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
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
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
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
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
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
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
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
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