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| 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) |
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.
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.
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.
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.
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.
Tennessee Regional School of Nursing/TCAT - Ripley, TN
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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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