Claudia Castelo
Philadelphia,PA
Summary
Adaptable and experienced HEDIS Abstractor leveraging 10 years in HEDIS with advanced technological skills to effectively manage and optimize health information systems. Collaborates effectively with multidisciplinary teams to accomplish dynamic initiatives and improves health systems and quality of care.
Overview
6
6
years of professional experience
Work History
HEDIS Nurse Quality Analyst
Blue Cross Blue Shield of Pennsylvania
, PA
10.2018 - 06.2024
- Analyzed trends in HEDIS performance data, identifying areas for improvement and implementing corrective action plans.
- Trained new team members on HEDIS measures, clinical documentation requirements, and quality improvement strategies.
- Improved HEDIS metrics by efficiently reviewing medical records and identifying gaps in care.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Education
Nursing -
Gwynedd Mercy University
Gwynedd Valley, PA12.2023
Skills
- Data Abstraction
- Quality Assurance
- Medical Records Review
- Timely Project Completion
- Electronic Health Records
- Data Entry
- Health Information Management
- Organizational skills
- Data Collection
- Excellent attention to Detail
- Advanced Communication Skills
- Lead Team Nurse Abstractor
- Peer Review
Similar Profiles
SONIA OGANDOSONIA OGANDO
Enrollment Specialists at Anthem Blue Cross Blue Cross Blue ShieldEnrollment Specialists at Anthem Blue Cross Blue Cross Blue Shield
Crystal BrownCrystal Brown
Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
Christina FredericChristina Frederic
Medicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of FloridaMedicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of Florida
Khadijah RobinsonKhadijah Robinson
Behavioral Health Specialist/Special Education Co-Teacher at Community Council Learning AcademyBehavioral Health Specialist/Special Education Co-Teacher at Community Council Learning Academy
Sherry ByersSherry Byers
Senior Vice President Strategic Consulting, Health at Epsilon (Publicis Groupe)Senior Vice President Strategic Consulting, Health at Epsilon (Publicis Groupe)