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Tomica Barnes
Verified Expert in Engineering
Data Analyst and Software Developer
Tigard, OR, United States
Toptal member since September 29, 2023
Bio
Tomica is a highly capable professional offering a wealth of experience in systems training and analysis, process improvement, system integrations, and administration. An experienced systems analyst with expertise in training and testing environments and data management analysis, Tomica is fluent in data trends and able to manage large databases of information. She is proficient in various platforms, languages, and embedded systems.
Portfolio
Change Healthcare/ Optum
Data Abstraction, Electronic Data Interchange (EDI), Data Management...
MedSys Group
Automated Testing, Learning Management Systems (LMS), Management...
BCForward
Medical Coding, Electronic Data Interchange (EDI), Data Analysis, Management...
Experience
- Data Analysis - 20 years
- Data Abstraction - 20 years
- Management - 20 years
- Data Management - 19 years
- System Implementation - 8 years
- Software Implementation - 8 years
Preferred Environment
Oracle Cloud, Oracle Apps DBA, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Microsoft OneDrive, Healthcare, Management, Healthcare IT, Data Abstraction, Data Management
The most amazing...
...project integration lifecycle implementation I've worked on is for Cerner Millennium Military Health System (MHS) Genesis with the Defense Health Agency.
Work Experience
Healthcare Effectiveness Data and Information Set (HEDIS) Data Abstractor
2023 - PRESENT
Change Healthcare/ Optum
- Analyzed and managed medical data from electronic health systems and paper records as a service to managed care organizations, insurance companies, medical researchers, and various agencies and business offices associated with healthcare.
- Demonstrated extensive knowledge of electronic health records (EHR) applications, operating systems, components, protocols, and software used in healthcare organizations.
- Wrote the documentation and handled the preparation, data entry, indexing, and quality control of documents related to retrospective data analysis.
- Abstracted a large volume of clinical case records to support quality improvements and regulatory reporting requirements.
Technologies: Data Abstraction, Electronic Data Interchange (EDI), Data Management, Healthcare Effectiveness Data and Information Set (HEDIS), Medical Coding, Documentation, Health Information Exchange (HIE), Management, Data Analysis, Healthcare IT, Healthcare, Office Administration, Office 365, Legal, Administration, Oracle Cloud, Oracle Apps DBA, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Chart Acquisition Tool, Team Leadership, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Audits, Process Optimization, Electronic Health Records (EHR), Quality Auditing, Privacy Impact Assessment (PIA), Software Implementation, System Conversion, Project Coordination, Claims, HIPAA Electronic Data Interchange (EDI), Information Technology, HIPAA Compliance, Adobe Acrobat Pro, Remote Desktop, Qualitative Research, Data Warehousing, Health Information Management, Microsoft Excel, Dashboards, Reports
Systems Training Analyst
2022 - 2023
MedSys Group
- Applied systematic processes and analyzed the needs of the client's utilization of electronic health records modernization.
- Designed and developed training content, delivered training programs, and evaluated the effectiveness of training events and initiatives.
- Managed data and reports of training education in learning management systems (LMS).
Technologies: Automated Testing, Learning Management Systems (LMS), Management, Medical Coding, Documentation, Health Information Exchange (HIE), Fast Healthcare Interoperability Resources (FHIR), Data Analysis, Healthcare IT, Healthcare, Office Administration, Office 365, Oracle Cloud, Oracle Apps DBA, Oracle iLearning, Oracle Java Cloud Services, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Electronic Data Interchange (EDI), Team Leadership, Quality Assurance (QA), Electronic Medical Records (EMR), Process Optimization, Electronic Health Records (EHR), System Implementation, Project Coordination, Claims, JavaScript, HIPAA Electronic Data Interchange (EDI), Software Troubleshooting, ServiceNow, Information Technology, Systems Analysis, SharePoint, HIPAA Compliance, Citrix, Adobe Acrobat Pro, Adobe, Intranets, Remote Desktop, Instructional Design, Training & Training Content Development, SQL, Department of Defense, Health Information Management, Dashboards, Reports
Provider Reimbursement Administrator
2021 - 2022
BCForward
- Provided data entry and data management of healthcare information from public and private insurers.
