PETER ADIMORAH
Dallas,GA
Summary
Highly skilled and detail-oriented HEDIS abstraction professional with 4 years of experience seeking a challenging role in a healthcare organization. Dedicated to ensuring accurate and timely abstraction of medical records to support HEDIS reporting and quality improvement initiatives. Strong knowledge of HEDIS measures, coding systems, and medical terminology.
Overview
6
6
years of professional experience
Work History
HEDIS ABSTRACTOR
Molina Healthcare
07.2021 - 11.2023
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Led, facilitated and attended focus groups and meetings to strategize workflow issues.
- Managed digitization of paper records.
- Processed both outgoing and incoming requests for medical records from multiple sources.
- Catalogued patient data in clinical databases and registries according to regulatory practices.
- Used reference material to facilitate accuracy, clarity and completeness of reports.
- Provided support in obtaining records from outside sources to complete chart for patient care.
- 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, ensured compliance with NCQA, federal, state, and other regulatory agency standards
HEDIS Data Abstraction/Reviewer
CVS Healthcare
12.2019 - 12.2022
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Catalogued patient data in clinical databases and registries according to regulatory practices.
- Managed competing deadlines with efficiency.
- Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Secured confidential patient information from unauthorized access.
- Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
HEDIS Data Abstraction/Reviewer
Cigna
02.2018 - 10.2019
- Conducted comprehensive medical record reviews and abstraction for HEDIS measures, ensuring compliance.
- 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, ensuring compliance with NCQA, federal, state and other regulatory agency standards
- Identified issues, analyzed information and provided solutions to problems.
- 96% accuracy on medical record review and abstraction
- Skilled at working independently and collaboratively in a team environment.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
- Proven ability to learn quickly and adapt to new situations.
- Worked effectively in fast-paced environments.
Education
Master of Science - Health Informatics
Northern Kentucky University
Newport, KY07.2024
M.D. -
Richmond Gabriel University
St Vincent And The Grenadines02.2022
Skills
- Data Abstraction
- Medical Records Review
- Data Entry
- Medication Review
- Quality Assurance
- HIPAA Compliance
- Timely Project Completion
- Quality Improvement Plans
Timeline
HEDIS ABSTRACTOR
Molina Healthcare
07.2021 - 11.2023
HEDIS Data Abstraction/Reviewer
CVS Healthcare
12.2019 - 12.2022
HEDIS Data Abstraction/Reviewer
Cigna
02.2018 - 10.2019
Master of Science - Health Informatics
Northern Kentucky University
M.D. -
Richmond Gabriel University