Fatemeh Kalhor
Cusano Milanino,MI
Summary
At Valiasr Hospital, I leveraged my expertise in HIPAA compliance and medical billing to enhance data accuracy and patient care. Skilled in EMR/EHR and healthcare data management, I significantly improved medical records analysis, fostering strong relationships with insurance firms and reducing coding errors, thereby ensuring efficient and confidential handling of sensitive information.
Overview
4
4
years of professional experience
Work History
Medical Records Specialist
Valiasr Hospital
09.2017 - 09.2021
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Maintained patient confidence by keeping patient records information confidential.
- Maintained relationships with medical providers, suppliers, and reporters.
- Reviewed recordkeeping procedures for patients and doctors.
- Reviewed charts and flagged incomplete or inaccurate information.
- Maintained patient records in compliance with security regulations.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Established strong relationships with insurance companies and other external partners involved in processing claims or accessing patient information.
- Implemented a robust document retention policy, ensuring that all legal requirements related to long-term storage were met efficiently while minimizing storage costs for the organization.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
- Addressed discrepancies in medical coding promptly, liaising with relevant parties to rectify errors and maintain accurate billing information.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Printed and photocopied documents to provide patients with copies of medical records.
- Maintained patient records systems by archiving, scaning and indexing important documents and files.
- Researched and resolved medical record discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
Medical Coder
Valiasr Hospital
09.2017 - 09.2021
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Contributed to revenue growth by identifying undercoded services for proper reimbursement.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Followed up with medical staff regarding missing information in patient records.
Education
Bachelor of Science - Health Information Technology
Lorestan University of Medical Sciences
Khormabad 07.2017
Skills
- HIPAA Compliance
- Document Scanning
- Medical office administration
- Medical billing and coding
- EMR / EHR
- Health Information Systems
- Medical Records Analysis
- Diagnostic Coding
- Hospital Inpatient and Outpatient Records
- Microsoft Excel
- Medical Coding
- Medical terminology understanding
- Medical Records Filing
- Healthcare Data Management
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Languages
Italian
Advanced (C1)
English
Bilingual or Proficient (C2)
Timeline
Medical Records Specialist
Valiasr Hospital
09.2017 - 09.2021
Medical Coder
Valiasr Hospital
09.2017 - 09.2021
Bachelor of Science - Health Information Technology
Lorestan University of Medical Sciences
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