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MUJIDAT ADEBAYO
Yorkville,IL
Work Preference
Summary
Healthcare data and AI evaluation professional with over a decade of experience in claims, revenue cycle operations, and process improvement. Successfully improved clean claim rates to 96% and reduced denials by 40% through root cause analysis and workflow optimization. Proficient in SQL, Power BI, and automation, translating complex data insights into actionable operational enhancements.
Overview
1
1
Certification
18
18
years of professional experience
Work History
AI Evaluation & Workflow Automation Specialist
Mercor
, Remote
07.2025 - Current
- Designed and tested multi-step AI workflows that enabled models to interpret records, reconcile information from multiple sources, flag exceptions, and produce structured, actionable outputs.
- Evaluate AI-generated outputs across complex healthcare and business workflows, measuring task accuracy, completion quality, reasoning consistency, and adherence to defined performance criteria.
- Developed weighted evaluation rubrics and quality thresholds with expert benchmark responses to assess AI outputs against professional standards.
- Iteratively optimize prompts, task inputs, workflow logic, and evaluation criteria based on observed model performance, reducing ambiguity and improving reliability of downstream outputs.
- Monitor model and workflow performance across repeated test trajectories using structured scoring criteria; analyze error trends, failure patterns, and quality gaps to identify opportunities for improvement.
- Conduct root cause analysis on model failures by tracing issues to source-data ambiguity, conflicting inputs, missing context, workflow design, or instruction quality; subsequently recommend targeted remediation.
- Use automated quality checks and evaluator-based testing, including AutoQC, to surface inconsistencies, missing information, formatting defects, and other conditions affecting AI workflow performance.
- Translated technical AI performance findings into operational recommendations for reviewers and project stakeholders, linking model behavior to data quality and workflow outcomes.
Healthcare IT Data Analyst
ENJOS Medical Billing Services, LLC
, Remote
08.2022 - Current
- Analyze claims and operational data using SQL, Power BI, and Excel to identify trends, exceptions, reconciliation gaps, and root causes affecting reimbursement and reporting accuracy.
- Reconcile EHR, billing, payer, eligibility, and reporting data; validate outputs against source systems and payer responses to identify mismatches before they affect downstream reporting or operations.
- Build and maintain performance dashboards tracking claim status, denial categories, reimbursement variance, aging, clean claim rate, and payer trends, giving leadership timely visibility into operational outcomes.
- Serve as technical lead for healthcare data and reporting initiatives, coordinating business and technical stakeholders and independently resolving complex claims, eligibility, reimbursement, and data-quality issues.
- Translated business needs into reporting requirements, data rules, SQL-driven extracts, KPIs, dashboards, and actionable recommendations for technical and non-technical stakeholders.
- Partnered with technical teams to streamline recurring reporting and data workflows through automation, enhancing turnaround, consistency, and data quality.
- Document business rules, data definitions, exception logic, and payer-specific requirements to support scalable workflows, audit readiness, and consistent decision-making.
- Ensured compliance with HIPAA/HITECH requirements while supporting secure healthcare data workflows across systems and stakeholders.
Revenue Cycle Manager
Sheridan Medical Center
Chicago, IL
08.2013 - 08.2022
- Improved clean claim rate from 82% to 96% and cut denials 40% within two months by analyzing root causes and implementing front-end validation, eligibility workflows, reporting controls, and staff training.
- Reduced AR days 18% and increased collections 15% year-over-year through automation and process redesign; supervised and trained 15+ staff, promoted 4 into leadership roles, and improved productivity 25%.
- Identified approximately $20,000 in CountyCare underpayments by reconciling Medicaid fee schedules with actual payments, building CPT-level evidence, and driving successful payer reprocessing.
- Monitored claims and reimbursement performance using Power BI, Tableau, EHR reports, and operational KPIs; identified error trends and prioritized workflow changes based on financial and business impact.
- Reconciled data across eClinicalWorks, payer portals, clearinghouse reports, and internal tracking tools to ensure accurate reporting and pinpoint submission, payment, and data-quality discrepancies.
- Led healthcare operations and analytics across billing, coding, claims, eligibility, authorizations, denials, reimbursement, and payer workflows for multidisciplinary team, leveraging 9 years of program and people leadership to enhance operational efficiency.
