Touria Delmany

• Directed the MPI and ROI departments, ensuring data integrity and timely fulfillment of medical record requests.
• Managed daily HIM operations, developing workflows that improved TAT for ROI requests while maintaining HIPAA compliance.
• Implemented a data validation and reconciliation process to strengthen MPI accuracy, reducing duplicate records, and patient safety risks.
• Collaborated with IT and clinical leadership to optimize HIM analytics dashboards for operational efficiency and performance monitoring.

. Expert in clinical quality improvement and clinical documentation improvement.

. Led QIQA and CQC meetings to enforce quality improvement.

and facilitated the QIQA monthly meetings.
. Coordinated training sessions for new employees on HIPAA privacy, introducing quality initiatives, and policies and procedures.
. Acted as an EMR super user, improving clinical documentation, optimizing clinical forms, and provider schedule templates, and performing audit trails to ensure data privacy.
. Collaborated with clinicians to address and close care gaps by presenting raw data and scorecards.
. Monitored and assessed initiatives, tracked progress, and suggested strategic plans and adjustments to reach quality metrics goals.
. Led the Value-Based Care Initiatives and managed contracts with MCEs.
. Partnered with healthcare payors to confirm data accuracy and exchange between internal documentation and external systems.
. HRSA and NCQA guidelines expert: Managed UDS and PCMH data reporting, and audits.
. Possess strong knowledge of HEDIS quality metrics by collecting, abstracting, and analyzing clinical data for reporting.
. Audited providers on continuity of care.
. Monitored data mapping, including population health data, to ensure data accuracy and validation.
. Performed patient outreach initiatives and coordinated community health campaigns in collaboration with managed health care entities to close care gaps.
. Managed medical records departments and maintained compliance with ROI releases.
. Educated providers on clinical quality improvement by creating pocket guides to lead their patient visits, and ensure compliance with regulatory and payor guidelines.

• Supported medical research manual examination, employing Carbonate to analyze data and derive conclusions based on survey metrics.

• Applied ICD-9 and CPT codes on patients' charts for reimbursement purposes.

• Performed data entry to maintain accurate records.
• Analyzed visit summaries, identifying providers lacking signatures.
• Ensured compliance by tracking missing signatures for timely follow-up.