Medical Records Data Analysis

Personal Summary

Skills

Work History

Karena D. Tilley

Batavia, OH 45103 513-***-****

*************@*****.***

WWW: Bold Profile

Dynamic HEDIS Seasonal Researcher with proven expertise at Elevance Health, excelling in data analysis and medical record evaluation. Adept at ensuring HEDIS compliance and maintaining confidentiality while delivering high-quality results. Recognized for effective communication and critical thinking skills, consistently achieving project deadlines and enhancing quality of care assessments.

Data analysis

Medical record evaluation

HEDIS compliance

Charting software

Confidentiality protocols

Time management

Microsoft Office applications

Medicare and Medicaid knowledge

Claims and billing knowledge

Critical thinking abilities

EPIC proficiency

Medical records assessment and analysis

Remote data collection accuracy

HEDIS SEASONAL RESEARCHER, 11/2024 04/2025

BCforward Staffing

Company Overview: HEDIS SEASONAL RESEARCHER for Elevance Health Medicare/Medicaid

Critical Thinking

Medicare/Medicaid

Effective ability to assess medical records & clinical information to perform an analysis of a facility's quality of care. Effectively collect data remotely and accurately.

Check medical records for completeness & accuracy according to the Healthcare Effectiveness Data & Information Set performance measures.

HEDIS SEASONAL RESEARCHER, 01/2023 05/2024

Lancesoft LLC

Ensured compliance with state laws regarding recordkeeping requirements. Entered data into databases accurately and efficiently according to established procedures. Collaborated with other departments within the company to ensure completion of projects on time. Adhered to strict confidentiality protocols when handling sensitive client information. Performed quality control reviews on completed abstracts prior to submission. Maintained accurate records of all abstracted documents for future reference. Cross-referenced records to ensure completeness and accuracy of abstracts. LPN - Home Health Nurse, 11/2019 03/2020

Maxim Healthcare Cincinnati, USA

Displayed effective communication skills in initiating therapeutic relationships with patients. Maintains excellent customer service standards while providing compassionate care. Managed and treated health problems, ranging from common to serious, acute, and complex for pediatric patients by continuously fostering improvement.

LPN Charge Nurse (Karena Spiller), 01/2014 10/2019 ONESOURCE / FHCC and MHCC Cincinnati, USA

Supported patients emotionally through communication and care by being an advocate. Professional Education

License

Evaluate workflow, establish priorities for time sensitive assignments to ensure quality of work. Managed and treated health problems, ranging from common to serious, acute and complex for geriatric patients by continuously fostering improvement.

Assured quality of caring medical records, Charting on Point Click Care, Admitting and discharging paperwork by establishing good rapport with patients, family, and hospital staff. Keep all company systems and data, (including sensitive member data), secure and safe, according to company's data and security policies and HIPAA guidelines.

09/2022 Remote Learning Services, LLC

Certificate of Completion HEDIS

02/2008 Brown Mackie College Cincinnati, Ohio

LPN Diploma nursing

Licensed Practical Nurse, Ohio, Current, #PN. 130304 M-IV Compact

Contact this candidate