Lori Doyle, LPN

Coding Data Review Consultant

Hemlock, MI

ac5ku0@r.postjobfree.com

989-***-****

Summary:

Abstract data on site and remotely to provide an accurate method of payment to health plans that cover Medicare advantage members. Trained in many different project types such as HCC, CRG, EPASS, HEDIS. Ensured that all information abstracted is done in an organized, Confidential manner. Performed medical record review projects, initial reviews and Over-reads from abstracted data collected onsite, and from Electronic records faxed from provider offices and/or from approved facilities.

HEDIS Abstractor - Anthem Blue Cross/Blue Shield Remote (January 2018 to May 2018)

HEDIS abstraction 35-37/day.

IRR (reliability rating) 99%.

Trained in all measures for the HEDIS project.

Experience with over reads.

Have abstracted COA, MRP, PPC, CDC, CBT, and COL

Site Review Consultant - Inovalon, Inc Remote (July 2008 to July 2017)

Hired to abstract data on site and remotely to provide an accurate method of payment to health plans that cover Medicare advantage members.

Trained in many different project types such as HCC, CRG, EPASS, HEDIS.

Ensured that all information abstracted is done in an organized, Confidential manner.

Performed medical record review projects, initial reviews and Over-reads from abstracted data collected onsite, and from Electronic records faxed from provider offices and/or from approved facilities.

Clinical LPN - St. Mary’s of Michigan Saginaw, MI (April 1987 to October 2007)

Experience in neurology, orthopedics, and med/surg, as well as experience with burn patients. For total of 19 years, I did direct patient care.

Experience of starting IV's and maintaining them.

Experience inserting NG tubes and maintaining and verifying they are in the correct position.

Education:

Mid-Michigan Community College - Licensed Practical Nursing Certification

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