Slide File Clerk
Northwestern Memorial Hospital
Chicago, IL
12.2010 - 08.2013
- Processed and organized pathology slides and records in Cerner, supporting clinical requests and maintaining HIPAA-compliant handling of patient information.
- Collaborated with medical staff to manage information requests efficiently.
- Updated and corrected patient information in the database regularly.
Medical Biller & Coder
Sheridan Medical Center
Chicago, IL
08.2008 - 12.2010
- Managed full-cycle medical billing and coding, including accurate claim submission, payer follow-up, denial correction, and reimbursement issue resolution.
- Verify insurance information to ensure timely reimbursement from payers.
- Review patient records for accuracy and compliance with regulations.
- Resolve discrepancies in billing statements to support patient accounts.
Education
Master of Science - Health Informatics
University of Illinois Chicago
Chicago, IL05-2025
Bachelor of Applied Science - Health Information Management
University of Illinois Chicago
Chicago, IL05-2015
Skills
- AI workflow evaluation
- AI Performance Monitoring
- Encounter data
- Workflow Automation
- Process Automation
- Workflow Optimization
- Performance scoring
- Root cause analysis techniques
- Failure mode analysis
- Data Quality Monitoring
- Data Quality Assurance
- Data validation techniques
- Data mapping techniques
- SQL & Data Analysis
- Power BI
- Tableau
- Excel (Advanced)
- KPI reporting
- Trend analysis
- Claims Processing
- Data Reconciliation
- Encounter data
- Eligibility
- Denials
- Reimbursement
- Provider payer data
- Authorizations
- Utilization analysis
- Revenue cycle KPIs
- Anomaly Detection
- Technical Documentation
- Regulatory Compliance
- Data Governance
- Healthcare Data Systems
- HITECH
- PHI compliance
- Cross-Functional Leadership
- Stakeholder reporting
- Process Transformation
- HITECH
- PHI compliance
Certification
- Registered Health Information Administrator (RHIA), AHIMA, 06/11/15
- AHIMA-Approved Revenue Cycle Trainer, 04/01/19
Remote
True
Selected Healthcare Data Projects
- Multi-Payer Data Mapping & Validation Toolkit, 08/01/24, 11/01/24, Developed a SQL-based reconciliation and validation toolkit across simulated payer file formats, defining match logic, exception handling, and field-level checks to flag mismatched or missing claim and eligibility data before downstream reporting.
- Claims Denial & Revenue Cycle Dashboard Build, 02/01/24, 06/01/24, Built a Power BI dashboard for denial categories, clean claim rate, reimbursement variance, and aging; documented metric logic and used ETL-style transformations to support repeatable reporting and reduce manual analysis.
- MIPS Compliance & EHR Reporting Gap Analysis, 01/01/25, 05/01/25, Analyzed EHR interoperability, reporting, and workflow gaps and proposed dashboard models to monitor data quality, compliance performance, and operational improvement opportunities.
Technical Skills
AI output evaluation, model/workflow performance scoring, failure-mode analysis, benchmark/golden response development, prompt/workflow optimization, AutoQC, Power Automate, recurring workflow automation, SQL, MS SQL Server, complex queries, data mining, reconciliation, data validation, data mapping, transformation, root cause analysis, Power BI, Tableau, Excel (Advanced), Access, KPI dashboards, trend analysis, ad hoc analysis, stakeholder reporting, Claims, encounter-related data, eligibility, denials, reimbursement, provider and payer data, authorizations, utilization, revenue cycle KPIs, Reconciliation, exception identification, business rules, metadata, lineage, field-level validation, data dictionaries, eClinicalWorks, Epic, Cerner, Kareo, HIPAA, HITECH, PHI privacy, working knowledge of ETL workflows, SSRS, SSIS, SQL Server Agent jobs
Timeline
AI Evaluation & Workflow Automation Specialist
Mercor
07.2025 - Current
Healthcare IT Data Analyst
ENJOS Medical Billing Services, LLC
08.2022 - Current
Revenue Cycle Manager
Sheridan Medical Center
08.2013 - 08.2022
Slide File Clerk
Northwestern Memorial Hospital
12.2010 - 08.2013
Medical Biller & Coder
Sheridan Medical Center
08.2008 - 12.2010
Master of Science - Health Informatics
University of Illinois Chicago
Bachelor of Applied Science - Health Information Management
University of Illinois Chicago