- Researched and identified missing data elements in electronic health records and patient indexes.
- Performed adjudication processes for medical claims to support enterprise reimbursement policies.
Technologies: Medical Coding, Electronic Data Interchange (EDI), Data Analysis, Management, Documentation, Encoders, Healthcare IT, Healthcare, Office Administration, Office 365, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Data Management, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Audits, Electronic Health Records (EHR), Quality Auditing, Claims, HIPAA Electronic Data Interchange (EDI), Information Technology, HIPAA Compliance, Qualitative Research, Health Information Management, Fast Healthcare Interoperability Resources (FHIR), Code Review, Reports
Systems Trainer
2021 - 2021
Medasource
- Configured, built, and trained on Epic platforms for multiple ambulatory facilities, including clinical staff and providers.
- Provided training to physicians, nurses, and other clinicians in Epic Cadence, Prelude, and Resolute Hb for massive implementation of electronic health technology.
- Troubleshot workflow issues and managed data in technical matters for the command center in Inpatient Cadence, Prelude, and Ambulatory.
- Monitored and supported end users in resolving issues with navigation, troubleshooting, and computerized provider order entries (CPOE).
- Educated and assisted physicians, nurses, and other clinicians in documenting encounters, managing their worklists, ordering favorites and preferences, and efficiently using their auto-text and smart-text during go-live and sustainment.
Technologies: Electronic Health Records (EHR), HIPAA Electronic Data Interchange (EDI), ServiceNow, Management, Medical Coding, Documentation, Learning Management Systems (LMS), Encoders, Data Analysis, Healthcare IT, Healthcare, Office Administration, Office 365, Oracle Cloud, Oracle Apps DBA, Microsoft Office, Microsoft 365, Microsoft Outlook, Electronic Data Interchange (EDI), Team Leadership, Quality Assurance (QA), Electronic Medical Records (EMR), Process Optimization, System Implementation, Software Implementation, System Conversion, Project Coordination, Claims, JavaScript, Software Troubleshooting, Information Technology, Systems Analysis, SharePoint, HIPAA Compliance, Citrix, Adobe Acrobat Pro, Intranets, Remote Desktop, Instructional Design, Training & Training Content Development, SQL, Department of Defense, Health Information Management, Health Information Exchange (HIE), Dashboards, Reports
Program Integration Lifecycle Support (PILS) Trainer and Systems Trainer
2019 - 2021
Right Factor
- Acted as the ambulatory services systems trainer, curriculum builder, inpatient services systems trainer, and curriculum builder. Provided training and development to providers, nurses, and other end users in the ambulatory and inpatient setting.
- Provided project coordination in developing project plans, milestone management, and critical issue management.
- Designed and created web-based training for training and utilized learning content development systems tools to create web-based training (WBT).
- Participated in the testing, maintaining, and supporting the Cerner Millennium product solution.
Technologies: Information Technology, Microsoft Office, Database Management, Electronic Data Interchange (EDI), HIPAA Compliance, Learning Management Systems (LMS), Citrix, Intranets, Remote Desktop, Management, Medical Coding, Documentation, Encoders, Data Analysis, Healthcare IT, Healthcare, Office Administration, Office 365, Oracle Cloud, Oracle Apps DBA, Oracle iLearning, Oracle Java Cloud Services, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Data Management, Team Leadership, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Process Optimization, System Implementation, Electronic Health Records (EHR), Software Implementation, System Conversion, Project Coordination, Claims, JavaScript, HIPAA Electronic Data Interchange (EDI), Software Troubleshooting, ServiceNow, Systems Analysis, SharePoint, Adobe, Instructional Design, Training & Training Content Development, SQL, Department of Defense, Health Information Management, Health Information Exchange (HIE), Fast Healthcare Interoperability Resources (FHIR), Microsoft Excel, Dashboards, Reports
Healthcare Effectiveness Data and Information Set (HEDIS) Data Abstractor
2019 - 2019
RCM Technologies
- Carried out medical records reviews and abstractions in support of the Healthcare Effectiveness Data Information Set Measures (HEDIS).
