KIMBERLY WATTS
Columbia
Summary
Experienced Health Information Management Specialist with expertise in maintaining, collecting, and analyzing health information data. Adept at efficiently processing and responding to patient health information requests while ensuring compliance with HIPAA/privacy laws. Proven track record of enhancing patient care through timely access to accurate and reliable health data. Proficient in time management, problem-solving, and communication, enabling seamless operations in fast-paced healthcare environments.
Overview
8
8
years of professional experience
Work History
HEDIS Coordinator
TotalMed
01.2024 - 04.2024
- Accurately identify and extract necessary data for input into HEDIS software database.
- Engaged in projects aimed at improving processes.
- Kept updated with abstraction standards for compliance assurance.
- Analyzed medical records for health plan quality evaluation.
- Analyzed patient records for quality and precision in medical data.
- Ensured HEDIS data accuracy through thorough investigation and auditing.
Forms Completion Specialist/Quality Control Specialist
Sharecare, Inc.
08.2021 - 09.2023
- Handled paperwork for FMLA and Short Term Disability claims.
- Facilitated clear dialogues on disability/FMLA forms between patients and physician coordinators.
- Performed thorough evaluations of PHI for safeguarding patient information.
- Managed EMR accounts for efficient response to inquiries.
- Monitored and refined the process to achieve error-free submissions supporting global team results.
Health Information Management Specialist
Hopkins Family Practice
05.2017 - 10.2020
- Supported efforts to optimize electronic health record systems and streamline processes.
- Supervised handling of patient medical records while ensuring compliance with ethical and legal standards.
- Exhibited skillfulness in managing challenging deadlines.
- Strengthened collaboration among staff to elevate the standard of medical record accuracy.
- Reviewed intricate medical records to detect errors and ensure comprehensive documentation.
- Managed storage, retrieval, and organization of patient data using electronic medical record systems.
Client Service Representative/Release of Information Clerk
CIOX
05.2016 - 05.2017
- Utilized knowledge of medical terms and chart details for retrieving requested records.
- Addressed incoming medical records requests via mail, assisted walk-ins, handled telephone inquiries, and promptly obtained facsimiles to improve client and patient contentment
- Reviewed requests for information release ensuring adherence to protocols.
- Ensured accuracy, completeness, and privacy of medical records.
- Managed medical record retrieval using various computer applications.
- Logged and maintained medical records with precision.
- Generated comprehensive charts supporting requested HEDIS metrics.
- Validated medical documentation for thoroughness.
Customer Service Advocate/Pre-Certification Spec
Blue Cross Blue Shield
11.2015 - 05.2016
- Handled and transferred incoming calls to the correct departments courteously and quickly.
- Navigated challenging customer interactions with expertise and poise.
- Evaluated customer issues through active listening to provide accurate information.
- Managed multiple administrative responsibilities like filing, copying and faxing documents.
- Clarified details of individual insurance benefits to patients.
- Secured pre-authorizations for insurance to facilitate prompt patient procedures.
Education
Certificate - Medical Records And Health Information Technician
Southeastern Institute
07.2014
High School Diploma -
Lugoff-Elgin High School
05.2009
Skills
- Medical terminology
- Organizational abilities
- Time-management abilities
- Conflict resolution techniques
- Independent work
- Teamwork
- Leadership qualities
- Software skills
- Microsoft office
- Adaptability
- Protected health information
- Data Entry/Data extraction
- Quality improvement
- EHR/EMR systems
- Detail-oriented
- Multitasking
- High-pressure environments
- Interpersonal skills
- Communication skills
- Medical Records
- HIPAA
- ROI
- Health information management
- Epic
- Meditech
- Athenahealth
- Onbase
- eClinicalWorks
Timeline
HEDIS Coordinator
TotalMed
01.2024 - 04.2024
Forms Completion Specialist/Quality Control Specialist
Sharecare, Inc.
08.2021 - 09.2023
Health Information Management Specialist
Hopkins Family Practice
05.2017 - 10.2020
Client Service Representative/Release of Information Clerk
CIOX
05.2016 - 05.2017
Customer Service Advocate/Pre-Certification Spec
Blue Cross Blue Shield
11.2015 - 05.2016
Certificate - Medical Records And Health Information Technician
Southeastern Institute
High School Diploma -
Lugoff-Elgin High School