Dedicated HEDIS nurse abstractor with 11 years experience.
Overview
12
12
years of professional experience
Work History
HEDIS Review Nurse
Medview Health
Remote
01.2022 - 05.2025
Performed HEDIS data collection and abstraction from medical records for multiple health plans.
Performed chart Review abstractions.
Nurse Abstractor(HEDIS Season)
Centene, Superior Health Services
Remote
01.2021 - 05.2022
Completed chart review abstractions(Overreader)
Reviewed provider documentation to evaluate compliance with quality measure criteria.
HEDIS Abstractor
Optum
Brentwood, TN
10.2013 - 12.2019
Perform medical records review and abstraction in support of annual HEDIS project. Applied structured auditing criteria to determine compliance standards. Reviewed and abstracted electronic medical records, and completed audits to determine if the quality of care measures, as defined by NCQA for that that years HEDIS audit had been met. Entered finings in data base.
98% accuracy on medical record review and abstraction
Performed Overreads
Performed Audits
Correctional Nurse
Correct Care Solutions
Nashville, TN
07.2013 - 10.2013
Assessed prisoners suffering injuries through falls, stabbings or other means and stabilized each prior to transport to nearest medical facility.
Treated patients by administering various types of medications and therapies.
Cared for prisoners suffering from contagious illnesses or conditions, including influenza, lice and gastrointestinal bugs.
Delivered care and treatment reflective of appropriate infection control techniques and universal precautions.
Education
LPN - Practical Nursing
Tennessee Technology Center
Nashville, TN
05.2013
High School Diploma -
Laverne High School
Laverne, TN
05.2002
Skills
Strong Clinical Judgment
Quick Learner
EMR experience
Medical record abstraction experience
Overread experience
Audit experience
Microsoft Office (word, excel, outlook)
Custom
License Practical Nurse (LPN) 275221 Multistate, Arizona State Board of Nursing
NA at Fundamentals of Nursing Advent Health, Advent Health, Mental Health. Advent HealthNA at Fundamentals of Nursing Advent Health, Advent Health, Mental Health. Advent Health
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