Antoinette Quicksey
Houston,TX
Summary
Dedicated HEDIS Reviewer with a comprehensive understanding of medical terminology and coding, data abstraction, and healthcare quality measures. Meticulous attention to detail and a commitment to HIPAA compliance ensure accurate and confidential handling of patient data. Skilled in quality assurance and data analysis, with a proven ability to meet strict reporting deadlines. Proficient in relevant software tools and committed to ethical behavior in healthcare data management. A valuable contributor to improving healthcare quality and patient care through precise HEDIS reporting.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Lead Medical Records Specialist- HEDIS
William Beaumont Hospital
03.2017 - 10.2023
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules
- Conducted comprehensive medical record reviews to abstract HEDIS data elements.
- Review and abstract specific data elements from medical records, electronic health records (EHRs), and other relevant healthcare documents.
- Enter the abstracted data into databases or software systems accurately and in a timely manner.
- Stay updated on changes in HEDIS measures and healthcare quality reporting requirements.
Healthcare Services Specialist
Providence Park Hospital
01.2009 - 04.2017
- Collect data on various healthcare quality measures, including preventive care, chronic disease management, and patient outcomes.
- Assisted providers with EMR documentation, order entry, and prescription management.
- Maintained a meticulous tracking system for patient forms, audits, and compliance.
- Verified and updated patient information during registration, collecting co-pays.
- Conducted pre-authorizations and pre-certifications as needed.
- Created EPIC accounts for patients and ensured complete documentation.
Medical Records Auditor
Kindred Hospital
01.2005 - 12.2016
- Prepare reports and summaries of the data collected for internal and external use.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Education
Associate of Business Administration - Business Administration And Management
Macomb Community College
Warren, MI04.2024
Skills
- Excellent communication/interpersonal skills
- Medical Terminology
- Data Abstraction/Review
- Attention to Detail
- HIPAA Compliance
- Quality Assurance
- Analytical Skills
- Software Proficiency
- Time Management
- Problem-Solving
Certification
Basic Life Support (BLS) with AED Training
Timeline
Lead Medical Records Specialist- HEDIS
William Beaumont Hospital
03.2017 - 10.2023
Healthcare Services Specialist
Providence Park Hospital
01.2009 - 04.2017
Medical Records Auditor
Kindred Hospital
01.2005 - 12.2016
Associate of Business Administration - Business Administration And Management
Macomb Community College