Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Joy EkehStroud

Mableton,GA

Summary

Dedicated and detail-oriented HEDIS professional with over 4 years of expertise in medical record abstraction, quality improvement, and data integrity. Strong understanding of regulatory compliance and HIPAA standards. Skilled in efficiently tracking data using advanced systems. Proven track record of enhancing reporting accuracy and organizational efficiency. Seeking a challenging HEDIS role to drive quality healthcare outcomes and ensure compliance with quality standards.

Overview

7
7
years of professional experience
1
1
Certification

Work History

HEDIS Abstractor

Piedmont Health
12.2023 - 05.2024
  • Extracted and validated data from medical records to support HEDIS measures, ensuring compliance with regulatory and Medicaid standards
  • Streamlined medical record management using advanced tracking systems, promoting efficiency and data accuracy
  • Conducted comprehensive reviews of patient databases, verifying CPT, ICD-9-CM, HBD, TRC, and COA measures for reporting precision
  • Resolved billing and insurance verification issues while adhering to HIPAA guidelines

  • Analyze, develop and implement improvement activities to increase compliance rates as measured by nationally standardized benchmarks and definitions
  • Perform oversight activities on entities with Plan delegated functions, regularly audit entities with Plan delegated function, develop, implement, and follow up with corrective action plans
  • Responsible for entering data into a HEDIS software system
  • Current valid driver’s license and reliable transportation are required for project participation
  • Attends HEDIS Medical Record Review Abstraction Training
  • Attends HEDIS Software Training
  • Receives HEDIS assignment and independently contacts offices, schedules appointments, arranges to get appropriate material to the offices on a timely basis

HEDIS Overreader / Abstractor

Atrium Health
01.2023 - 06.2023
  • Accurately reviewed and abstracted medical chart data, ensuring compliance with company protocols and industry standards
  • Enhanced file management and distribution processes for seamless record retrieval
  • Ensured data integrity and organizational efficiency by meticulously overseeing medical record compliance with Medicaid regulations
  • Collects necessary medical record information through office visits or faxes and enter into the HEDIS Software
  • Complete assignment within specified time frames
  • Follows up on missing clinical information

HEDIS Abstractor

PeaceHealth Medical Group
12.2021 - 06.2022
  • Conducted detailed audits of medical records to align with HEDIS quality reporting standards, improving data accuracy
  • Extracted and analyzed HEDIS data, annotating findings in Adobe PDF per technical specifications
  • Verified CPT and ICD-9-CM coding accuracy using claims databases to support precise reporting
  • Monitored population-level HEDIS measures via EHR systems, driving data-informed quality assessments
  • Remote

HEDIS Abstractor

Southside Medical
06.2019 - 08.2021
  • Extracted and reviewed medical records to ensure alignment with HEDIS measures, enhancing quality reporting and compliance
  • Adhered to HIPAA guidelines and regulatory standards to safeguard patient data during abstraction processes
  • Collaborated with healthcare providers, payers, and team members to achieve accurate and timely reporting
  • Leveraged EHR, EMR, and other health information systems to monitor and report HEDIS measures
  • Remote

Clinical Research Coordinator

Lawrenceville Family Practice,
01.2017 - 06.2019


  • Screened patient records, databases, and physician referrals to identify prospective candidates for research studies.
  • Gathered, processed, and shipped lab specimens.Monitored study activities to ensure compliance with protocols and with all relevant local, federal, and state regulatory and institutional policies. Prepare for, or participate in, quality assurance audits conducted by study sponsors, federal agencies, or specially designated review groups.
  • Assessed eligibility of potential subjects through methods such as screening interviews, reviews of medical records, or discussions with physicians and nurses.
  • Performed specific protocol procedures such as interviewing/consenting subjects, taking vital signs, drawing blood, providing study injections, performing electrocardiograms, etc.
  • Conducted clinical studies as outlined in the study protocol performing study procedures according to recognized skill level and certifications and within the local and federal regulations and guidelines.
  • Adhered to good clinical practices and ICH/GCP regulations and acted as a patient/family advocate.
  • Collected and maintained accurate study data and subject information and completed Case Report Forms (CRFs) as instructed and ensured that CRFs were completed prior to monitoring visits, created source documents to facilitate data collection and record keeping.

Education

Bachelor’s degree - Chemical Engineering

University of Lagos
Lagos Nigeria
12.2009

Skills

  • Technical Expertise: HBD, TRC, COA, CPT, ICD-9-CM, HCPCS, Cotiviti, MRDB, EMR, MRR
  • Software Proficiency: QSHR, Athena, Microsoft Excel, Office Suite, SharePoint, Adobe PDF
  • Core Competencies: Data Analysis, Medical Record Audits, HIPAA Compliance, Multitasking, Billing & Coding
  • Professional Strengths: Strong organizational skills, collaboration, teamwork, and attention to detail

Certification

CSM(Certified Scrum Master) 2021

GCP ( Good Clinical Practice) 2023

Timeline

HEDIS Abstractor

Piedmont Health
12.2023 - 05.2024

HEDIS Overreader / Abstractor

Atrium Health
01.2023 - 06.2023

HEDIS Abstractor

PeaceHealth Medical Group
12.2021 - 06.2022

HEDIS Abstractor

Southside Medical
06.2019 - 08.2021

Clinical Research Coordinator

Lawrenceville Family Practice,
01.2017 - 06.2019

Bachelor’s degree - Chemical Engineering

University of Lagos

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Joy EkehStroud