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Work Background
Dawdling Unicorn Books LLCBusiness Owner
May. 2025Indiana, United StatesPublished Author and Owner of a publishing company for procrastinating authors who have delayed their dreams of writing and publishing their own works.
Centene CorporationManager HEDIS Operations Quality Improvement
Aug. 2022United StatesResponsible for developing, building, and managing a centralized HEDIS clinical quality team for retrieval and storage of remote access EMR medical records. Drive growth and Provider engagement activities to foster improved HEDIS record retrieval through streamlined source sharing via remote access. Develop and provide training on all HEDIS measures and EMR systems to all Full-Time and Temp employees. Develop training materials for all new processes and ensure all staff are completing the necessary training. Manage all daily activities for the EMR team including: access requests, IT issues, compliance questions, production, priorities, and staffing concerns. Manage and lead the centralized EMR process to drive consistency and common goals. Work cross functionally with other departments to reduce the burden and abrasion on providers for medical record submission.
HealthCare SupportQVSD Clinical Review Specialist
Jan. 2022 - May. 2022RemoteClinical quality review of medical record abstractions done by internal and external partners for accuracy. Completed claims review and research to identify opportunities for rate improvement through alternate provider outreach. Maximized productivity through organizational skills and use of available technology and programs.
Anthem, Inc.HEDIS EMR and Onsite Pursuit Manager
Dec. 2020 - Dec. 2021Pursuit HEDIS Manager for a centralized HEDIS clinical quality team. Responsible for leading all EMR Pursuit activities for 500K+ total hybrid medical records across all lines of business. Implemented and organized a centralized and dedicated EMR and abstraction team that is responsible for collection and abstraction of HEDIS Hybrid medical records. Managed contact and access with EMR providers. Managed and directed the outreach to implement new providers into the EMR database. Managed provider file clean-up to ensure a clean data load of provider information. Developed and provided training on all HEDIS measures and EMR systems to all Full-Time and Temp employees. Developed training materials for all new processes and ensured all staff were completing the necessary training. Managed all daily activities for the EMR team including access requests, IT issues, compliance questions, production, priorities, and staffing concerns. Managed and lead the centralized EMR process for the entire Enterprise to drive consistency and common goals. Worked cross functionally with other departments to reduce the burden and abrasion on providers for medical record submission.
Anthem, Inc.Pursuit EMR Lead
Jun. 2019 - Dec. 2020Indianapolis, Indiana AreaClinical Quality Review, Medical Record Review, Abstraction, Research and Pursuit, Report Evaluation, Staff Management, EMR specialist
Anthem, Inc.HEDIS Abstraction Lead
Dec. 2018 - Jun. 2019Remote
BCforwardMedical Records Specialist
Dec. 2017 - Jun. 2018Indianapolis, IndianaMedical record review and abstraction
Western Governors UniversityStudent
Aug. 2017 - Dec. 2020Indianapolis, Indiana Area
Anthem, Inc.HEDIS Abstraction Lead, specialized to Onsite and EMR MRR
Nov. 2015 - Sep. 2017Indianapolis, IndianaClinical Quality Review, Medical Record Review, Abstraction, Research and Pursuit, Report Evaluation
CovanceProgram Specialist
Jun. 2014 - Feb. 2015Greenfield, IN• Called insurance companies and pharmacy benefits managers to obtain insurance plan details and benefits for medications. • Research of a benefit concluded with data entry into an Axis database utilizing pre-populated scripts and free entry data fields. • Called patients to relay benefits, updated Excel spreadsheets, reported data entry errors and adverse events related to medications, transferred and conferenced patients and payers, and researched payer sources. • Systems used include Microsoft PowerPoint, Outlook, Word, Excel, and Lync.
Populous Group at WellPointHEDIS Medical Records Abstractor - LPN
Feb. 2012 - May. 2015Indianapolis, IN• Researched medical claims and reviewed medical records to extract information for HEDIS. • Data entry, detailed chart review, outbound and inbound customer calls, and on-site reviews. • Research claims systems and medical records • Created reports in Excel, utilized screen prints, worked in Quality Reporter, and with medical records systems. • Assist with training new members in use of the systems as well as researching and protocol of compliant information.
American Senior CommunitiesWound Care Nurse
Apr. 2008 - Nov. 2010Indianapolis, Indiana Area• Managed Wound Care and Prevention program. • Wound measurements with MD weekly, tracked progress of wounds, compiled data and submitted reports weekly, and applied treatments. • Put multiple prevention programs in place and markedly decreased number of nosocomial wounds. • Received honors from Indiana State Department of Health and spoke for a statewide wound treatment and prevention conference. • Reviewed new products for use in the facility; wrote and presented in-services to both nursing and non-nursing staff; educated residents, staff, and families on wound care and prevention; and tracked daily lab draws to ensure completeness and accuracy. • Served as Staff Development Coordinator training all new staff and updating current staff through regular meetings, seminars, and licensed staff check-offs. • Assisted the Staffing Coordinator in arranging schedules and took Manager On-Call monthly to coordinate staffing on weekends and at night in the event of call-ins.
Kindred HealthcareLPN
Aug. 2006 - Apr. 2008Greenfield, IN• Floor nurse working night shift to start, and changing to weekend option • General nursing duties working the Medicare/Rehabilitation, Long-term, and Alzheimer's units. • Medication pass, documentation, vital signs, treatment application, assessment and judgement of condition, end-of-life care, assisting CNA staff, and destruction/return of medications as needed.
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