ANGELA HARRIS
HUMANA
Puyallup,WA
1
Certification
15
years of professional experience
Achieved a robust knowledge base of effective practices for medical providers in engaging with Medicare, Medicaid, and NCQA. ,Enhanced EMR functionality for providers, resulting in superior documentation and data collection processes. ,Increased revenue from stars reward program significantly on 2 percent of collected medical record data, reaching almost $4 million in the final year through accuracy improvements.
Work History
LEAD SENIOR QUALITY ENGINEER
3 Years- Developed a web-based data collection platform for HEDIS data. Audited lab crosswalk data utilizing knowledge of all coding including ICD10, HCPC, CPTII and determine the when appropriate code is being utilized. Was a subject matter expert for HEDIS and tech information for the nation and all external providers. Was expected to be expert on all regulations and keep up to date on all changes and make modifications to all systems I was responsible. For.
SENIOR STARS QUALITY NURSE
8 Years- Audit of medical records for ways to improve charting and gap closures. Gathering of best practices across multiple provider groups and used them to educate other groups across the region. Analysis of performance data and working with providers to improve their performances. In one yr got 100% of top providers to 4 star or higher. Successfully got a provider toʻ only 11 open gaps at the end of the yr. Also developed several processes that helped to guide everyone to success. Educate providers on technology to submit medical data to improve performance. Work to educate the team to help everyone understand the technology and work as a Subject matter expert for my team and external partners.
RN/Hedis Data collection
1 Year- Work through Maxim in ER, Rehab, Psych, Med Surg and any other unit needing help to provide excellent patient care. Most shifts were in Multicare facilities. Also took a contract connecting HEDIS medical data and spent 13 weeks collecting medical records.
RN / Charge RN
2 Years- Manage patient care, respond to emergencies and codes within the hospital, Triage patients and assign triage level, Answer Ambulance phone and take report. When in charge manage ER and ensure staff get breaks, make sure all issues are managed. Do evaluations and chart audits.
Education
Master of Science - Medical Health Administration
Also going to study for my MBA during this time. Planned graduation 2027
Master of Science - Nursing Leadership and Management
Also studied Nursing education and Nursing Informatics.
Associate of Science - NURSING
Graduated top of my class and had my first child at the same time.
Bachelor of Arts - BUSINESS INFORMATION SYSTEM
Also took classes for a minor in computer Science
Skills
Facilitated crucial conversations regarding insurance regulations and Medicare requirements.
Assisted in coding problem-solving with a fundamental understanding of SQL.
Facilitated crucial conversations regarding insurance regulations and Medicare requirements.
Certification
- CPR Certification – AHA Jan 2025 – Jan 2027
- Risk Management Certification - University of Florida 2012
- Studied Medical Coding have not received certification but very knowledable
LEADERSHIP
As a nurse my job is to lead the providers through the HEDIS process. HEDIS is all about improving the care of the members following the HEDIS speciation’s and care for the members. Also leading providers and fellow staff to utilize staff to use technology to improve the work they are doing is another way I try an do my job.
Accomplishments
Received yearly awards for exceeding department goals as a team
Received 3 Star awards for developing program, stepping up to help solve an emergency and covering another assignment for 6 months until it could be filled and maintaining high performance for all clinics assigned
Timeline
LEAD SENIOR QUALITY ENGINEER
HUMANA
01.2021 - 01.2024Read More
SENIOR STARS QUALITY NURSE
HUMANA
01.2013 - 01.2021Read More
RN/Hedis Data collection
Agency
01.2012 - 01.2013Read More
RN / Charge RN
St Francis Medical center
01.2009 - 01.2011Read More
Western Governor University
Master of Science from Medical Health Administration
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Walden University
Master of Science from Nursing Leadership and Management
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EVERETT COMMUNITY COLLEGE
Associate of Science from NURSING
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WA STATE UNIVERSITY
Bachelor of Arts from BUSINESS INFORMATION SYSTEM
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