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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary
Highly trained LPN with strong clinical abilities. Caring and responsible. Highly dedicated to task at hand. Ability to work cooperatively as a member of a team or needs little to no supervision to work alone. Ability to communicate effectively & professionally with providers, colleagues, patients/members. Ability to react decisively and quickly in any situation, while maintaining confidentiality , thoroughly following HIPPA guidelines.
Skills
Microsoft Excel (10+ years), Spreadsheets (10+ years), Microsoft Word (10+ years), Microsoft Office (10+ years), EMR (6 years), Verisk Database (3 years), Quality Reporter Database (4 years)
Experience
Supplemental Data Abstractor (Pre Hedis), 10/2014 - 01/2017
Blue Cross Blue Shield City, STATE, Responsible for collection of information from members records pertaining to specific Gaps in Care, entering information in to company portal by using company software & database.
Supplemental Data Abstractor (Pre Hedis), 09/2014 - Current
Blue Cross Blue Shield City, STATE, Responsible for collection of information from members records pertaining to specific Gaps in Care, entering information in to company portal by using company software & database.
Hedis Nurse Abstractor, 2017 - 03/2017
Anthem Blue Cross , ,

LPN HEDIS Abstractor reviewed and completed abstraction of medical record data required for multiple HEDIS hybrid measures. Worked remotely using Desktop, Microsoft Access, and Excel along with the ability to quickly learn the plan specific data entry systems. Productivity standards and inter-rater reliability guidelines met. Met routinely with Hedis Lead and Program Managers to discuss abstraction trends. Maintained Confidentiality and Hippa regulations.

Onsite Chart Reviewer , 01/2011 - 04/2015
BlueCross BlueShield City, STATE, Responsible for collection of medical records from doctor office to take back to BCBSTN for abstraction. Scheduled all appointments for onsite reviews, entered appointments into database, made any necessary updates to notify upper management of changes.
Remote Hedis Abstractor, 07/2010 - 11/2015
Unival City, STATE, Over  read and abstracted  member medical records in timely manner from home. Collected medical records from doctor offices for medical chart reviews. Scheduled appointments with Office Manager to collect medical records, or worked from home to abstract members record according to the measure. Notified Upper management of any significant changes in schedule. Performed Credentialing Reviews.
Education and Training
Associate of Applied Science: Nursing, Expected in 2009
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Tennessee Regional School of Nursing/TCAT - Ripley, TN
GPA:
Activities and Honors

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Resume Overview

School Attended

  • Tennessee Regional School of Nursing/TCAT

Job Titles Held:

  • Supplemental Data Abstractor (Pre Hedis)
  • Supplemental Data Abstractor (Pre Hedis)
  • Hedis Nurse Abstractor
  • Onsite Chart Reviewer
  • Remote Hedis Abstractor

Degrees

  • Associate of Applied Science

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