Accomplished Clinical Data Specialist at Q-Centrix, specializing in HEDIS measures and data abstraction, proficient in various EMR systems and Microsoft Office Suite, consistently delivering 97% or higher inter-rater reliability while working collaboratively with healthcare teams to elevate stroke care quality..
Overview
8
8
years of professional experience
Work History
HEDIS Chart Retrieval Specialist
ROBERT HALF-UGH/OPTUM INSIGHT
01.2025 - 03.2025
I abstract medical record information specifically for the BPD and TRC HEDIS measures.
The abstraction tool used was Optum Quality Gap Assist to abstract the measure information into.
I have experience with multiple EMR systems including multiple EPIC platforms.
I am familiar with working with two monitors.
Clinical Data Specialist
Q-CENTRIX
03.2024 - 03.2025
I abstracted data for GWTG Stroke Registry. It is done through the American Heart Association.
The vendor tool used for data collection is IQVIA.
I abstracted very specific medical data from patient records, pertaining only to stroke diagnoses- SAH, TIA's, Ischemic, ICH's, and it is put into IQVIA for statistical data to measure the quality, effectiveness and efficiency of stroke care.
A 97% or higher was required for IRR.
I also abstracted some Core Measures, that have some correlation with stroke care under the Certification category.
Medical records were abstracted concurrently and retrospectively.
I also verified ICD-10 codes and CPT codes to make sure they were in conjunction with strokes related hospital stays.
I have access to multiply EMR systems including multiple EPIC platforms.
I worked with different facilities to collect their stroke care data, including HCA Hybrid Project, Providence, Cooper/Cape Regional and Marin Health.
I am familiar with working with two monitors.
Retrieval Specialist
ROBERT HALF-UGH/OPTUM INSIGHT
03.2024 - 07.2024
I was on the Eastern Retrieval Operations Team, and we pulled medical records for the yearly Risk Adjustment Project for United Health Group with Optum.
I have access to multiple EMR systems and Claims systems to verify patient information and visits.
We pull Hospital Records (Dates of Service for admissions stays) and Physician Records (for Dates of Service for office visits, ED visits, etc.).
When records are collected, we upload the records into a file under our direct supervisor.
We utilize Microsoft Teams, OneNote and Microsoft Outlook every day.
I am familiar with working with two monitors.
HEDIS Abstractor MA- Reviewer
ELEVANCE HEALTH-BC FORWARD
01.2024 - 03.2024
I would review the medical record for specific measures and timeframe.
I would receive a pull list and review the medical record for the specific measures needed.
I pulled medical records from different EMR systems.
I also had access to different online medical retrieval portals such as Cotiviti and Member 360.
I pulled and gathered the required record information needed for a particular measure, uploaded it into OneNote, and saved and send uploaded file to be Abstraction team.
I am familiar with HEDIS measure sets CBP, BPD, EED, HBD, CCS, PPC, CIS, LSC, IMA, WCC, COL, COA and TRC.
I also uploaded and abstracted records from the Immunization Registry.
I also worked with two monitors.
Clinical Chart Abstractor
ICLINICARE- HEALTH DATA MOVERS
01.2024 - 02.2024
I reviewed medical records and abstracted specific information from the medical record.
I worked in multiple different EMR systems such as Epic, Athena, Allscripts, and Cerner.
This project, we abstracted records from ECW into Epic Hyperspace.
I also pull records from different Record Retrieval databases.
I save and upload into a file to go back and abstract the specified information that is needed from the client.
Familiar with Microsoft Outlook, Excel and Teams.
Familiar with working with two monitors.
Scheduling Specialist
PATIENT ACCESS CENTER- ARIZONA
09.2022 - 01.2024
I scheduled for different clinics in the state of Arkansas, Indiana and New Mexico.
Here we use Athena and Genesys.
I register patients in Athena collecting demographic and insurance information.
I create patient cases, take messages and send it to the clinical staff.
I review medical records of patients to see if any updates is needed.
I perform data entry, schedule sick visits and Telehealth visits, schedule hospital follow-up visits (TCM calls), check insurance eligibility.
I transfer calls to the clinics if they are urgent, and 911 calls if an emergency is warranted.
Medical Abstractor
MEDASOURCE/BAPTIST HEALTH- JACKSONVILLE, FL
08.2022 - 11.2022
I abstracted clinical data from medical records.
Medasource assembled project teams through retrospective HEDIS and STAR rating audits, which includes effective chart retrieval, abstraction, clinical review, reporting and data analytics.
I reviewed medical records for updated medical information.
I've abstracted from EMR systems such as Epic, Cerner, Greenway Legacy, Allscripts and Nextgen.
I abstracted medical information from Allscripts and Cerner and transferred it into Epic.
I analyzed patient records and medical data for physicians.
I am familiar with working with two monitors.
I researched diagnoses and codes if needed.
Abstracted from HEDIS measure sets including Effectiveness of Care, Access/Availability of Care, Experience of Care, Utilization and Risk Adjusted Utilization, etc.
