Olumide Taiwo
Dallas,TX
Summary
Highly skilled HEDIS abstractor with over 5 years working experience in healthcare. Specialized in medical health record abstraction, over-read, geriatrics, pediatrics long time care and memory care. Proven expertise in managing and optimizing various services related to Healthcare Effectiveness Data and Information Set (HEDIS). A detail-oriented professional committed to ensuring accuracy, compliance, and efficiency in healthcare data abstraction processes. I possess extensive experience with IMA, PPC, CIS, EED, LSC, COL, WCC, and I have achieved a remarkable 97% accuracy rate in medical record review and abstraction.
Overview
5
5
years of professional experience
2
2
Certification
Work History
HEDIS Abstractor
CENTENE CORPORATION
Dallas Tx
11.2022 - 06.2024
- Conducted comprehensive medical record reviews to extract and abstract pertinent data for HEDIS measures, ensuring accuracy and adherence to established guidelines
- Lead a team of HEDIS abstractors to ensure accurate and timely data collection
- Specialized in diverse services, including preventive care, chronic disease management, and member satisfaction surveys
- Implemented process improvements resulting in a 38% increase in HEDIS reporting accuracy
- Collaborated with cross-functional teams to identify and address gaps in data collection processes
- Conducted regular training sessions for staff to stay updated on HEDIS specifications and guidelines
- Implemented and managed the rollout and success of various projects and programs
- Shared scorecards, delivered gaps-in-care information and risk reports, and provided critical operational and efficiency reports to support practices
- Utilized advanced knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, to appropriately classify and assign codes to medical data
- Identified documentation gaps or inconsistencies and proactively communicate findings to healthcare providers, facilitating necessary clarifications or supplemental information
- Support the development and implementation of quality improvement strategies based on HEDIS findings and recommendations, driving enhanced healthcare outcomes
- Ensured strict compliance with HIPAA regulations and confidentiality guidelines when handling sensitive patient information during the abstraction process.
HEDIS Abstractor
Molina Healthcare
Dallas Tx
12.2020 - 11.2021
- Conducted comprehensive medical record reviews to extract and abstract pertinent data for HEDIS measures, ensuring accuracy and adherence to established guidelines
- Implemented and managed the rollout and success of various projects and programs
- Developed and maintained strong relationships with healthcare providers to facilitate data collection
- Conducted regular audits to ensure compliance with HEDIS specifications
- Contributed to the improvement of reporting processes, resulting in increased efficiency
- Shared scorecards delivered gaps-in-care information and risk reports and provided critical operational and efficiency reports to support practices
- Collaborated closely with cross-functional teams to meet project timelines, deliverables, and organizational objectives related to HEDIS initiatives
- Utilized advanced knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, to appropriately classify and assign codes to medical data
- Identified documentation gaps or inconsistencies and proactively communicate findings to healthcare providers, facilitating necessary clarifications or supplemental information
- Ensured strict compliance with HIPAA regulations and confidentiality guidelines when handling sensitive patient information during the abstraction process
- Generated comprehensive reports and summaries of HEDIS data, presenting actionable insights and recommendations to internal and external stakeholders
HEDIS Abstractor
United Health Group
Dallas Tx
01.2020 - 05.2020
- Conducted thorough medical record reviews to extract relevant data for HEDIS measures
- Applied expert knowledge of HEDIS guidelines and measures to accurately abstract and analyze healthcare information
- Collaborated with the HEDIS team to ensure compliance with project timelines and quality standards
- Utilized medical coding systems (such as ICD-10, CPT, HCPCS) to appropriately categorize and code medical data
- Identified gaps in documentation and communicated findings to healthcare providers for further clarification or supplementation
- Assisted in the development and implementation of quality improvement initiatives based on HEDIS findings and recommendations
HEDIS Review Nurse
Blue Cross Blue Shield
Dallas Tx
01.2019 - 01.2020
- Conduct thorough reviews of medical records to abstract and collect relevant data for HEDIS measures
- Ensure accurate and complete documentation of healthcare services, including preventive care, chronic disease management, and other quality indicators
- Collaborate with healthcare providers and organizations to identify areas for improvement based on HEDIS metrics
- Implement strategies to enhance the quality of care provided and meet performance goals
- Ensure adherence to HEDIS specifications and guidelines during the abstraction process
- Stay updated on changes in HEDIS measures and maintain compliance with regulatory requirements
- Conduct regular audits to validate the accuracy and completeness of HEDIS data abstraction
- Implement corrective actions based on audit findings to improve data quality
- Maintained strict adherence to HIPAA regulations and confidentiality guidelines while handling sensitive patient information
- Generated detailed reports and summaries of HEDIS data for internal and external stakeholders
- Improved HEDIS performance by conducting thorough medical record reviews and data extraction.
