Rakiat Emiola
Remote,TX
Summary
Highly skilled HEDIS abstraction expert with a strong background in health IT consulting. Offering 3years of experience in data extraction, quality assurance, and EMR systems, with a proven accuracy rate of 96%. Seeking a challenging role that applies my expertise to improve healthcare quality and value.
Overview
2
2
years of professional experience
Work History
HEDIS Abstractor
Molina Healthcare
01.2024 - 05.2024
- Coordinates HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
- Collect medical records and reports from providers offices, loads data into the HEDIS application, and compares the documentation in the medical records to specifications to determine if preventive and diagnostic services.
HEDIS Abstractor
Actalent
05.2023 - 08.2023
- Call providers offices to request and validate facility and provider addresses, and collect medical records for HEDIS project
- Perform data entry of change of addresses into the system
- Run reports and work with MS Excel.
- Abstracted data from medical records focusing on HEDIS Hybrid measures, maintaining high accuracy in data collection
HEDIS Abstractor
Cigna
12.2022 - 05.2023
- Assessed and extracted critical data from medical records for analytical purposes, maintaining precision and meticulousness throughout the process
- Recognized and relayed potential avenues for augmenting medical record acquisition, thereby improving team productivity and the breadth of data compilation
HEDIS Abstractor
Deliver Health
01.2022 - 05.2022
- Reviewed medical records to ensure accurate HEDIS reporting and verified clinical data elements, enhancing data reliability and integrity
- Collaborated with healthcare providers to obtain medical records, ensuring comprehensive documentation and adherence to compliance standards.
Education
Diploma -
Elsik High School
Houston, TX05-2008
Skills
- HEDIS
- Abstraction
- Healthcare Analytics
- Medical Records
- Clerical Experience
- Data Extraction and Analysis
- Patient Access Representative
- Compliance Management
- HIPAA Regulations
- Knowledge of HEDIS Measures
- Attention to Detail
- Medical Coding
- Chart Review & Documentation
- Critical Thinking
- Communication
Hedismeasures
- COL
- WCC
- PPC
- COA
- LSC
- CIS
- EEDA
Timeline
HEDIS Abstractor
Molina Healthcare
01.2024 - 05.2024
HEDIS Abstractor
Actalent
05.2023 - 08.2023
HEDIS Abstractor
Cigna
12.2022 - 05.2023
HEDIS Abstractor
Deliver Health
01.2022 - 05.2022
Diploma -
Elsik High School
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