Clinical Data Abstractor
ALLUVION STAFFING/ VACO- MDABSTRACT
JACKSONVILLE
04.2022 - 08.2022
I abstracted clinical data from medical records.
I reviewed medical records for updated medical information.
I analyzed patient records and medical data for physicians.
I've abstracted and updated scheduled appointments from office visits to Ultrasounds.
I have experience with document movement and indexing.
I have experience with E-Clinical Works.
I've created and added charts in Quick-Base.
I've completed daily log checks and audits on abstracted charts.
I would then mark the charts in Revenue Cycle.
I'm familiar with working with two monitors.
I've researched diagnoses and codes if it was needed.
Abstracted from HEDIS measure sets such as Prevention and screenings, Availability of Care, Prenatal immunizations etc.
Certified Surgical Technologist
OUTPATIENT SURGERY CENTER OF HILTON HEAD
HILTON HEAD ISLAND
11.2016 - 11.2021
I maintained a sterile field in the operating room.
I opened sterile packages and equipment.
I set up the sterile field.
I assisted the surgeon before, during and after the procedure by anticipating their needs, passing instrumentation, retracting and closing.
I performed general surgeries, eye procedures, experience scrubbing some STS Cardiac procedures such as VAD (Ventricular Assist Device), port and shunt placements, orthopedic procedure, podiatry procedures, plastic surgery, some Neuro procedures and OB/GYN procedures such as C-sections, myomectomies and DNCs.
I performed a sponge and instrument count before, during and after the procedure.
I assisted with positioning and prepping the patient.
I would clean or turn over my OR suite for the next procedure.
I pulled cases and equipment for the next day.
I also assisted in Central processing with disinfecting and decontamination of instruments.
I've also sterilized instruments with the Autoclave.
Education
Associate's in Applied Science - Surgical Technology
SAVANNAH TECHNICAL COLLEGE
SAVANNAH, GA
06.2016
Healthcare Science Certification -
SAVANNAH TECHNICAL COLLEGE
SAVANNAH, GA
05.2015
Dysrhythmia certification -
Memorial Health University Medical Center
Savannah
01.2012
Diploma - Medical Assisting
SAVANNAH TECHNICAL COLLEGE
SAVANNAH, GA
01.2008
Certificate - Medical Records and Medical Office Clerk
SAVANNAH TECHNICAL COLLEGE
SAVANNAH, GA
06.2006
Patient Care Technician Certification -
Savannah Technical College
Savannah, GA
01.2006
High School diploma -
Groves High School
Savannah, GA
06-2003
Skills
Microsoft Office Suite
Teams
Microsoft Outlook
Presentation design (PowerPoint)
Excel
Google Meet
Typing 54 wpm
Certified in First Aid
Healthcare science certification
Member of the Association of Surgical Technologists (AST)
NBSTSA certified
AAPC member
Phlebotomy experience
EKG experience
Cardiac monitoring
Telemetry experience
Dysrhythmia certified
Oncology experience
HEDIS measure set experience
AHA guidelines abstraction
Surgical experience in STS thoracic
Surgical experience in cardiac/chest pain
Surgical experience in orthopedics
Surgical experience in obstetrics
Surgical experience in podiatry
Surgical experience in general
Familiar with ICD-10
Familiar with CPT
Familiar with HCPCS Level II coding
Data abstraction in immunization
Abstraction experience in GWTG Stroke Registry
Experience with multiple EMR systems
References
Available upon request
Timeline
HEDIS Chart Retrieval Specialist
ROBERT HALF-UGH/OPTUM INSIGHT
01.2025 - 03.2025
Retrieval Specialist
ROBERT HALF-UGH/OPTUM INSIGHT
03.2024 - 07.2024
Clinical Data Specialist
Q-CENTRIX
03.2024 - 03.2025
HEDIS Abstractor MA- Reviewer
ELEVANCE HEALTH-BC FORWARD
01.2024 - 03.2024
Clinical Chart Abstractor
ICLINICARE- HEALTH DATA MOVERS
01.2024 - 02.2024
Scheduling Specialist
PATIENT ACCESS CENTER- ARIZONA
09.2022 - 01.2024
Medical Abstractor
MEDASOURCE/BAPTIST HEALTH- JACKSONVILLE, FL
08.2022 - 11.2022
Clinical Data Abstractor
ALLUVION STAFFING/ VACO- MDABSTRACT
04.2022 - 08.2022
Certified Surgical Technologist
OUTPATIENT SURGERY CENTER OF HILTON HEAD
11.2016 - 11.2021
Associate's in Applied Science - Surgical Technology
SAVANNAH TECHNICAL COLLEGE
Healthcare Science Certification -
SAVANNAH TECHNICAL COLLEGE
Dysrhythmia certification -
Memorial Health University Medical Center
Diploma - Medical Assisting
SAVANNAH TECHNICAL COLLEGE
Certificate - Medical Records and Medical Office Clerk
Converted to High Level MSP Project at Robert Half For Optum/RADV & United HealthCare Services, Inc.Converted to High Level MSP Project at Robert Half For Optum/RADV & United HealthCare Services, Inc.