires on utilizing Azara
- Review quality measures for rate changes and coordinate with providers to establish an improvement plan
- Monitor and assess initiatives, track progress and suggest strategy adjustments to reach quality metrics goals
- Analyze historical and current data trends to make recommendations and forecasts
- Partner with healthcare payers to confirm data accuracy and exchange between internal documentation and external systems
- UDS, PCMH reporting expert: Assist in collecting, abstracting, and analyzing data for UDS and PCMH reporting
- Strong knowledge of HEDIS quality metrics: Collection and abstraction of annual HEDIS data includes researching member/provider data in internal computer systems
- Interact with Medicaid, Commercial and Medicare Market leaders including MHS, Anthem, MDWise, UHC and Humana Programs
- Patient Outreach and Community Health Campaigns coordination in collaboration with MCEs advocates to close care gaps
- Oversees IHIE/HL7 interfaces
- Monitor the referral tracking process
- Manage the health insurance incentive programs, and meet with insurance advocates monthly
- Project lead
- SDOH expert
- Lead the care management module implementation to ensure follow ups on patients social needs are documented in a proficient manner
- HIPAA Privacy Officer, creates and implements HIPAA policies and procedures including medical records Privacy and Security
- Medical coding knowledge, ICD-10, CPT, CPT-CAT-II and HCPCS
- Providers quality improvement education, meeting with providers monthly to highlight the definition and requirements of Clinical Quality Measures for quality care, created a pocket guide for providers’ reference on measures criteria and coding guidelines
- Plan, create, and sustain reports for providers' utilization across various initiatives
- Medical records coordination and Release of Information expert
Medical Research Assistant
Regenstrief Institute
Indianapolis, IN
06.2020 - 04.2021
- Assisting in a medical research manual review
- Using Carbonate to analyze data that has already been registered and reviewing it, subjecting it to appropriate statistical analysis, and drawing a conclusion based on a survey scale
Medical Coding
IUPUI Hospital
Indianapolis, IN
01.2018 - 05.2019
- Applying ICD-10 and CPT codes on patient's chart using 3M encoder
- Applying knowledge of inpatient medical coding and CPT to learn coding methods for reimbursement purposes
Health Information Management Clerk
Kindred Hospital
Indianapolis, IN
01.2017 - 12.2017
- Complete a patient's chart
- Handling and filing of data, which involves filing different patient charts and files in physical form and through computer data entry
- Analyzing/ abstracting patients' charts to check for missing reports or signatures
Store Supervisor
Impression
Indianapolis, IN
11.2012 - 05.2017
- Five years of work history includes experience in sales, data entry, account management, employee schedule, and supervision
- Prepare customer invoices for billing and establish payment arrangements on delinquent accounts
- Efficiently resolve escalated customer conflicts by establishing and meeting realistic goals
Education
Bachelor's degree - Health Information Management
Indiana University
05.2021
Associates of Applied Science - Health Information Technology
Ivy Tech Community College
05.2018
Skills
- Energetic
- Hardworking
- Honest
- Dependable
- Attention to detail
- Critical thinking
- Problem-solving
- Goal-oriented
- ICD-10
- CPT knowledge
- Electronic medical records
- Analyzing
- Abstracting patients' charts
- HIPAA rules and regulations
- HEDIS
- UDS
- PCMH
- Medical Coding
- EMR super user
- EMR analysis
- Business Intelligence
- Analytics
- Project management
Certification
RHIA
Languages
- Arabic, Fluent
- French, Fluent
Assessments
Protecting patient privacy, Proficient, 07/01/22
References
References available upon request.
Timeline
Health Information Manager, RHIA
Raphael Health Center
07.2021 - Current
Medical Research Assistant
Regenstrief Institute
06.2020 - 04.2021
Medical Coding
IUPUI Hospital
01.2018 - 05.2019
Health Information Management Clerk
Kindred Hospital
01.2017 - 12.2017
Store Supervisor
Impression
11.2012 - 05.2017
Bachelor's degree - Health Information Management
Indiana University
Associates of Applied Science - Health Information Technology
Ivy Tech Community College
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