Senior Data Abstractor and Compliance Specialist
Resume:
Linda Mcneil-Phelps
Senior Data Abstractor
*************@*****.*** • 856-***-****
Portfolio • Blackwood, NJ 08012
Detail-oriented and highly analytical professional with extensive experience in healthcare data analysis, quality improvement, and compliance, aimed at streamlining data abstraction processes. Expert at extracting, interpreting, and analyzing clinical data to support healthcare decision-making and improve patient outcomes. Skilled in ensuring accurate and efficient data entry, coding, and billing to maximize reimbursements and maintain compliance with industry regulations. Adept at analyzing medical records, identifying discrepancies, and enhancing workflow efficiency to support healthcare providers in delivering quality patient care. Refined communicator with a keen eye for detail and problem-solving skills; able to provide actionable insights and optimize quality improvement initiatives. Dedicated to maintaining highest standards of data integrity, patient confidentiality, and reporting accuracy. Proficient in ICD-9 and CPT coding with registry experience in ACC PCI, ICD, and STS, alongside a strong knowledge of medical terminology, anatomy, physiology, and Medicare and HIPAA regulations. Areas of Expertise
● Medical Data Abstraction
● Electronic Health Records
● Medical Coding & Billing
● Data Analysis & Interpretation
● Compliance Reporting
● Data Quality Control
● Medical Insurance Verification
● Sensitive Information Management
● Quality Improvement Initiatives
Professional Experience
Bankers Life Insurance Company, Mount Laurel, NJ 2024 Certified Life & Health Producer Licensed Insurance Agent Acted as licensed professional in life and health insurance, assisting clients in selecting appropriate coverage options and providing expert guidance on insurance products. Conducted needs-based assessments and personalized insurance solutions for clients, maintaining compliance with all regulatory standards. Utilized sales skills to persuade clients of suitable choices. Offered tailored insurance solutions and excellent customer service to enhance satisfaction.
• Educated clients on insurance options by generating quotes.
• Advised on coverage type and amount through customer analysis.
• Achieved high levels of client satisfaction through dedicated service, delivering positive impact on customer retention and referrals.
QTC Management, Inc. (A Leidos Company), Remote 2022 – 2023 Certified Biller & Coder
Performed quality assurance for medical data, ascertaining accuracy and completeness of medical records and insurance billing information. Coordinated with physicians and insurance providers to facilitate timely medical report submissions and claims processing. Supported process improvements to streamline documentation and increase compliance with company standards.
• Researched insurance eligibility through phone inquiries and service investigation.
• Secured and maintained patient information confidentiality.
• Carried out billing duties and documented data in databases.
• Resolved billing discrepancies to uphold system accuracy and currency. Page 2 2
Virtua Health / Lourdes Hospital, Philadelphia, PA 2018 – 2020 Quality Control Specialist
Oversaw quality control processes in a healthcare setting, ensuring adherence to quality standards in patient care documentation. Analyzed data for trends to support continuous improvement in patient care services and regulatory compliance. Contributed to quality management initiatives, working closely with clinical staff to implement effective quality control practices. St. Joseph's Hospital, Philadelphia, PA
Senior Data Abstractor
2004 — 2018
Interpret complex healthcare information to support hospital compliance and quality improvement initiatives. Utilize advanced computer systems to organize and prioritize daily analytical tasks in efficient manner.
● Recognized for consistent quality work and commitment to healthcare excellence.
● Managed sensitive information and contributed to achieving long-term hospital goals.
● Identified key findings relevant to CMS and JCAHO core measures by analyzing clinical data from Quantros. Additional Experience
Quality Data Specialist, WESTAT Company, Remote
Conducted data quality checks, focusing on accuracy and completeness in healthcare data reporting. Assessed and corrected inconsistencies in data, collaborating with teams to maintain data integrity and support compliance initiatives. Quality Data Abstractor, Lourdes Health System-Virtua, Sewell, NJ Analyzed patients' medical records and obtained medical and clinical outpatient and inpatient records and data entering critical information along with checking codes of different procedures and chronic conditions of patient's medical history to medical charts. Senior Data Abstractor, Allegheny Health System, Pittsburgh, PA Elevated skillset through stroke patient clientele engagement. Utilized computer systems for diverse applications, such as data management and word processing. Employed Epic and Quantros for daily tasks, involving stroke and sepsis patient medical records. Accounts Receivable & Billing Rep-Coder, Thomas Jefferson Hospital, Philadelphia, PA Guaranteed timely collection of surgical bills by reviewing and verifying codes for accurate payment processing. Education & Credentials
Medical Terminology Certification: Health Education Community College of Philadelphia, Philadelphia, PA Certified Professional Coder (CPC), 2011 – Present Coding and billing certificate from NHA Assessments
Electronic Medical Records: Best Practices – Proficient, 2020 Acquired understanding EHR data, privacy regulations, and best EHR practices. Utilized Assessments for skill evaluation, not for official licensing or ongoing professional growth.
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