OLAKUNLE OLUBIYI
The Bronx,NY
Summary
Detail oriented EHR trainer and Data Quality Analyst adept at performing Epic training, data extraction, analysis and recognizing key problem areas to assist in root cause identification. Exceptionally talented at auditing medical data on regular basis to provide data integrity and quality with over 5 years of experience in working with HEDIS abstracted data from multiple records extracted relevant information from medical records Conducted medical records review appropriately 97.5% accuracy on medical record review and abstraction problems.
Overview
6
6
years of professional experience
Work History
Hedis Retrieval Specialist
Profile Intelligence
01.2025 - Current
- Contacting provider offices, hospitals, or clinics to request patient charts via fax, secure email, remote EMR access.
- Building relationships with office staff, explaining what’s needed, following up on requests, and troubleshooting if records are missing or incomplete.
- Logging and monitoring the status of record requests in tracking systems or databases to ensure timely retrieval for the HEDIS timeline.
- Ensuring all record handling is compliant with HIPAA, maintaining confidentiality, and securely transmitting records to the appropriate teams.
- Scanning or uploading records into the company’s system so that the abstraction team can access them.
- Working under tight timelines, especially during HEDIS season, to make sure all requested records are retrieved before abstraction deadlines.
Hedis Abstractor and Reviewer
Russell Tobin - UHG
01.2024 - 05.2024
- Performed over-reads and medical record review validations for CIS, IMA, EED, BPD, COL, TRC AND WCC, BPD
- Proved successful working within tight deadlines and a fast-paced environment.
- Exceeded chart expectation of 50+ charts per day while maintaining 97% accuracy
- 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
- · Navigated CPT4 code and ICD9 and ICD 10 DX based on HEDIS Technical Specification requirements
HEDIS Abstractor and Overreader
CSI
11.2022 - 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 over-reads and medical record review validations for CIS, IMA, EED, BPD, COL AND WCC
- Exceeded chart expectation of 50+ charts per day while maintaining 97% accuracy
- Volunteered over-time as requested to help meet 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
- Researched medical records that were assigned for 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
Cadence/EPIC/Grand Central Credentialed Trainer
Emory Healthcare
01.2021 - 11.2022
- Schedule and perform small to medium sized group training sessions as needed for Epic Cadence/Prelude End Users, as well as Access Leads and Managers, via classroom, online, or group session format
- Delivered training for a cross-functional, continuous learning environment & assist in measuring the accuracy, comprehension, & effectiveness of training sessions
- Developed and delivered comprehensive training programs for clinical staff to enhance operational efficiency.
- Facilitated onboarding processes for new hires, ensuring swift adaptation to organizational protocols.
HEDIS Abstractor
PIVOT CONSULTING
01.2020 - 11.2020
- Understood codes for services based on diagnosis and procedure
- Found claim specific data for specific measure within given period
- Worked on EMR Team, completed medical record retrievals via remote access to provider EMR/EHR systems
- Conducted medical records review appropriately
- Collected and analyzed data
- Abstracted data from multiple records
- Extracted relevant information from medical records
- Multitasked and troubleshoot problems
- Maintained HIPPA regulations for consumer privacy and completed tasks in a timely manner, ensure compliance with NCQA, federal, state and other regulatory agency standards
- 96% accuracy on medical record review and abstraction
Epic Candace/Prelude & Ambulatory Support
Crozer Health
11.2019 - 01.2020
- Assisted nurses with placing of orders, reviewing medications, and documenting medical history
- Provided Elbow support with documenting patient instructions on After Visit Summary (AVS)
- Assisted front desk with scheduling patients in/out for their appointments
- Optimized Scheduling and Registration workflows
- Escalated issues to command center and utilized creative methods to keep track of open and resolved tickets
Education
Higher National Diploma - Banking And Finance
Federal Polytechnic
Kwara State10-1999
Skills
- Senior application support specialist with 5 Years of implementation and HEDIS experience
- Strong background in medical records review, abstracting and over-reading
- Experienced in all HEDIS Measures such as: CIS, IMA, EED, BPD, COL AND WCC
- Knowledge of HIPAA Compliance, NCQA, Federal, State and other Regulatory standards, Medicaid charts, and Medical Coding (ICD10 & CPT coding)
- Exceeded chart expectation of 60 charts per day while maintaining 97% accuracy
- Well-versed in utilizing various ticketing systems, troubleshooting hardware and software, demonstrating excellent clinical workflow analysis, EMR, EPIC, Reveleer, Cadence & Grand Centra Prelude, Command Center/TDR, ClinDoc, Meditech, and Radiant
Timeline
Hedis Retrieval Specialist
Profile Intelligence
01.2025 - Current
Hedis Abstractor and Reviewer
Russell Tobin - UHG
01.2024 - 05.2024
HEDIS Abstractor and Overreader
CSI
11.2022 - 05.2023
Cadence/EPIC/Grand Central Credentialed Trainer
Emory Healthcare
01.2021 - 11.2022
HEDIS Abstractor
PIVOT CONSULTING
01.2020 - 11.2020
Epic Candace/Prelude & Ambulatory Support
Crozer Health
11.2019 - 01.2020
Higher National Diploma - Banking And Finance
Federal Polytechnic