Morgan Schweikert
Ambridge,PA
Summary
Experienced Quality Improvement Specialist/CCMA with a proven track record of over 15 years in the healthcare industry. Demonstrated expertise in clinical quality initiatives and comprehensive understanding of data collection and reporting standards. Seeking a challenging opportunity to leverage my skills and experience in enhancing patient care outcomes and contributing to the success of a healthcare organization.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Value Based Care Quality Specialist
Babylon Health
05.2023 - 08.2023
- Analyzed quality and performance data to support operational decision-making.
- Promoted adherence to quality standards.
- Fixed identified issues to improve workflows.
- Implemented process improvements to increase productivity.
- Provided updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Collected and analyzed data to measure effectiveness of quality processes.
- Reported problems and concerns to management.
- Conducted campaigns for specific patient populations.
Quality Advocate, CCMA
Genesis Medical Associates
02.2017 - 05.2023
- Ensure that all patients receive highest level of clinical care by confirming compliance with all preventive health services.
- Acquire and maintain expertise with Commercial/Medicare/Medicaid Quality payment program including future impacts on organization.
- Provide ongoing support and education to team members and providers in understanding of Medicare/Medicaid quality HEDIS Stars program as well as CMS HCC Risk Adjustment program as it relates to payment methodology and importance of proper documentation.
- Guide practice(s) with integration of correct coding and documentation standards into workflow.
- Perform audits on medical records, monitor performance measures for healthcare risk management and oversee reporting of performance metrics to providers at monthly/biweekly meetings.
- Develop, implement, review processes, interventions, and activities to improve HEDIS STARS scores to be 4.6STARS and higher.
- Identify gaps for quality improvement and use best practice methodology to improve outcomes. Verify accuracy of quality data reports and combine to focus attention on key areas.
- Conduct chart reviews to ensure medication adherence compliance and identify any barriers for non-compliance, working with on-site pharmacist, nurse, and/or appropriate provider to review before contacting patient to discuss.
- Monitors, assesses, and reports quality scores and patient outcomes whilst tracking appointments and ensure documented information is complete and accurately in all currently supported systems in timely manner.
- Maintain confidentiality and adhere to HIPAA requirements.
- Other duties as assigned.
- Completed home-visits, reports, scanning, paperwork and documentation accurately and in timely manner
- Organized supporting documentation for individuals under evaluation and coordinated paperwork transfers to correct staff members
Certified Clinical Medical Assistant
Genesis Medical Associates
03.2008 - 02.2017
- Hired on externship. Room patients, take vitals, add patient history into EMR. Check patient’s medications and allergies to ensure patient is taking medications as prescribed.
- Contact patients who are due for preventive care tests, discuss importance of tests, and schedule as needed.
- Experience with Microsoft Excel spreadsheets to keep track of all gap closures and follow up with individual patients.
- Sanitized, restocked, and organized exam rooms and medical equipment. Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Called and faxed pharmacies to submit prescriptions and refills.
Education
Certificate - Medical Assisting
DCI Career Institute
Monaca, PA04.2008
Skills
- In depth knowledge of regulatory requirements, encompassing HEDIS and NCQA specifications, CMS guidelines, and HCC Risk Adjustment
- EMR/EHR software (Centricity, Athena, Epic, Citrix), Google Office Suite, and Microsoft Office (Word, Excel, web-based applications)
- Ability to document information clearly and concisely from patient record into multiple system platforms for open gap closures and other opportunities
- Proficient with medical terminology, medical record review, and abstraction
- Time management and punctuality
- Reliable internet connection and experience working independently in remote setting
- Value-based Care Programs
- Quality education
Certification
Certified Clinical Medical Assistant NHA
Certification # N3Q3Z5A7
Effective Date: 07/30/2015
Expiration Date: 07/30/2025
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Value Based Care Quality Specialist
Babylon Health
05.2023 - 08.2023
Quality Advocate, CCMA
Genesis Medical Associates
02.2017 - 05.2023
Certified Clinical Medical Assistant
Genesis Medical Associates
03.2008 - 02.2017
Certificate - Medical Assisting
DCI Career Institute
Certified Clinical Medical Assistant NHA
Certification # N3Q3Z5A7
Effective Date: 07/30/2015
Expiration Date: 07/30/2025
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