Hi, I’m
TARERE ABEBE
Missouri City,TX
Summary
Dedicated healthcare professional with over years of experience in medical data abstraction and administrative support. Proven expertise in HEDIS measures, data collection, and quality improvement initiatives. Strong analytical skills, interpersonal skills with internal team members complemented by a solid foundation in patient interaction and administrative processes.
Overview
5
years of professional experience
Work History
Cigna Health CareTexas
HEDIS Abstractor
04.2023 - Current
Job overview
- Analyzing clinical data using HEDIS/QRS measures to evaluate performance across medical plans
- Compiling and preparing annual reports on clinical effectiveness results, ensuring accuracy and compliance with NCQA and CMS standards
- Accurately input and document data into the HEDIS reporting system in accordance with established office procedures
- Conducting medical record audits to verify the quality and accuracy of data collection, resulting in improved reporting outcomes
- Coordinating with healthcare providers to gather and verify necessary data, facilitating a smooth data collection process
- Assisting in the submission of HEDIS data, ensuring compliance with reporting deadlines and regulatory requirements
- Documenting all communications and interactions with healthcare providers and team members in an organized manner
- Collaborating with quality improvement and data teams to ensure efficient operations and adherence to regulatory compliance
- Maintained patient confidentiality while adhering to HIPAA and data protection policies and procedures
- Stayed updated on HEDIS guidelines and industry trends to ensure ongoing compliance and accuracy in data reporting.
Star life Therapy ServicesHouston, Texas
Clinical Coordinator
01.2021 - 02.2023
Job overview
- Oversaw day-to-day clinical operations, ensuring the delivery of high-quality patient care and adherence to regulatory standards
- Coordinated patient scheduling and managed clinic workflows to optimize therapist productivity and patient satisfaction
- Developed and implemented clinical protocols and procedures to enhance service delivery and operational efficiency
- Abstracted clinical data from electronic health records (EHR) to support HEDIS initiatives
- Collaborated with physical therapists to ensure accurate assessment, treatment planning, and progress tracking for all patients
- Monitored patient outcomes and reported on key performance indicators to drive continuous quality improvement initiatives
- Trained and mentored staff on best practices, compliance requirements, and effective communication strategies
- Served as the primary point of contact for patient inquiries, addressing concerns and enhancing the overall patient experience
- Managed electronic health records (EHR) documentation to maintain accurate and up-to-date patient information
- Facilitated interdisciplinary communication among healthcare providers to ensure coordinated care and comprehensive treatment approaches
- Assisted in preparing annual HEDIS submissions, contributing to the improvement in healthcare quality metrics.
AFPCHouston, Texas
Care Coordinator
05.2019 - 12.2020
Job overview
- Oversaw front office operations, including client check-in/check-out and scheduling appointments
- Ensured compliance with health and safety regulations, maintaining a clean and safe environment for infants
- Monitored and documented infants’ growth and developmental milestones, identifying areas needing additional support
- Collaborated with healthcare providers to coordinate care for infants with specific health needs
- Implemented care policies and licensing requirements, participating in audits and compliance checks
- Engaged in ongoing professional development to stay current with best practices in infant care
- Provided exceptional customer service and addressed inquiries effectively
- Assisted with administrative tasks, contributing to a seamless workflow.
Education
Wharton County Junior College
Associate of Science from Nursing
National Open UniversityNigeria, West Africa
Bachelor of Science from Management
Skills
- Proficient in data abstraction and analysis
- Effective time Management
- Strong knowledge of electronic health records (EHR) systems
- Familiar with HEDIS measures and quality improvement
- Excellent communication and interpersonal skills
- Detail-oriented with strong organizational abilities
- Familiarity with HIPAA and PHI compliance and data privacy regulations
- Attention to Detail
Timeline
HEDIS Abstractor
Cigna Health Care
04.2023 - Current
Clinical Coordinator
Star life Therapy Services
01.2021 - 02.2023
Care Coordinator
AFPC
05.2019 - 12.2020
National Open University
Bachelor of Science from Management
Wharton County Junior College
Associate of Science from Nursing
Similar Profiles
Suzanne ClarkSuzanne Clark
RN Case Manager Lead Analyst-Remote at Cigna Health CareRN Case Manager Lead Analyst-Remote at Cigna Health Care
Ashley AllenAshley Allen
Customer Service Representative at CIGNA HEALTH CARECustomer Service Representative at CIGNA HEALTH CARE
Paula ChoinierePaula Choiniere
Provider Services Representative at Cigna Health CareProvider Services Representative at Cigna Health Care
Joshi PulimoottilJoshi Pulimoottil
Marketing Executive B2B Sales at Crush City InnovationsMarketing Executive B2B Sales at Crush City Innovations
Monica Francis RiversMonica Francis Rivers
Virtual Call Center Customer Service Representative at Independence Blue Cross, LLCVirtual Call Center Customer Service Representative at Independence Blue Cross, LLC