Ashley Robinson
Clinical Quality Analyst
Union Dale,PA
Summary
I am a Clinical Quality Analyst with a background in clinical practice and medical record review. Excelled in enhancing documentation accuracy and meeting department goals, showcasing a fast-paced work ethic. My critical thinking and medical record review skills have consistently improved clinical reporting standards. I am seeking a position where I can utilize my skills and experience, while allowing me to grow professionally.
Overview
12
12
years of professional experience
Work History
Clinical Quality Analyst
United Health Group
01.2024 - Current
- Performs clinical chart reviews to ensure documentation accuracy
- Identifies documentation errors and opportunities for documentation improvement for audit
- Collaborates with team members to promote accuracy and consistency of results
- Meets accuracy and productivity metrics to ensure the team reaches department goals.
HEDIS Abstractor
Change Healthcare
01.2020 - 05.2022
- Participated in the review of medical records to abstract clinical information for HEDIS reporting
- Completed assigned abstraction and data entry each day
- Maintained project productivity levels while maintaining 98% accuracy requirement for abstraction and data entry activities
- Reviewed all assigned medical charts, performed abstraction and entered data into the applicable software system for all assigned abstracts
Licensed Practical Nurse
Community Care of West Virginia
09.2015 - 08.2019
Licensed Practical Nurse
River Oaks Nursing Facility
01.2015 - 03.2015
Licensed Practical Nurse
Premier Pediatrics
07.2012 - 01.2015
Education
Certified Professional Coder - A -
AAPC
01.2019
Licensed Practical Nurse -
Salem University
01.2012
AS - Medical Administration
WVJC
01.2004
Skills
- Clinical Practice Experience
- Profiency in MS applications (Excel, Outlook, Teams, Powerpoint & Word
- Analytical and Critical thinking skills
- Ability to preform comprehensive chart review of multiple medical records per day
- ICD-10 Coding and documentation
- Knowledge of NCQA & CMS standards
- Medical Record review
- Ability to work in a fast pace environment
References
Available upon request
Timeline
Clinical Quality Analyst
United Health Group
01.2024 - Current
HEDIS Abstractor
Change Healthcare
01.2020 - 05.2022
Licensed Practical Nurse
Community Care of West Virginia
09.2015 - 08.2019
Licensed Practical Nurse
River Oaks Nursing Facility
01.2015 - 03.2015
Licensed Practical Nurse
Premier Pediatrics
07.2012 - 01.2015
Certified Professional Coder - A -
AAPC
Licensed Practical Nurse -
Salem University
AS - Medical Administration
WVJC