- Served as a subject matter expert on the HEDIS review team, providing guidance and support to colleagues as needed.
HEDIS Abstractor
Blue Cross Blue Shield
Dallas Tx
01.2019 - 05.2019
- As a HEDIS Abstractor at Blue Cross Blue Shield, working remotely I played a critical role in ensuring the accuracy and integrity of healthcare data
- I contributed to the success of the HEDIS program by conducting comprehensive medical record reviews and data abstraction
- With meticulous attention to detail and a deep understanding of HEDIS measures and guidelines, I extracted pertinent information from medical records to assess the quality of care provided to patients
- Additionally, I collaborated closely with the HEDIS team to meet project deadlines and achieve organizational goals
- Conducted thorough medical record reviews to extract relevant data for HEDIS measures
- Applied expert knowledge of HEDIS guidelines and measures to accurately abstract and analyze healthcare information
- Collaborated with the HEDIS team to ensure compliance with project timelines and quality standards
- Utilized medical coding systems (such as ICD-10, CPT, HCPCS) to appropriately categorize and code medical data
- Identified gaps in documentation and communicated findings to healthcare providers for further clarification or supplementation
- Assisted in the development and implementation of quality improvement initiatives based on HEDIS findings and recommendations
- Maintained strict adherence to HIPAA regulations and confidentiality guidelines while handling sensitive patient information
- Generated detailed reports and summaries of HEDIS data for internal and external stakeholders
- Stayed updated on industry trends, changes in HEDIS measures, and relevant regulations to ensure compliance and accuracy in data abstraction
- Actively participated in training sessions and professional development activities to enhance knowledge and skills in HEDIS abstraction and quality improvement
Clinical Informatics Coordinator
Meadow View Geriatrics and Memory care
Dallas Tx
01.2017 - 01.2019
- Performed thorough daily assessment including admission of new patients
- Collaborate with doctor office on patient needs and care
- Managed the care of elderly patients in various settings, including assisted living and home care
- Coordinated with interdisciplinary teams to provide holistic and patient-centered care
- Conducted health assessments, developed care plans, and monitored chronic conditions
- Educated patients and families on geriatric health issues and preventive care.
Clinical Informatics Coordinator
Epic Healthcare Services
Dallas Tx
01.2015 - 01.2017
- Patient admission and documentation
- Medication administration and review
- Collaboration with other departments to provide optimum patient care
- Wound care/Trach care
- Monitors feedings and nutrition
- Administer oxygen and daily vital signs check
- Follow HIPPA regulations
- Supported Radiology technicians in understanding the process of initiating and concluding exams
- Helped staff navigate through and complete required information in situations where hard stops were encountered
- Provided detailed information on selecting the appropriate modality and verifying scheduled orders, promoting accurate and efficient workflow
Education
Bachelor of Science - Computer science
University of Texas At Arlington
Arlington, TX01-2019
Associate of Science - Network System Administrator
ITT-Technical Institute
Arlington, TX04-2017
Skills
- HEDIS Abstraction and Over-read
- Medical Record Review and Abstraction
- Patient admission
- Data Extraction from Multiple Records
- Epic (Ambulatory, Cadence, Clindoc, CPOE, Stork, Orders)
- Cerner
- Athena
- Microsoft Office Suite
- McKesson
- Electronic Health Record(EHR) Systems
- Prenatal Depression Screening and Follow-Up (PND)
- Postpartum Depression Screening and Follow-Up (PDS)
- Quality Assurance (QA) and Quality Improvement (QI) Processes
- Healthcare Terminology and Coding (ICD-10, CPT, HCPCS)
- Data Analysis and Reporting
- HIPAA Compliance and Privacy Regulations
- Strong Attention to Detail
- Time Management and Prioritization
- Effective Communication Skills
Certification
- Certified Professional in Healthcare Quality (COHQ), National Association for Healthcare Quality, 01/01/18
- Certified HEDIS Compliance Auditor (CHCA), National Committee for Quality Assurance, 01/01/20
Timeline
HEDIS Abstractor
CENTENE CORPORATION
11.2022 - 06.2024
HEDIS Abstractor
Molina Healthcare
12.2020 - 11.2021
HEDIS Abstractor
United Health Group
01.2020 - 05.2020
HEDIS Review Nurse
Blue Cross Blue Shield
01.2019 - 01.2020
HEDIS Abstractor
Blue Cross Blue Shield
01.2019 - 05.2019
Clinical Informatics Coordinator
Meadow View Geriatrics and Memory care
01.2017 - 01.2019
Clinical Informatics Coordinator
Epic Healthcare Services
01.2015 - 01.2017
Bachelor of Science - Computer science
University of Texas At Arlington
Associate of Science - Network System Administrator
ITT-Technical Institute