Over 20 years of providing support to Medical and Administrative Professionals Excellent time management/organizational skills. Managing multiple projects in fast-paced environments Managed HEDIS Projects Abstracted and audit ICD-9/10, CPT, HCPCS, HCC Coding codes from medical records for correct coding Trained in several EMR software, QSHR, LINKS, MACESS, QDAR, RX EFFECT, MEMBER 360, SHAREPOINT, XCELYS, TABLEAU, SAS, ORACLE, JOES PLACE, Windward, and other systems Batched medical records for billing Medicaid, Medicare and Commercial insurance, Credentialing, and Patient Collections Medicaid and Medicare claims review The primary function of the role is to develop organized analytics, reports and data management to support Quality Improvement within the Medicaid product line. Integrates data from multiple sources to produce requested or required data elements. Programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. The Senior Data and Reporting Professional influences Quality Improvement strategy. May create specifications for reports necessary for the quality management program. Makes decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. Exercises considerable latitude in determining objectives and approaches to assignments. Other responsibilities as determined by leader. Managed, counseled, and trained 20 plus employees. Disseminated and evaluated work of subordinates; setting daily activity schedules and monitoring time cards. Project Coordinator, Behavioral Health Coordinator, Contract Administrator, Arranged conferences/tele-conferences, meetings, and travel reservations. Maintained filing and record keeping systems. Exceptional skills in data entry and 10-key Prepared PowerPoint slides/presentations and proficient utilization of multiple databases, querying reports and producing excel spreadsheets. Dietary/ Housekeeping Manager Ordered, maintained and distributed supplies Knowledgeable of Medicaid insurance requirements for industry health plans to ensure compliance Liaison between members, providers and vendors; interacting and educating staff of HEDIS requirements experienced working knowledge of HEDIS program, measures and processes for Administrative and Hybrid projects to include HIPPA and NCQA regulatory guidelines. Work closely with upper management and leadership to give best practices Ensure quality numbers for the month is up to par Educating providers on best practices, Appointment Agendas, monitor monthly goals