- Reviewed and abstracted data from paper and electronic records to complete audits to determine the quality of measures, as defined by the National Committee for Quality Assurance (NCQA) for yearly HEDIS audits.
- Performed overreads and medical record review validations for clinical information systems (CIS), EED, ABA, AWC, CCS, LSC, W34, CBP, MRP, TRC, WCC, CDC, COA, PPC, W15, and admin measures.
Technologies: Data Abstraction, Data Management, Auditing, HIPAA Compliance, Code Review, Database Management, Healthcare Effectiveness Data and Information Set (HEDIS), Data Analysis, Management, Medical Coding, Documentation, Healthcare IT, Healthcare, Office Administration, Office 365, Administration, Legal, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Audits, Electronic Health Records (EHR), Quality Auditing, Privacy Impact Assessment (PIA), National Correct Coding Initiatives (NCCI), Claims, HIPAA Electronic Data Interchange (EDI), Information Technology, Qualitative Research, Health Information Management, Microsoft Excel, Dashboards, Reports
Medical Coder
2019 - 2019
Healthcare Resolution Services, Inc. HCRS
- Developed system workflows to integrate system functionality with operational procedures.
- Analyzed documentation to determine the accuracy and completeness of clinical data.
- Implemented automated testing solutions for operational efficiencies.
- Performed qualitative data analysis and assigned diagnosis and procedure codes based on specific clinical findings.
Technologies: Data Abstraction, Quantitative Research, Database Management, Data Management, Electronic Health Records (EHR), HIPAA Electronic Data Interchange (EDI), HIPAA Compliance, Research, Health, Training, User Onboarding, Auditing, Data Recovery, Learning Management Systems (LMS), Health Information Management, Management, Medical Coding, Encoders, Data Analysis, Documentation, Healthcare IT, Healthcare, Office Administration, Office 365, Administration, Legal, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Team Leadership, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Audits, Quality Auditing, National Correct Coding Initiatives (NCCI), Claims, Software Troubleshooting, Information Technology, Qualitative Research, Training & Training Content Development, Health Information Exchange (HIE), Code Review, Reports
Healthcare Effectiveness Data and Information Set (HEDIS) Analyst
2017 - 2019
Health Data Vision
- Performed medical data reviews to retrieve documentation for specific information related to Healthcare Effectiveness Data and Information Sets.
- Developed and maintained a database with appropriate codes and services covered by the Centers for Medicare and Medicaid Services (CMS) and Accountable Care Organizations (ACOs).
- Performed analysis and data mining of external databases using historical claims for historical clinical data analysis.
Technologies: Data Abstraction, Healthcare Effectiveness Data and Information Set (HEDIS), Health Information Management, Electronic Health Records (EHR), Data Analysis, Management, Medical Coding, Documentation, Healthcare IT, Healthcare, Office Administration, Office 365, Legal, Administration, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Data Management, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Audits, Quality Auditing, Privacy Impact Assessment (PIA), National Correct Coding Initiatives (NCCI), HIPAA Electronic Data Interchange (EDI), Information Technology, HIPAA Compliance, Qualitative Research, Code Review, Microsoft Excel, Dashboards, Reports
Healthcare Effectiveness Data and Information Set (HEDIS) Field Reviewer
2017 - 2019
Altegra Health and Change Healthcare
- Conducted data abstraction from the medical charts, gathered supporting documentation per the National Committee of Quality Assurance (NCQA) and the Healthcare Effectiveness Data Information Sets (HEDIS), and entered data into the software system.
- Traveled to medical facilities in specified regions and communicated effectively and professionally with care provider offices, clinics, hospitals, and other clinical facilities.
- Utilized several different electronic health records and document management systems to assist me in collecting and transmitting data.
