Customer Service Medical Records
Resume:
TOLULOPE UMUDE
*************@*****.***
SUMMARY
I have years of experience as an HEDIS abstractor, Epic Consultant, and customer service. With a proven broken track record of delivering high-quality results also a Professional with Depth EMR/EHR application, with over 3 years plus of training, conversion, and activation experience. Also equipped with the ability to expertly manage multiple projects, software implementation life cycles and fulfilling requests whilst meeting deadlines.
EXPERTISE
•HEDIS Abstractor
•Epic Beaker, ClinDoc/Orders, Ambulatory and CPOE
•Customer Service
•Data Abstraction
•Software Troubleshooting
•Epic Abstractor
•Analytical Thinking
•Problem-Solving
•Work Planning and Prioritization
•MS Office
•Issue Resolution
EXPERIENCE
HEDIS ABSTRACTOR/REVIEWER 02/2024 TO 04/2024 UHG
•Conducted comprehensive medical record reviews and abstraction for HEDIS measures, ensuring compliance with measure specifications and documentation requirements.
•Extracted appropriate data elements from medical records, including diagnoses, procedures, medications, and laboratory results, using abstraction software or manual methods.
•Uploaded scanned medical records daily Maintain communication lines with Outcomes advocate.
•Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities.
•Abide by all HIPAA and associated patient confidentiality requirements.
EPIC BEAKER CONSULTANT 01 /2024 – 02/2024
ST JOSEPH HOSPITAL – SYRACUSE, NY
•Assisted medical assistants in Clinical workflows and ordering and resulting lab specimens and ensuring that the results are properly filed to patient's chart.
•Assisted pathologists and lab techs in AP on how to receive and build cases.
•Provided ATE support to clinicians on the use of Epic ambulatory application in documenting Clinical information.
•Assisted Physicians on personalization of smart tools thereby enhancing prompt use of the EMR application in patient care.
EPIC BEAKER CONSULTANT 10/2023 TO 11/2023
PIEDMONT HOSPITAL – AUGUSTA, GA
•Assisted the phlebotomist in documenting specimen collection.
•Assisted the processors in receiving specimens and making sure the collection information is documented correctly.
•Assisted the processors in creating orders using requisition entry.
•Assisted Techs in outstanding the workflow and escalating issues that arise to the help desk for support.
EPIC BEAKER CONSULTANT 09/2023 TO 10/2023
UNIVERSITY HOSPITAL – CLEVELAND, OH
•Assisted the Processor on how to use packing list edited in order send specimens to both in house and other resulting agencies base on the right temperature.
•Assisted with techs on how to make and store specimens using container storage.
•Assisted in showing techs how to track specimen and fax result to outside facilities.
EPIC AMBULATORY CONSULTANT 06/2023 TO 07/2023
CHRISTUS MINISTRY HOSPITAL – SANTA FE, NM
•Assisted medical assistants in Clinical workflows and ordering and resulting lab specimens and ensuring that the results are properly filed to patient's chart.
•Provided ATE support to clinicians on the use of Epic ambulatory application in documenting Clinical information.
•Assisted Physicians on personalization of smart tools thereby enhancing prompt use of the EMR application in patient care.
HEDIS ABSTRACTOR/REVIEWER 01/2023 TO 05/2023 CIGNA
•Conducted comprehensive medical record reviews and abstraction for HEDIS measures, ensuring compliance with measure specifications and documentation requirements.
•Extracted appropriate data elements from medical records, including diagnoses, procedures, medications, and laboratory results, using abstraction software or manual methods.
•Conducted medical record abstraction, locate and review all assigned medical charts, copied all supporting documentation per specifications and data entered to the applicable software system.
•Traveled to medical facilities in specified area of region from home to complete review services.
EPIC BEAKER CONSULTANT 11/2022 to 12/2022
MCLEOD HEALTH - ST FLORENCE, SC.
•Identified system issues and other unique issues, escalated, and resolved as appropriate.
