Arlene Hooper

Performed medical record abstraction and data entry for all HEDIS measures, using HEDIS software products and interacting with providers to obtain relevant medical records.

Analyzed television, podcast, and digital news content for bias and reliability, performing coding and data entry.

Performed medical record abstraction and overread completed abstraction for HEDIS measures, and managed medical record requests to maximize provider compliance through claims review.

Performed EMR review, data abstraction, and ICD-10 coding for trauma registry.

Performed provider/practitioner medical record reviews, abstraction, and data entry for all HEDIS measures as part of HEDIS Operations.

Performed ICD-9 and ICD-10 coding and CMS-Hierarchical Condition Category abstraction, meeting and exceeding 95% accuracy rate and productivity requirements.

Performed provider/practitioner medical record reviews, abstraction, and data entry for all HEDIS measures, including electronic and telephonic chases to recover data deficiencies.

Coordinated trauma performance improvement, including extensive EMR data abstraction for PTOS monitoring and PTSF accreditation survey preparation.

Traveled to academic medical center partner sites, generated documentation, and provided validation sessions for an enterprise healthcare solution, with competence in Meaningful Use Stage 1 and 2.

Implemented a Level 1 Trauma Center program, including PTOS data abstraction, quality indicator monitoring, and PTSF accreditation survey preparation.

Facilitated appropriate admissions and level of care, and discharge planning from the Emergency Department.

Reviewed medical records, immunization records, and screening tools for required HEDIS clinical data elements, scheduling and performing reviews at provider sites.

Managed corporate quality management, developed and implemented quality and credentialing programs, and designed and maintained MS Access and MySQL databases.

Coordinated accreditation, physician credentialing, and audit preparation, and managed quality improvement projects involving research, study design, and data analysis.

Provided emergency and trauma nursing care.

Provided hospice nursing care to patients in a home health setting.

Provided home care nursing services to patients.

Provided emergency and intensive care nursing.

Enrolled in the MSIS program but did not complete the degree.

Completed a Computer Technology Certification in Database Development at the Great Valley Graduate Campus.

Earned a Bachelor of Science in Science from Pennsylvania State University.

Earned a Diploma in Nursing from Albert Einstein Medical Center.