Kayode Abdullahi
HEDIS OVERREADER
Chicago,IL
Summary
Medical Review Specialist & EPIC Application Specialist. Experienced in both HEDIS and clinical roles, with a strong background in healthcare, information technology, and EPIC software applications. Skilled in clinical analysis, medical record review, and implementing new processes to ensure accuracy and efficiency. Proficient in a range of measures, including TRC, BPD, CBP, CIS, CCS, LSC, and more. Adept at problem-solving, organizing efforts, and driving process improvements. With 5 years of experience as an EPIC Application Implementation Specialist, I have successfully led system implementations, optimized workflows, and delivered comprehensive end-user training. I am passionate about leveraging my expertise in EPIC applications to enhance operational efficiency and support the delivery of high-quality patient care. Key competencies include Technical Dress Rehearsal (TDR), Application Training Environment, At The Elbow (ATE) Support, and Legacy system Data Abstraction.
Overview
3
3
years of professional experience
7
7
Certifications
Work History
HEDIS Over-reader
RusselTobin and Associates
11.2023 - 5 2024
- Company Overview: United Health Group
- Ensure clinical data items are accurately abstracted for HEDIS reporting by reviewing data and records
- Weekly team meetings to discuss measures, progress, and overall compliance of records
- Performed over-reads and medical record review validations for TRC
- Exceeded chart expectation of 60+ charts per day while maintaining 97% accuracy
- Volunteered extra hours as needed to help meet project needs over the year
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures
- Familiar with Optum, RateLift, RateMax, QMRM, and CIOX Platform Software
- Researched medical records that were assigned for the appropriate measure
- Worked with Medicaid charts for United Health Group and varies Hospital systems
- Maintained HIPPA regulations for consumer privacy and completed tasks in a timely manner to ensure compliance with NCQA, federal, state, and other regulatory agency standards
- United Health Group
Epic Go-Live CPOE/ClinDoc – Medsurge Unit
CSI HealthcareIT
10.2023 - 11.2023
- Company Overview: RWJB Hospital
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians how document encounters and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorite lists
- Conducted a walkthrough with Nurses on how to use flowsheet, MAR, and Order navigator to navigate the epic interface
- Assisted the nurses in navigating through their workflow
- RWJB Hospital
Epic Go-Live CPOE/ClinDoc – Medsurge Unit
CSI HealthcareIT
09.2023 - 10.2023
- Company Overview: University Hospital
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians how document encounters and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorite lists
- Conducted a walkthrough with Nurses on how to use flowsheet, MAR, and Order navigator to navigate the epic interface
- Assisted the nurses in navigating through their workflow
- University Hospital
HEDIS Abstractor
CSI HealthcareIT
01.2023 - 05.2023
- Conduct reviews of the data/records to ensure abstraction accuracy of clinical data elements for HEDIS reporting
- Weekly team meetings to discuss measures, progress, and overall compliance of records
- Performed overreads and medical record review validations for TRC, IMA, EED, BPD, COL AND WCC
- Exceeded chart expectation of 60+ charts per day while maintaining 97% accuracy
- Volunteered over-time as requested to help meet the needs for project year
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures
- Familiar with Reveleer Platform Software and abstraction with Cotiviti
- Researched medical records that were assigned for the appropriate measure
- Worked with Medicaid charts for United Health Group and varies Hospital systems
- Maintained HIPPA regulations for consumer privacy and complete tasks in a timely manner to ensure compliance with NCQA, federal, state, and other regulatory agency standards
Epic Go-Live CPOE/ClinDoc – Cardiovascular Unit
CSI HealthcareIT
09.2022 - 10.2022
- Company Overview: Emory University Hospital
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians how document encounters and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorites lists
- Conducted a walkthrough with Nurses on how to use flowsheet, MAR, and Order navigator to navigate the epic interface
- Assisted the nurses in navigating through their workflow