•Worked lab technicians on the use of send out Bench, Batch List, packing List Editor and how to send specimens to outside Labs.
•Assisted users on how to perform specimen add-ons and on how to resolve in-basket Add-ons.
HEDIS DATA ABSTRACTOR/REVIEWER 01/2022 TO 05/2022 AETNA
•Performed thorough analysis and validation of abstracted data to ensure accuracy, completeness, and consistency.
•Identified and resolved data discrepancies or gaps through collaboration with healthcare providers and other relevant stakeholders.
•Uploaded scanned medical records daily Maintain communication lines with Outcomes advocate.
•Communicate effectively and professionally with care providers in offices, clinics, hospitals, and other clinical facilities.
•Abide by all HIPAA and associated patient confidentiality requirements.
EPIC CLINDOC CONSULTANT 10/2021 to 11/2021
TRINITY HEALTH HOSPITAL - PLYMOUTH, IN
•Instructing end users on how to troubleshoot during GO-LIVE while escalating high priority issues to command center.
•Assist the nurses in understanding their workflow and navigating through the flowsheets.
•Assist nurses on how to use the BRAIN in getting to their various charts.
•Assist the nurses on how to document and administer medications.
EPIC BEAKER CONSULTANT 07/2021 to 08/2021
BAYFRONT MEDICAL CENTER - TAMPA, FL
•Assisted lab technicians in resolving lab results and ensuring that the results are properly filed to patient charts.
•Assisted lab assistant in receiving specimens, updating collection information, entering requisition, and scanning requisition form into patient's chart.
•Assisted Lab techs in doing the Add-ons, using container storage, and looking up tubes stored.
•Assisted lab techs and Lab assistant on how to order labs test and enlightened them on the difference between lab and unit collect.
•Worked lab tech through using send out bench, packing list editor and procedure catalog.
HEDIS DATA ANALYST/REVIEWER 01/2021 TO 05/2021 MOLINA HEALTHCARE
•Maintained HIPPA regulations for consumer privacy and completed tasks in a timely manner, ensured compliance with NCQA, federal, state, and other regulatory agency standards.
•Performed comprehensive HEDIS data abstraction and review, ensuring the accuracy and completeness of healthcare data.
•Collaborated with healthcare providers, medical coders, and other professionals to gather necessary data for HEDIS reporting.
•Conducted thorough medical record audits to identify and rectify discrepancies, coding errors, and missing information.
EPIC AMBULATORY CONSULTANT 10/2020 TO 11/2020
WELLSPAN SUMMIT - CHAMBERSBURG, PA
•Assisted providers and mid-level providers with ambulatory workflow.
•Provided ATE support to clinicians on the use of Epic ambulatory application in documenting clinical information.
•Assisted RNs and Medical Assistants in clinical workflows and ordering and resulting lab specimens and ensuring that the results are properly filed to patients' chart.
HEDIS DATA ABSTRACTION/REVIEWER 01/2020 to 05/2020 CVS
•Maintained up-to-date knowledge of HEDIS specifications, NCQA guidelines, and other relevant regulations.
•Participated in interdepartmental meetings to communicate findings and provide insights for process improvement.
•Contributed to the development and implementation of strategies to enhance HEDIS performance and optimize data quality.
•Supported HEDIS data collection and abstraction initiatives by systematically extracting data from electronic health records and paper records.
•Assisted in the preparation of audit reports, charts, and presentations for quality improvement purposes.
EPIC CLINDOC CONSULTANT 05/2019 TO 06/2019
PROVIDENCE ST. JOSEPH SWEDISH HEALTH - SEATTLE, WA
•Trained clinicians to set up and utilize order sets, smart text, smart phrase.
•Trained physicians and nurses how to browse found medication, review patient headed, allergies, vitals, Problem Lists, enter medication orders and marked as review.
•Trained nurses on how to associate devices and validate data.
EDUCATION
HND IN MASS COMMUNICATION OFFA POLYTECHNIC 2006 OFFA, KWARA STATE, NIGERIA.
Contact this candidate