Open to opportunities

Ashley Caldwell

@ashleycaldwell

Message

Experienced clinical data abstractor and manager skilled in quality reporting and EMRs.

United States

Message

What I'm looking for

I seek a role focusing on clinical data abstraction and quality reporting where I can lead teams, improve data accuracy, and support client-facing improvements.

I am a seasoned clinical data abstractor and manager with extensive experience using Epic, Cerner, Meditech, Allscripts and multiple registry platforms. I specialize in abstraction, data cleanup, submission, and producing actionable reports for quality improvement initiatives such as GWTG and Core Measures.

In leadership roles I have hired, trained, and led abstraction teams, conducted IRR reabstracting, created client-facing presentations, and managed billing case counts. I have served as a subject matter expert and handled adhoc client projects while managing multiple health system accounts.

My background includes roles across healthcare quality, clinical abstraction, and business analysis where I resolved escalations, identified opportunities for improvement, and supported compliance for HEDIS, STARS and hospital initiatives. I bring strong analytical skills, attention to detail, and the ability to multitask across complex EMR environments.

I hold a Bachelor of Science in Business Management and have a track record of producing clear client reports, improving data accuracy, and driving submission success for stroke and cardiovascular registries. I am motivated to continue improving clinical data quality and operational workflows for health systems.

Experience

Work history, roles, and key accomplishments

Current

Account Manager

Current

Direct Difference

Sep 2024 - Present (1 year 1 month)

Manage abstraction, cleanup, and submission of GWTG cases for multiple health systems; reabstract cases to determine IRR scores and oversee multiple stroke accounts in the Pacific Northwest.

GWTG IRR Analysis Account Management Reporting Client Communication

Clinical Abstraction Lead

Carta Healthcare

Jan 2022 - May 2024 (2 years 4 months)

Created weekly client reports, performed case counts for billing and IRR, and led abstraction quality initiatives while mentoring and evaluating abstractors.

Leadership Reporting Billing Case Counts Training Quality Assurance Presentation EMR Onboarding

Clinical Data Abstractor

Carta Healthcare

Jan 2022 - May 2024 (2 years 4 months)

Abstracted, cleaned, and submitted GWTG-HF and GWTG-CAD cases, ran reports to identify improvement areas, and presented findings to clients to drive quality improvements.

Clinical Abstraction GWTG HF GWTG CAD Data Analysis Presentation Quality Improvement EMR

Clinical Data Specialist

Q-Centrix

Jan 2022 - Jul 2023 (1 year 6 months)

Performed GWTG-STK abstraction including TIA, Standard and Comprehensive cases with ICH layer and EMS components to support stroke quality programs.

GWTG STK Stroke Abstraction ICH Layer EMR

Business Analyst II

UPMC

Jun 2018 - Dec 2018 (6 months)

Managed OPS, error, and death report issues to prevent escalations, identified and corrected user errors, and completed ad hoc projects to improve operational performance.

Incident Management Root Cause Analysis Reporting Process Improvement Ad Hoc Projects Data Analysis

Quality Coordinator

EHMG Practices

Dec 2016 - Jun 2018 (1 year 6 months)

Managed HEDIS and STARS for nine physician practices, provided data at quality meetings, and coordinated patient outreach to meet performance and payout targets.

HEDIS Targets Data Presentation Performance Improvement

Abstractor

EHMG Practices

Jul 2015 - Dec 2016 (1 year 5 months)

Abstracted patient information from paper records to electronic systems to support clinical documentation and quality measure reporting.

Data Entry EMR Medical Terminology & Compliance Attention To Detail

Medical Records Clerk

Excela Health

May 2011 - Jul 2013 (2 years 2 months)

Maintained chart accuracy and patient confidentiality while managing medical records for Frick Hospital.

Medical Records Confidentiality & Compliance

Clinical Abstraction Manager

Carta Healthcare

Led hiring, training, and performance management for abstractors; created educational materials and client presentations; served as subject matter expert for GWTG and Core Measures.

Hiring Training Subject Matter Expert GWTG Core Measures Project Management

Abstractor

Excela Health

Abstracted core measures and GWTG data from electronic and paper medical records and ensured compliance with hospital and government initiatives.

Core Measures GWTG Data Entry & Compliance

Education

Degrees, certifications, and relevant coursework

University of Pittsburgh at Greensburg

Bachelor of Science, Business Management

Grade: 3.623

Activities and societies: Statistics and Management Science tutor; Dean's List seven terms; received transferable credits from Westmoreland County Community College

Completed a Bachelor of Science in Business Management with a high GPA and honors recognition, graduating Magna Cum Laude in December 2010.