Abbey Ayeni
Middletown
Summary
Adept Chart abstractor with 6+ years’ experience with HEDIS Transitions of Care (TRC), CBP, PPC, PDS, PSS, BPD, CBP, CCS, HBD measures and data interpretation. I leveraged these skills at Ellit Groups to exceed chart review expectations with a 97% accuracy rate. Process-driven with keen attention to detail, offering proven ability to partner with diverse professionals. My proficiency in EMR/EHR systems and exceptional time management ability have consistently ensured compliance with healthcare regulations, showcasing my detail-oriented and problem-solving capabilities.
Overview
7
7
years of professional experience
1
1
Certification
Work History
HEDIS Abstractor/Reviewer
Ellit Groups
01.2023 - Current
- Ensured compliance with applicable laws, regulations and standards pertaining to health care information management systems.
- Conduct reviews of the data/records to ensure abstraction accuracy of clinical data elements for HEDIS reporting.
- Weekly team meetings to discuss measures, progress, and overall compliance of records.
- Performed overheads and medical record review validations for CIS, IMA, EED, BPD, COL AND WCC.
- Exceeded chart expectation of 60+ charts per day while maintaining 97% accuracy.
- Volunteered over-time as requested to help meet the needs for project year.
- Reviewed patient records to accurately abstract and assign codes for diagnosis and procedures. Performed quality control checks to ensure accuracy of data entered in the database.
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- Familiar with Reveleer Platform Software and abstraction with Cotiviti.
- Researched medical records that were assigned for the appropriate measure.
- Worked with Medicaid charts for United Health Group and varies Hospital systems.
- Maintained HIPPA regulations for consumer privacy and complete tasks in a timely manner to ensure compliance with NCQA, federal, state and other regulatory agency standards.
HEDIS Abstractor
Experis
08.2019 - 10.2022
- Adapted quickly to changes in industry standards or technology advancements to maintain up-to-date knowledge of abstractor best practices.
- Complete tasks in a timely manner to ensure compliance with NCQA, federal, state, and other regulatory agency standards.
- Exceeded chart expectations of 60+ charts per day while Maintaining 97% accuracy
- Performed overheads and medical record review validations for CIS, IMA, EED, BPD, COL AND WCC.
- Conduct reviews of the data/records to ensure abstraction accuracy of clinical data elements for HEDIS reporting.
- Well-versed in utilizing various ticketing systems, troubleshooting hardware and software, demonstrating excellent clinical workflow analysis.
- Provided support in obtaining records from outside sources to complete chart for patient care.
- Improved document accuracy by meticulously reviewing and verifying legal descriptions, deeds, and property records.
- Migrated patients charts from legacy systems to Epic.
- Knowledge of HIPAA Compliance, NCQA, Federal, State and other Regulatory standards, Medicaid charts, and Medical Coding (ICD10 & CPT coding)
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- ·Maintained HIPPA regulations for consumer privacy and completed tasks in a timely manner to ensure compliance with federal, state, and other regulatory agency standards., 2022
- Provided exceptional customer service by responding promptly to client requests and maintaining open lines of communication throughout the duration of each project.
- Minimized errors in documentation through meticulous proofreading before submitting completed work products to clients or team members.
HEDIS Abstractor/Reviewer
Divurgent
01.2018 - 06.2019
- Ensured compliance with applicable laws, regulations and standards pertaining to health care information management systems.
- Conduct reviews of the data/records to ensure abstraction accuracy of clinical data elements for HEDIS reporting.
- Weekly team meetings to discuss measures, progress, and overall compliance of records.
- Performed overheads and medical record review validations for CIS, IMA, EED, BPD, COL AND WCC.
- Exceeded chart expectation of 60+ charts per day while maintaining 97% accuracy.
- Volunteered over-time as requested to help meet the needs for project year.
- Reviewed patient records to accurately abstract and assign codes for diagnosis and procedures. Performed quality control checks to ensure accuracy of data entered in the database.
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- Familiar with Reveleer Platform Software and abstraction with Cotiviti.
- Researched medical records that were assigned for the appropriate measure.
- Worked with Medicaid charts for United Health Group and varies Hospital systems.
- Maintained HIPPA regulations for consumer privacy and complete tasks in a timely manner to ensure compliance with NCQA, federal, state and other regulatory agency standards.
Education
Master of Science - Financial Management
Heriot-Watt University
06-2012
Bachelor of Science - Mathematics
Ladoke Akintola University of Technology
08-2005
Skills
- HEDIS Abstraction
- Data interpretation
- TRC Measures
- EMR/EHR
- TDR
- Cloud Technology
- MS Office Suite (Word, Excel, Powerpoint, Outlook)
- Database navigation
- Time management
- Multitasking
- Detail-oriented
- Data entry
- Communication skills
- Problem-solving
Certification
- PMP Project Management Institute 2023
- CSM Scrum Alliance 2019
Timeline
HEDIS Abstractor/Reviewer
Ellit Groups
01.2023 - Current
HEDIS Abstractor
Experis
08.2019 - 10.2022
HEDIS Abstractor/Reviewer
Divurgent
01.2018 - 06.2019
- PMP Project Management Institute 2023
- CSM Scrum Alliance 2019
Master of Science - Financial Management
Heriot-Watt University
Bachelor of Science - Mathematics
Ladoke Akintola University of Technology
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