Summary
Overview
Work History
Education
Skills
Timeline
Generic

Uzunma Ayinde

Richmond

Summary

Experienced in healthcare quality, HEDIS abstraction, and customer service for over 7 years. Expertise in quality data abstraction, documentation review, and HEDIS measures compliance. Proficient in EMR systems such as Epic, Cerner, Allscripts, and Member360. Skilled in Microsoft Office Suite (Word, Excel, Outlook) with a background in claims review, provider outreach, and records management. Demonstrated accuracy in identifying care gaps and documenting results. Strong communication and follow-up skills across phone, email, and chat. Working on various HEDIS measures including TRC, COA, COL, HBD, CBP, CCS, IMA, WCC, PPC, and more. Ability to work independently and collaboratively to meet project timelines and quality standards.

Overview

4
4
years of professional experience

Work History

Quality Improvement Specialist

Centene Corporation
01.2025 - 05.2025
  • Performed abstraction and overreads on multiple HEDIS measures using NCQA specifications
  • Worked collaboratively with providers to gather and validate documentation for open gaps
  • Supported internal QA initiatives by analyzing trends and reporting inconsistencies in abstracted data
  • Monitored data quality and maintained 95%+ accuracy on medical record abstraction and documentation

HEDIS Overreader

Elevance Health c/o Medlinks
01.2024 - 04.2024
  • Conducted overreads and validations for measures including IMA, HBD, COA, CBP, CCS
  • Activated and assigned chart chases based on claims data and provider network
  • Delivered support to abstraction teams by conducting quality checks and documentation audits
  • Provided internal training and guidance to ensure compliance with project standards

HEDIS Outreach Specialist

Anthem (BCBS) c/o Medlinks
12.2023 - 05.2023
  • Handled inbound/outbound calls to members encouraging preventative care visits
  • Transferred members to scheduling or provider services based on needs
  • Verified medical records for proper documentation to close gaps in care
  • Followed up on appointments to ensure complete and compliant medical records

HEDIS Abstractor

Elevance Health c/o Medlinks
01.2023 - 04.2023
  • Reviewed EMRs via remote access to extract required HEDIS data
  • Ensured HIPAA compliance and timely task completion
  • Coded diagnoses and procedures and corrected claim errors
  • Entered and managed patient data within proprietary systems

HEDIS Abstractor

Advent Health
01.2021 - 05.2022
  • Delivered high-quality abstraction with over 96% accuracy
  • Worked on ServiceNow ticketing to resolve record issues
  • Supported IT and clinical staff in addressing abstraction challenges
  • Reviewed and abstracted data from multiple care settings

Education

Bachelor of Science - International Relations

Houdegbe North American University

Skills

  • Customer satisfaction
  • Auditing techniques
  • Workflow optimization
  • ISO standards
  • Documentation management
  • Quality management systems

Timeline

Quality Improvement Specialist

Centene Corporation
01.2025 - 05.2025

HEDIS Overreader

Elevance Health c/o Medlinks
01.2024 - 04.2024

HEDIS Outreach Specialist

Anthem (BCBS) c/o Medlinks
12.2023 - 05.2023

HEDIS Abstractor

Elevance Health c/o Medlinks
01.2023 - 04.2023

HEDIS Abstractor

Advent Health
01.2021 - 05.2022

Bachelor of Science - International Relations

Houdegbe North American University