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TANIKA HAYE
Lehigh Acres,United States
Work Preference
Summary
Dedicated Clinical Data Abstractor and Auditor with over 10 years of experience in data collection and analysis within the healthcare sector. Proven ability to manually review and collect extensive clinical data, achieving accuracy and timeliness for over 2 million cases annually across 400 facilities. Successfully contributed to preventing Medicare penalties and improving performance reporting through meticulous auditing of medical records. Eager to leverage expertise in clinical documentation and quality assurance to enhance data integrity and support healthcare outcomes.
Overview
14
14
years of professional experience
1
1
year of post-secondary education
Work History
Clinical Data Abstractor and Auditor
Envision Physician Services
Lehigh Acres, United States
10.2011 - 02.2026
- Conducted meticulous reviews and collected 70 clinical data points from Anesthesia and Emergency Medicine records, encompassing pre-operative, intra-operative, and post-operative data.
- Gathered data for over 400 facilities, comprising 2 million cases annually.
- Demonstrated proficiency in service line medical terminology.
- Acquired knowledge of various clinical specialties' medical record formats.
- Processed handwritten paper records and electronic medical records (EMRs).
- Utilized data to fulfill contractual quality obligations linked to contractual requirements and retention.
- Generated provider scorecards.
- Completed government quality reporting to avert Medicare penalties.
- Performed internal assessments of clinical care quality.
- Identified discrepancies in medical record formats.
- Indirectly benefited the organization by uncovering billing challenges, technical issues, and medical record format inconsistencies.
- Executed medical record audits across Anesthesia, Emergency Medicine, Hospital Medicine, Skilled Nursing, and Critical Care, validating clinical documentation to support performance reporting.
- Utilized data to satisfy company quality registry obligations with the Centers for Medicare & Medicaid Services (CMS).
- Assured the accuracy of performance reporting through quality assurance measures.
- Identified opportunities for performance enhancements.
- Contributed significantly to the organization by collecting clinical and quality data that was unobtainable through alternative means.
- Ensured the data collected was complete, accurate, and timely, supporting both internal and external reporting needs.
- Protected CMS (Medicare) revenue from penalties through diligent data management.
- Facilitated insights for leadership regarding clinical care performance.
- Conducted audits not previously executed to guarantee the precision and integrity of quality data, reporting findings to external clients, and assisting the company in fulfilling mentoring obligations.
- Executed audits for Anesthesia, Emergency Medicine, and Skilled Nursing, effectively identifying key components of medical records from pre-operative, post-operative, and intra-operative phases, including chief complaint, objective findings, review of systems (ROS), medical decision-making (MDM), past medical history (PMH), plan of care, final diagnosis, medication review, and lab review.
Education
MedVance Medical Billing
Fort Lauderdale 10.2006 - 07.2007
Skills
- Knowledge of service line medical terminology
- Handwritten paper records
- Medical Record Auditing
- AS400
- Excel
- Epic
- IPro
- Case Rec
- Knowledge of different clinical specialties medical record format
- EMRs
- Athena (GE)
- Embillz
- Adobe Acrobat
- Cerner
Timeline
Clinical Data Abstractor and Auditor
Envision Physician Services
10.2011 - 02.2026
MedVance Medical Billing
10.2006 - 07.2007