Trafford, Pennsylvania, United States
Dedicated clinical informatics professional with a rich history spanning over a decade in the informatics domain, I am deeply committed to advancing patient care through the digital transformation of medicine. My expertise lies in the area of natural language processing and the utilization of standardized clinical terminologies. My career showcases a blend of independent and collaborative work, exemplified in successful project deliveries that underscore my capacity for meticulous planning and effective team collaboration.
I utilized exceptional attention to detail and analytical skills to execute daily quality assurance (QA) processes for hierarchical condition coding (HCC) suspects. I drew upon my clinical and informatics expertise to ensure the accuracy of natural language processing (NLP) output for standardized codes such as ICD-10-CM, SNOMED CT, and RxNorm. Additionally, I contributed to enhancing NLP efficiency by updating rule logic and incorporating new keywords into standardized codes. In managing all aspects of assigned client accounts, I oversaw onboarding and implementation processes, which demonstrated the capacity to operate effectively both autonomously and collaboratively with internal and cross-functional teams. My ability to accomplish specified objectives within designated timelines underscored my commitment to achieving optimal outcomes in the field of quality assurance and clinical informatics.
I played a key role in the development of logic aimed at identifying suspect codes pertinent to risk adjustment models, including CMS-HCC, HHS-HCC, and CDPS. My responsibilities extended to evaluating the clinical accuracy of output generated by natural language processing (NLP) and machine learning (ML), providing valuable feedback to the engineering team for continuous enhancement. In addition, I created and implemented a comprehensive quality assurance (QA) process to ensure the accurate triggering of risk adjustment suspect codes as anticipated. My contributions also involved generating new value sets and identifying existing ones within the Value Set Authority Center (VSAC), thereby ensuring precise representation of clinical concepts. These experiences underscore my commitment to the meticulous development and improvement of processes within the realm of risk adjustment and healthcare informatics.
*Formerly M*Modal with title of Sr. Content Specialist* I assumed a lead role in both the development and ongoing maintenance of radiology-focused clinical content for natural language understanding (NLU) products, while also providing support for clinical documentation improvement (CDI) clinical content. Utilizing my expertise, I created rule-based alerts employing standard medical terminologies like SNOMED CT, LOINC, and RxNorm to align with customer requirements and adhere to quality standards. In the development process, I generated value sets and conducted terminology mappings to enhance content precision. My responsibilities extended to conducting quality assurance (QA) and troubleshooting tasks, ensuring the accuracy of NLU performance and the validity of content. Collaborating seamlessly with cross-functional teams, I successfully achieved content creation objectives and delegated tasks strategically to meet deadlines and ensure team efficiency. Moreover, I maintained comprehensive documentation using Atlassian collaboration tools, including JIRA and Confluence, establishing a centralized source of accurate information that outlined content specifics and expectations for the optimal performance of the NLU engine.
I assumed a pivotal role in managing the seamless integration of Epic Electronic Health Record (EHR) into the clinical workflow, concurrently overseeing the customization of EHR applications tailored to ancillary departments. My collaborative efforts extended to working with diverse teams and committees, providing valuable insights and clarity on clinical processes, workflow redesign, and standardization efforts. A proactive advocate for best practices, I actively promoted and implemented initiatives identified by the enterprise. Serving as a resource, I played a key role in enhancing clinical processes and workflows through the effective utilization of technology, contributing to the optimization of overall operational efficiency.