* Lead a team of Vascular Surgery Quality Improvement professionals and help client hospitals to be compliant with VQI (Vascular Quality Improvement) project guidelines* Help hospitals meet regulatory quality standards by leading various clinical quality initiatives* Expertized in medical record review and multiple EMR systems* Oversee teams abstraction to VQI registry by using various Q-Centrix tools* Help hospitals improve their clinical quality by identifying trends in… Show more * Lead a team of Vascular Surgery Quality Improvement professionals and help client hospitals to be compliant with VQI (Vascular Quality Improvement) project guidelines* Help hospitals meet regulatory quality standards by leading various clinical quality initiatives* Expertized in medical record review and multiple EMR systems* Oversee teams abstraction to VQI registry by using various Q-Centrix tools* Help hospitals improve their clinical quality by identifying trends in non-compliance and utilizing various data reports* Data analysis of various reports, identifying scope of improvement and implement projects to improve clinical quality* Populate various clinical outcome reports and studies by utilizing clinical and data experience Show less

•Extensively audits medical records for compliance with various nationwide quality initiatives such as American College of Surgeons Metabolic & Bariatric Quality Improvement Program(ACS-MBSAQIP), American Association of Endocrine Surgeons Collaborative Endocrine Surgery Quality Improvement Program (AAES-CESQIP) and SVS Patient Safety Organizations Vascular Quality Initiative (SVS PSO- VQI)•Conducts outcome study/ research for efficacy of various bariatric surgical techniques in reducing… Show more •Extensively audits medical records for compliance with various nationwide quality initiatives such as American College of Surgeons Metabolic & Bariatric Quality Improvement Program(ACS-MBSAQIP), American Association of Endocrine Surgeons Collaborative Endocrine Surgery Quality Improvement Program (AAES-CESQIP) and SVS Patient Safety Organizations Vascular Quality Initiative (SVS PSO- VQI)•Conducts outcome study/ research for efficacy of various bariatric surgical techniques in reducing comorbidities postoperatively•Create clinical data reports and analysis of data for quality initiatives•Constant long term follow-up of all bariatric patients post-operatively for identifying any adverse events/ outcomes and reporting it to MBSAQIP and concerned physicians•Participates in QI meetings to highlight any trend in non-compliance and plan corrective actions•Identifies possible inconsistencies in patient care and perform analysis of records to ensure accuracy•Review the hospitals performance of patient care (Core measures) and submit data to the applicable quality agencies in compliance with regulations•Review Surgical Mortality & Morbidity cases for ensuring compliance in care protocols Show less

• Assess and audit medical record charts for ensuring compliance with Emblem Health, regulatory and accreditation requirements through collection of HEDIS & QARR data• Supported Emblem Health’s Quality program of managing member health outcomes and raising quality scores by conducting targeted chart review with the purpose of enhancing quality scores through Medical Record Review abstraction, exchanging data with groups, vendors and internal EH departments to promote appropriate… Show more • Assess and audit medical record charts for ensuring compliance with Emblem Health, regulatory and accreditation requirements through collection of HEDIS & QARR data• Supported Emblem Health’s Quality program of managing member health outcomes and raising quality scores by conducting targeted chart review with the purpose of enhancing quality scores through Medical Record Review abstraction, exchanging data with groups, vendors and internal EH departments to promote appropriate documentation, collect, abstract and record data• Addressed results of medical record audits, CAHPS, HOS and academic detailing with physicians, staff, and pharmacists, vendors/delegates, etc through site visits, webinars, and telephonic outreaches to address compliance with Clinical Practice guidelines, Preventive Health guidelines, Quality improvement activities, HEDIS/QARR to improve the delivery of quality health care to Emblem Health members• Conducted targeted medical record review audits for specified provider groups and vendors/delegates to ensure members are receiving appropriate medical care, identify areas for provider education, academic detailing, and assess for trends in records reviewed• Maintained up-to-date knowledge and understanding of HEDIS/QARR/Star measure technical specifications and provided any clinical support related to assigned measures. Made recommendations on initiatives and outreaches based on knowledge of the specific clinical criteria of the measure• Excellent knowledge of Gaps in Care, Report Cards, Fee for service & Physician Incentive Programs Show less

• Medical record review in various provider offices for HEDIS review• Used various EMRs and paper charts • Upload scanned data to company portal with respect to HIPAA protocols using CAT online tool• Focused evaluation of medical charts for missing/false information and non-compliance• Looked for any discrepancy in patient demographics• Checked if proper screening tests & preventive check-ups are being done & protocols are being followed• Assessed areas of concerns in… Show more • Medical record review in various provider offices for HEDIS review• Used various EMRs and paper charts • Upload scanned data to company portal with respect to HIPAA protocols using CAT online tool• Focused evaluation of medical charts for missing/false information and non-compliance• Looked for any discrepancy in patient demographics• Checked if proper screening tests & preventive check-ups are being done & protocols are being followed• Assessed areas of concerns in patient charts & reported it Show less

• Initial assessment of patients in emergency room & medical interventions• Carefully reviewed medical records for accuracy & completion• Acquired insurance authorizations for procedures & tests ordered• Clinical documentation improvement• Prepared patient charts, treatment plans, discharge summaries & prescriptions• Experienced and excellent knowledge of disease triage in Emergency dept• Expertise in identifying and treating various life threatening diseases which… Show more • Initial assessment of patients in emergency room & medical interventions• Carefully reviewed medical records for accuracy & completion• Acquired insurance authorizations for procedures & tests ordered• Clinical documentation improvement• Prepared patient charts, treatment plans, discharge summaries & prescriptions• Experienced and excellent knowledge of disease triage in Emergency dept• Expertise in identifying and treating various life threatening diseases which require emergency care• Conducted numerous health education classes to patients with regard to ‘life style modification in prevention of various diseases'• Co-ordinated transformation of hand-written medical charts to EMR• Excellent knowledge of various life style diseases such as Diabetes, Hypertension, Dyslipidemia, Obesity etc Show less