JUSTINE MBAH
RICHMOND
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
5
5
years of professional experience
Work History
Clinical Records Abstractor
Jarvis Healthcare
05.2024 - Current
- Entered data into appropriate systems to create new title records or update existing ones.
- Monitored processes and recommended methods for improvement.
- Abide with all HIPAA and patient confidentiality requirements.
- Researched medical records that were assigned for appropriate measurement.
- Abstract and over-read medical charts to validate data accuracy and ensure compliance with HEDIS Accurate data entry of medical record abstractions into
database.
HEDIS Researcher
Elevance Health
01.2024 - 05.2024
- Pulled relevant patient data from medical records, claims databases, and electronic health records, ensuring accuracy and completeness according to HEDIS specifications.
- Identified and corrected errors or inconsistencies in the extracted data to ensure reliable analysis.
- Assigned appropriate HEDIS codes to patient data based on clinical diagnoses, treatments, and procedures.
- Collaborated with healthcare providers and plan administrators to identify and implement strategies based on HEDIS results to improve performance.
- Utilized specialized software and platforms designed for HEDIS data analysis and reporting.
Medical Record Review QA Specialist
Devoted Loving Care
10.2022 - 12.2023
- Reviewed patient medical records to extract relevant clinical data according to HEDIS specifications, including diagnoses, medications, procedures, and dates of service.
- Assessed the extracted data for accuracy and completeness against established HEDIS measures, identifying discrepancies or missing information.
- Performed quality checks on abstracted data to ensure accuracy and consistency.
- Performed chart over-reading and medical record auditing.
Clinical Records Abstractor
The Concierge Nursing Home
11.2021 - 10.2022
- Conducted data/records review to ensure abstraction accuracy.
- Integrated data collected from a variety of sources.
- Documented abstraction findings into the HEDIS database.
- Prioritized and accurately completed tasks within established times.
- Abstract and over-read medical charts to validate data accuracy and ensure compliance with HEDIS Accurate data entry of medical record abstractions into
database.
Quality Improvement Coordinator
Fort Bend Healthcare Center
02.2020 - 11.2021
- Assisted in the company's annual HEDIS projects in collaboration with HEDIS program manager
- Developed quality improvement plans, policies, and operational guidelines.
- Checked patient conditions and records to evaluate care.
- Completed site visits to conduct assessments.
- Documented and reported issues with compliance, standards of care, and quality assurance requirements.
- Assessed ongoing operations against standards.
Education
High School Diploma -
Comprehensive High School Bambui
BamendaSkills
- Medical Terminology
- Microsoft Excel, Word, outlook, Teams, Powerpoint
- HEDIS Measures
- Data management
- Analytical thinking
- Excellent communication
- Research and analysis
Timeline
Clinical Records Abstractor
Jarvis Healthcare
05.2024 - Current
HEDIS Researcher
Elevance Health
01.2024 - 05.2024
Medical Record Review QA Specialist
Devoted Loving Care
10.2022 - 12.2023
Clinical Records Abstractor
The Concierge Nursing Home
11.2021 - 10.2022
Quality Improvement Coordinator
Fort Bend Healthcare Center
02.2020 - 11.2021
High School Diploma -
Comprehensive High School Bambui
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