Anita Nayak Email & Phone Number

Wesley Chapel, Florida, Us

ClinDCast is a full-service Healthcare IT product solutions and services company headquartered in Florida. ClinDCast supports Healthcare Providers and Payers across the country with Interoperability implementation Solutions, Data Conversion, Interface development, EHR & LIS Integrations and technology solutions.We provide Healthcare Standard Interoperability Integration platforms for various Telehealth apps Hospitals, Clinics, Healthcare IOTs and other Healthcare data enablers with top EHR applications. Our products are built to leverage data exchange capabilities using industry adapted interoperability standards like #FHIR, $HL7, #CCDA etc.

Fort Myers, Florida, Us

Philadelphia, Pa, Us

Worked on HIE data processing for Care Manager Report (CMR) to improve the Medicare & Medicaid members Quality of care. Process the HIE ADT data (ADT A01, A03, A04, A06 etc.) received from different line of business (LOBs).Build the mirth channel to process HL7 & Flat file using MirthConnect standard functionalities such as filter, rules, mapping, transformation, Code template.Performed Oracle Database activities to store the member information and extracting it for Care Manager Report. Processed weekly Pregnancy marker file & High risk marker file data. Developed reports with Member Information for care manager. Performed MirthConnect channel Unit testing, Peer review, QA migration and Production deployment. Work with Behavioral health & Physical health department’s sensitive data and parse it to Care Manager Report.Build the Bidirectional Mirth Response channel to send the Patient identifier with SOAP request and connecting to the FACETS membership system for eligibility verification response. Build the mirth channel to perform the member Consent Check to filter it for Care Manager Report.Developed the SMART report for Care manager. Worked in the change management system by creating RFC (Request for Change) in HEAT- service management application. Coordinate with CAB team (Change Advisory Board) for Production deployment and finishing the post production activities.

Us

Worked on STAR program in the Medicare line of business – Transforming and integrating data from various health plan domains to improve the Star Rating. Coordinated with provider groups, ACOs, Hospitals and presented the data requirement for HEDIS gap closure and how the data can be extracted from EHRs. Worked with technical team to setup connectivity to receive the Flat Files, HL7, CCD from different data submitters.Processing data through Ensemble Interface Engine to send the PseudoClaims to HEDIS engine for gap closure.Extensively worked on the 14 HEDIS measures BMI (ABA), Blood Pressure (CBP), Colorectal Screening (COL), Diabetic screening for nephropathy (CDCNEP), Diabetic A1C (CDCA1C9), Diabetic Eye Exam (CDCEYE), Rheumatoid (ART), Breast cancer Screening (BCS), Osteoporosis (OMW), Care for older adults functional status (COAFSA), Care for older adults functional medication review (COAMAR), Care for older adults pain screening (COAPS), Care for older adults advance care planning (COAACP)Involved in data mapping from Flat file to HL7 segments. Building DTL to translate flat file data to HL7 format and generating PseudoClaims. Expert in building Record Map, DTL, Business Services, Business Process, Business Operations using InterSystems Ensemble Interface engine. Used SQL Server Management Studio to Create Tables, Develop SQL Scripts to validate data integrity. Experiences in testing the Pseudoclaims data before it processed in Gap Closure System. Resolve the production issues such as MAXLEN, HL7 data mapping issues, Provider info mismatch, Member match logic etc.Experienced working in Standard Project Tracking tools such as Salesforce, Rally, HPSM, ServiceNow

Bhubaneswar, Odisha, In

Develop the business requirement document by discussing with the physician and billing team. Build and configure the EMR system per Physician requirements. Created the procedures/Meds in the system for easy ordering.Setup the Mirth Connect Interface engine to process the referral request. Developed the channel to process the .txt file to MySQL database. Process different data elements such as Patient Demographics, Patient History, Insurance details, Provider Information with NPI, Reason for referral etc. Managed HL7 interface errors queues toward resolution. Involved on go-live support and user training of clinical users.Build and validate the Procedures, Medications, Lab orders per practice requirements. Building the Nursing Care Plan templates to accommodate the patient goal and outcomes for population health.Worked with Care Providers to build and manage the Patient outreach module and managing the response. Build the workflow for the care transition and coordination of care. Worked on the registration and scheduling to setup the workflowWork on the defect identification and management. Setup the After Visit Summary (AVS) report, Referral Report, Prescription reports. Setup the frequently used Diagnosis,. Problems, Orders in the preference list. Setup the user with appropriate role. Provide user training to use the application. Worked on the Post go-live issues and support issues. Worked on workflow optimization and testingDevelop Lab Interface specification and Coordinate with reference lab IT team to set up the Lab interface using HL7 and Mirth. Monitor the interface and resolve the interface error such as Order ID not found, Order mismatch, Build and validated different Lab orders such as CBC, A1C etc.Configure different reports such as Widal report, Blood test Report, Fasting Blood sugar test result, Chemical exam etc. Configure the user account with appropriate user role. Coordinated with Lab technicians, Regional managers to collect feedback