Kelli Esposito Email & Phone Number

Malvern, Pennsylvania, United States

In this role, I facilitate the onboarding lifecycle of data integration into MIPSpro platform. Identify and leverage key customer insights, trends, growth drivers and opportunity gaps to achieve strategic and financial targets. Collaborate with cross- functional teams to define data input/outputs, metrics, logic, and development storyboards for new features and improvements. Oversee the Quality Assurance process, including the identification of potential issues, the development of corrective actions, and monitoring of improvements.Highlights include:- Developed a standardized specification documentation for data extracts, workflow optimization, and logic alignment for large and executive client base- Designed educational materials for medium and independent clientele to improve client engagement - Spearheaded ACO data aggregation, working with stakeholders and business partners to define timelines and deliverables in the data integration lifecycle.

Philadelphia, Pennsylvania, United States

In this role, I lead 2 to 4 diverse teams comprised of 15-20 exempt and non-exempt onshore, and up to 50 offshore associates. Lead retrospective risk adjustment activities, including analytics, medical chart collection, and clinical review to align with Medicare and Commercial lines of business. Guarantee overall accuracy and integrity of data submitted to Centers for Medicare and Medicaid Services (CMS), ensuring compliance with government regulations and policies for chronic condition identification. Focus on operations to facilitate team activities and implement initiatives to improve program efficacy.A few highlights include:▪ Drive the collection of 140K+ and clinical analysis of 190K+ medical charts annually for risk adjustment across Medicare and Commercial lines of business, consistently meeting targets on time and on budget.▪ Mobilized Informatics initiative to improve 2021 Risk Adjustment Data Validation (RADV) outcome. Outreach and collection efforts yielded $50M recapture. ▪ Design individualized development plans to increase bench strength and retain key talent. Implemented career path for medical records team. Introduced creative incentives, water cooler sessions, and other team-building activities to improve morale and retention in 2020.▪ Introduced Optical Character Recognition (OCR) and Natural Language Processing (NLP) capabilities into clinical chart review process, resulting in additional 10% capture of Hierarchical Category Conditions (HCC), maintained accuracy of 98%, and increased team workflow satisfaction. ▪ Spearheaded expansion of medical record accessibility and collection efficiencies from 2 providers to 25 for medical record collection within Informatics. Lead organizational workgroup to support changing demands in retrieval. Efforts have increased productivity, reduced vendor dependency, and improved provider relationships.▪ Launched clinical documentation improvement (CDI) program to improve risk education and accuracy.

Philadelphia, Pennsylvania, United States

In this role, I collaborated cross-functionally to manage and complete projects on time and within budget. I regularly monitored data feeds, provided feedback on required changes, addressed application requests and concerns, and discovered opportunities to optimize workflows. I also assessed provider roadmaps to implement process improvements in the identification, documentation, and submission of EMR data for risk adjustment, Healthcare Effectiveness Data and Information Set (HEDIS), Stars measures, chronic care projects, Health Information Exchange (HIE), and other initiatives. A few highlights included:• Designed, executed, and advocated for socialization of EMR knowledge organization-wide. • Improved medical record collection within informatics for quality and risk adjustment projects. Converted multiple onsite collection locations to remote workflows, significantly increasing productivity and security of records.

Philadelphia, Pennsylvania, United States

As EMR Data Quality Analyst, Informatics, I used SQL and AQT to evaluate, analyze, monitor, and verify quality of EMR data loaded into database environments. I also performed statistical tests on large datasets to determine data quality and integrity and identified and resolved discrepancies with submissions.A few highlights included:• Developed foundational work for bi-directional data exchange program, partnering health systems with payers to seamlessly exchange discrete data and improve scoring across quality initiatives and risk adjustments.• Created dashboards for documentation within initiative, allowing for single source of integrity for provider information, project history, quality audits, and data validation. • Originated specification documentation to distribute to provider networks to receive discrete data from electronic feed. Refined data dictionary, initiative overview, milestone trackers, and SOP documentation routinely.

Philadelphia, Pennsylvania, United States

As Senior Clinical Application Analyst, I delivered subject matter expertise in providing guidance for Epic application and executed process improvements, including standardizing applications to reduce variability in care and designing workflows to streamline health system initiatives. I also worked closely with general practitioners to transition locations to a customizable-generic based preference list and improved patient care and satisfaction levels significantly. A few other highlights included:• Selected by Information Systems (IS) leadership as part of a project team for Epic inpatient conversion.• Designed and implemented workflows for Oncology Psychosocial Distress program and was recognized countrywide as National Best Practice Standard from Commission on Cancer.• Collaborated with Epic’s Wisconsin team to restructure out-of-contact activity to meet needs of the organization’s resident workflow. • Streamlined communication for patient care team by leading health system-wide initiative to implement Communication Management tool.

Philadelphia, Pennsylvania, United States

As Optimization Analyst, I analyzed workflows, the data collection process, and technical issues to customize plans for EMR optimization. I also developed pre- and post-go-live activities including physician workshops, lunch and learns, dress rehearsals, transmittal testing, and workflow customization sessions. Additionally, I prepared and delivered status reports to all levels of staff to highlight accomplishments, outstanding requests, upcoming educational sessions, and opportunities for improvement.

Philadelphia, Pennsylvania, United States

As EMR Operations Committee Liaison, I managed committee meetings for clinical executive leadership, focusing on EMR operational policies and workflow changes. Additionally, I managed proposals, approved plans, and designed communication plans for all levels of leadership and teams within the organization. In 2012, I recruited and trained my replacement.

Philadelphia, Pennsylvania, United States

In this role, I supervised 4 to 8 analysts during implementation go-live support. Collaborating with leads, I ensured seamless transitions for all department role levels and analyzed operational workflows, coordinate changes associated with EMR transition, and developed best practice procedures. Additionally, I delivered exemplary customer service and customized educational plans for all staff members.

Bachelor Of Science (B.S.), Health/Health Care Administration/Management

Associate Of Science (A.S.), Surgical Technology/Technologist