Technologies: Data Management, Data Analysis, HIPAA Electronic Data Interchange (EDI), Data Abstraction, Chart Acquisition Tool, Health Information Management, Health Information Exchange (HIE), Healthcare Effectiveness Data and Information Set (HEDIS), Medical Coding, Management, Documentation, Healthcare IT, Healthcare, Office Administration, Office 365, Legal, Administration, Oracle Cloud, Oracle Apps DBA, Microsoft Office, Microsoft 365, Microsoft Exchange Server, Microsoft Outlook, Electronic Data Interchange (EDI), Team Leadership, Quality Assurance (QA), Data Entry, Electronic Medical Records (EMR), Electronic Health Records (EHR), Quality Auditing, Privacy Impact Assessment (PIA), National Correct Coding Initiatives (NCCI), Claims, Information Technology, HIPAA Compliance, Adobe Acrobat Pro, Remote Desktop, Qualitative Research, Data Warehousing, Microsoft Excel, Dashboards, Reports
Experience
Deployment of Military Health System (MHS) GENESIS, Military Health System's EHR
I contributed to the deployment of the Defense Health Agency electronic health record Cerner product solution and Military Health System (MHS) GENESIS to the initial operating capability (IOC) air force military treatment facility and the first naval military treatment facility in the Defense Health Agency (DHA).
Item Writer and Item Reviewer for AHIMA Certification Exams
I worked with the American Health Information Management Association (AHIMA). I was tasked with item writing and item reviewing test questions to align with the blueprint and content outline of the medical coding certification exam. As a subject matter expert, I created and modified new items for availability on future AHIMA certification exams.
Education
2021 - 2023
Associate's Degree in Health Information Technology
Tacoma Community College - Tacoma, Washington, USA
2017 - 2018
Associate's Degree in Health Information Technology Management
Gadsden State Community College - Anniston, Alabama, USA
2004 - 2006
Associate's Degree in Medical Coding
Gadsden State Community College - Anniston, Alabama, USA
2004 - 2006
Associate's Degree in Medical Administration
Gadsden State Community College - Anniston, Alabama, USA
2004 - 2006
Associate's Degree in Office Administration
Gadsden State Community College - Anniston, Alabama, USA
2004 - 2006
Associate's Degree in Legal Administration
Gadsden State Community College - Anniston, Alabama, USA
Certifications
SEPTEMBER 2012 - DECEMBER 2024
Certified Coding Associate
American Health Information Management Association (AHIMA)
Skills
Tools
Microsoft Excel, Oracle iLearning, Microsoft Outlook, Adobe
Paradigms
Management, Automated Testing, HIPAA Compliance, Instructional Design, Qualitative Research, Quantitative Research, Fast Healthcare Interoperability Resources (FHIR)
Languages
JavaScript, SQL
Platforms
SharePoint, Citrix
Industry Expertise
Healthcare
Storage
Oracle Cloud, Oracle Java Cloud Services, Microsoft Exchange Server, Database Management
Other
Data Entry, Reports, Dashboards, Medical Coding, Encoders, Data Analysis, Documentation, Healthcare IT, Office Administration, Office 365, Administration, Legal Research, Oracle Apps DBA, Microsoft Office, Microsoft 365, Microsoft OneDrive, Data Abstraction, Electronic Data Interchange (EDI), Data Management, Healthcare Effectiveness Data and Information Set (HEDIS), Process Optimization, System Implementation, Software Implementation, Electronic Health Records (EHR), System Conversion, Training & Training Content Development, Learning Management Systems (LMS), Project Coordination, National Correct Coding Initiatives (NCCI), Claims, HIPAA Electronic Data Interchange (EDI), Software Troubleshooting, ServiceNow, Information Technology, Systems Analysis, Adobe Acrobat Pro, Intranets, Remote Desktop, Research, Department of Defense, Health, Training, User Onboarding, Auditing, Data Recovery, Data Warehousing, Health Information Management, Health Information Exchange (HIE), Code Review, Chart Acquisition Tool, Privacy Impact Assessment (PIA), Audits, Electronic Medical Records (EMR), Quality Assurance (QA), Quality Auditing, Team Leadership, Item Writing, Legal, Data Transcription
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