Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rabiat Adigun

Providence

Summary

Dedicated HEDIS Abstractor with over five years of experience in healthcare quality management. Specializes in extracting and analyzing healthcare data to ensure compliance with industry standards such as HEDIS and NCQA. Proficient in reviewing medical records, troubleshooting system issues, and improving data accuracy. Adept at multitasking and delivering actionable insights to optimize healthcare operations. Excellent communication and organizational skills with a focus on quality assurance and compliance.

Overview

4
4
years of professional experience

Work History

HEDIS Abstractor

Elevance Health
12.2023 - 05.2024
  • Performed detailed medical record reviews, ensuring adherence to HEDIS guidelines and improving data reliability.
  • Spearheaded efforts to enhance data reporting accuracy, resulting in streamlined processes and better outcomes.
  • Facilitated staff training on HEDIS protocols, boosting overall compliance and understanding of best practices.

HEDIS Specialist

CVS Health
12.2021 - 05.2022
  • Reviewed and coded medical procedures and patient records to ensure proper alignment with HEDIS and regulatory standards.
  • Corrected and resubmitted claims, significantly reducing error rates and increasing approval rates for claims.
  • Generated detailed reports summarizing medical data for research and physician use, supporting decision-making.

Medical Data Abstractor

Anthem Inc.
12.2019 - 06.2020
  • Tracked and resolved system issues using advanced tools, ensuring continuous improvement in data management practices.
  • Achieved over 95% accuracy in medical data abstraction, contributing to the organization's quality targets.
  • Led efforts to manage clinical workflows, coordinating with interdisciplinary teams to ensure high-quality patient care

Education

Bachelor of Science - Health Information Management

Southern New Hampshire University
Hooksett, NH
05-2020

Skills

  • HEDIS & NCQA Compliance
  • Medical Record Analysis
  • Healthcare Data Management
  • HIPAA & Regulatory Standards
  • ICD-10 & CPT Coding Expertise
  • EMR/EHR System Navigation
  • Process Improvement
  • Data Reporting & Analysis
  • Training & Development
  • Excellent Communication & Team Collaboration

Timeline

HEDIS Abstractor

Elevance Health
12.2023 - 05.2024

HEDIS Specialist

CVS Health
12.2021 - 05.2022

Medical Data Abstractor

Anthem Inc.
12.2019 - 06.2020

Bachelor of Science - Health Information Management

Southern New Hampshire University

Similar Profiles

CREATE PROFILE
Rabiat Adigun