- Emory University Hospital
Epic Go-Live ClinDoc - Observation
CSI HealthcareIT
07.2022 - 08.2022
- Company Overview: AdventHealth
- Conducted a walkthrough with Nurses on how to use flowsheet, MAR, and Order navigator to navigate the epic interface
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians how to document encounters and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorites lists
- Assisted the nurses to navigate through their workflow
- AdventHealth
Epic Go-Live CPOE/ClinDoc
CSI HealthcareIT
05.2022 - 06.2022
- Company Overview: RWJBH
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians on how to document encounter and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorites lists
- RWJBH
Epic Go-Live CPOE
CSI HealthcareIT
02.2022 - 03.2022
- Company Overview: AdventHealth
- Assisted Physician in the configuration and usage of smart tools
- Helped clinicians on how to document encounter and how to manage in basket
- Supported physicians in their use of certain navigators, such as the Admission navigator and the Discharge navigator
- Assist doctors with setting up a user preference list and customizing a Note
- Assisting doctors with order management and setting up order favorites lists
- AdventHealth
HEDIS Abstractor
Optumum HealthcareIT
11.2020 - 05.2021
- Collects necessary medical record information through office visits or faxes and enter into the HEDIS Software
- Complete assignment within specified time frames
- Documentation: Ensured proper documentation of the review process and findings to comply with regulatory standards
- Contacted Providers when making appointments for members about open care gaps needed to be closed during visits
- Maintained HIPPA regulations for consumer privacy and complete tasks promptly, ensuring compliance with NCQA, federal, state, and other regulatory agency standards
- 98% accuracy on medical record review and abstraction
- Conducted reviews of the data/records to ensure the abstraction accuracy of clinical data elements for HEDIS reporting
- Weekly team meetings to discuss progress, and overall percentage comparisons on the status of the project with records collected
Education
BSc. - Agricultural Economics
Abubakar Tafawa Balewa University
Skills
Data management Team building High accuracy Documentation expertise Clear oral/written communication Excellent multi-tasking ability Organizational skills CIOX reporting expert Online research Proficient in QMRM, Cotiviti, Member360, Ratemax, Ciox, Reveleer, ISET, Ratelift Legal and Regulatory Internal Audits Microsoft Office Suite Excel Strong interpersonal, Oral & written communication Analysis and Risk Assessment CRM CTR System ProjectManagement KYC— Due Diligence Enhanced Due Diligence-EDD Risk Framework Design and Control Implementation Change and Team Management Internal Controls Continuous Auditing Vendor Management ISO 27001 HIPAA Compliance SharePoint IT Asset Protection IT Security Audit
Certification
OneTrust GRC Certification
Timeline
HEDIS Over-reader
RusselTobin and Associates
11.2023 - 5 2024
Epic Go-Live CPOE/ClinDoc – Medsurge Unit
CSI HealthcareIT
10.2023 - 11.2023
Epic Go-Live CPOE/ClinDoc – Medsurge Unit
CSI HealthcareIT
09.2023 - 10.2023
HEDIS Abstractor
CSI HealthcareIT
01.2023 - 05.2023
Epic Go-Live CPOE/ClinDoc – Cardiovascular Unit
CSI HealthcareIT
09.2022 - 10.2022
Epic Go-Live ClinDoc - Observation
CSI HealthcareIT
07.2022 - 08.2022
Epic Go-Live CPOE/ClinDoc
CSI HealthcareIT
05.2022 - 06.2022
Epic Go-Live CPOE
CSI HealthcareIT
02.2022 - 03.2022
HEDIS Abstractor
Optumum HealthcareIT
11.2020 - 05.2021
BSc. - Agricultural Economics
Abubakar Tafawa Balewa University
Similar Profiles
Madhav PangarkarMadhav Pangarkar
Audit Manager at Rahangdale & Associates, Partner, A.S. Kulkarni & AssociatesAudit Manager at Rahangdale & Associates, Partner, A.S. Kulkarni & Associates
Sidda Reddy VSidda Reddy V
Senior Manager at GVCA and Associates (fka GC Reddy & Associates)Senior Manager at GVCA and Associates (fka GC Reddy & Associates)
Crystal WeisCrystal Weis
Medical Biller at Retina Associates/Retina Vitreous Associates PCMedical Biller at Retina Associates/Retina Vitreous Associates PC
Skye NewsomeSkye Newsome
Customer Experience Champion II at VerizonCustomer Experience Champion II at Verizon
Jason FigueroaJason Figueroa
Firefighter at ELK MOUNTAIN HOTSHOTS Mendocino National ForestFirefighter at ELK MOUNTAIN HOTSHOTS Mendocino National Forest