LaTonia Hammond
Memphis,TN
Summary
Detailed oriented HEDIS Abstractor with a proven track record and extensive experience in applying HEDIS measures to assess and enhance healthcare quality. Excelled in enhancing data accuracy and operational efficiency, significantly contributing to quality improvement initiatives. Skilled in utilizing HEDIS metrics to support evidence -based practices, ensuring transparency and maintaining high standards of care. Proficient in navigating complex healthcare systems, demonstrating exceptional organizational skills and teamwork in high-stakes environments.
Overview
8
8
years of professional experience
Work History
HEDIS Abstractor
Methodist Healthcare
11.2022 - Current
- Abstracted data from medical records to support HEDIS measures, ensuring compliance with regulatory standards and contributing to quality improvement initiatives.
- Verified data accuracy by reviewing claims databases for correct CPT and ICD-9CM codes, maintaining data integrity in reporting practices.
- Coordinated with healthcare providers and members to ensure continuity of preventive and chronic disease management services.
- Analyzed HEDIS data to establish baselines and assess performance shifts, informing project strategies.
HEDIS Retrieval Specialist
Martin Lee and Page OBGYN
09.2019 - 11.2022
- Provided support in obtaining records from outsides sources to complete chart for patient care.
- Utilized tracking systems to organize and manage medical records requests, improving data integrity and operational efficiency.
- Adhered to procedural guidelines to streamline file storage and distribution for rapid information access.
- Collaborated with providers and members to verify care requirements and ensure comprehensive information retrieval.
HEDIS Overreader/Clinical Data Abstractor
McDonald Murrmann Center for Wellness and Health
02.2019 - 09.2019
- Conducted audits of medical records to verify compliance with HEDIS quality reporting standards, improving accuracy in reporting.
- Extracted HEDIS records from databases and reviewed documentation per HEDIS technical specifications.
- Evaluated medical records against clinical criteria to ensure alignment with HEDIS and CMS performance measures, supporting quality assurances efforts'
- Enhanced data collection processes, resulting in improved efficiency and accuracy in HEDIS-related activities.
Clinical Coordinator
UT Methodist Physicians
06.2016 - 02.2019
- Supervised and managed daily activities of clinical team consisting of twenty-six physicians, nurses, and support staff.
- Built strong relationships with patients and families for optimized care satisfaction.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Collaborated with store manager to maintain daily operations.
- Supervised and managed daily activities of clinical team consisting of 26 physicians, nurses, and support staff.
- Implemented new policies and educated staff on changes.
Education
BBA - Healthcare Management
Bethel University
Mckenzie, TN07.2012
Skills
- Microsoft Office: Proficient in Excel, PowerPoint, Word, Outlook
- Data Management: Expertise in data entry, patient charting, insurance eligibility verification
- Professional Communication: Strong written and verbal communication skills
- Organizational skills: Ability to multitask and manage complex workflows
- Healthcare Systems: Knowledgeable in HIPPA compliance; familiar with CPB, Cotiviti, HBD, Reveleer, Tableau, and other healthcare data systems
- Teamwork: Collaborative in team environments with focus on achieving shared goals
Timeline
HEDIS Abstractor
Methodist Healthcare
11.2022 - Current
HEDIS Retrieval Specialist
Martin Lee and Page OBGYN
09.2019 - 11.2022
HEDIS Overreader/Clinical Data Abstractor
McDonald Murrmann Center for Wellness and Health
02.2019 - 09.2019
Clinical Coordinator
UT Methodist Physicians
06.2016 - 02.2019
BBA - Healthcare Management
Bethel University
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