Data Collection Quality Assurance

Dee Burton

Phone: 678-***-**** Email: ************@*****.***

PROFESSIONAL SUMMARY

Highly detail-oriented HEDIS Data Abstraction/Reviewer with a strong foundation in electronic health records (EHR) and healthcare information systems. Adept at HEDIS data collection, abstraction, and review, with extensive knowledge of healthcare terminology, medical coding standards, and regulatory compliance. Possesses exceptional analytical and problem-solving skills, committed to maintaining data accuracy and quality assurance. Experienced Epic Consultant with over six years of expertise in multiple Epic modules, including ClinDoc, Orders, Ambulatory, Cadence, Stork, and ASAP, as well as specialized knowledge in Optime/Anesthesia, Cupid, Beacon, and Radiant. Recognized for effectively supporting healthcare teams and ensuring seamless EMR transitions.

SKILL SET

HEDIS Data Collection and Abstraction

Strong Clinical Judgment

Medical Record Review and Audit

Data Accuracy and Quality Assurance

Electronic Health Records (EHR) Expertise

NCQA Guidelines and Specifications

Healthcare Terminology and Coding (ICD-10, CPT)

HIPAA and Privacy Regulations

Analytical and Problem-Solving Skills

Interpersonal Communication and Teamwork

Healthcare Information Systems

EXPERIENCE

HEDIS Data Abstraction Specialist

McLaren Health Plan Jan – June 2024

Researched medical records for appropriate measurements, including CAU, COL, CPU, HBD, RAC, SCP, FFR, FFS, LTSS, COA, TRC, and CCS.

Conducted accurate and timely medical record reviews, abstracting relevant data to ensure quality reporting.

Maintained HIPAA regulations and compliance with NCQA, federal, state, and regulatory standards.

Multitasked effectively and resolved issues, contributing to efficient HEDIS reporting.

HEDIS Data Abstraction/Reviewer

Baylor Scott & White July – Dec 2023

Collaborated with healthcare teams to gather necessary data for HEDIS reporting and provided workflow education for new EMR systems.

Conducted detailed medical record audits, identifying and correcting discrepancies to maintain data integrity.

Maintained current knowledge of HEDIS specifications, NCQA guidelines, and regulatory standards, including COA, TRC, and CCS measures.

Participated in interdepartmental meetings to discuss findings and recommend process improvements.

HEDIS Data Abstraction Specialist

Covenant Hospital, TN Nov – April 2022

Supported HEDIS data abstraction from EHR and paper records, ensuring accuracy and completeness across measures such as TRC and COA.

Reviewed patient charts to validate data accuracy and address documentation gaps.

Prepared audit reports and presentations to support quality improvement initiatives.

Ensured compliance with HIPAA and privacy regulations while handling sensitive patient information.

HEDIS Data Abstraction/Reviewer

Corewell Hospital, MI May – Sep 2021

Abstracted and reviewed medical records to ensure adherence to HEDIS performance standards, focusing on TRC, COA, and CCS measures.

Contributed to strategies for enhancing data quality and optimizing HEDIS outcomes.

Assisted with audit reports and presentations for quality improvement purposes.

Conducted thorough audits to identify coding errors and discrepancies.

Epic Orders and ClinDoc Support

Beth Israel Hospital, Boston Feb – April 2021

Provided elbow support to physicians and facilitated learning during Go Live events.

Delivered targeted training and one-on-one coaching for Inpatient Specialists.

Assisted nurses in documenting immunization administration in patient charts.

Enabled efficient clinical documentation through hands-on support.

Epic Inpatient ClinDoc Support

Wellstar, Atlanta, GA Oct – Dec 2020

Provided direct support to physicians and nurses during hospital Go Live transitions.

Facilitated end-user learning and coached staff in effective documentation practices.

Assisted with medication administration and message management in in-baskets.

Supported various departments, ensuring efficient documentation and clinical operations.

EDUCATION

Lead City University, Nigeria Bachelor of Science in Politics and International Relations

Certificate

Project Management Professional (PMP)

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