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Click here or scroll down to respond to this candidateCandidate's Name
Cayey, PR Street Address C: PHONE NUMBER AVAILABLE EMAIL AVAILABLEKEY QUALIFICATIONSWORK EXPERIENCEHIM SUPERVISOR, HOSPITAL HIMA SAN PABLO, HUMACAO, PUERTO RICO OCTOBER 2021 TO PRESENT Manage HIM departmental staff (acute care) including hiring processes, providing training, and development support for staff. Monitoring daily departmental activities, workflow, release of information and coding process to ensure compliance with federal, state, and local regulatory agency requirements. Maintain the billing goals monthly. Responsible that all requests or records are prioritized, responded to and followed-up appropriately. Monitoring of improvement plans for the analysis of medical documentation streamlining the process for accurate and complete medical information. Ensure the planning, organizing, and evaluation the medical records in accordance with established policies and procedures. Follow-up of the concurrent review of quality indicators or standards. Oversees of archiving records and retention process. Audit medical records of Medicare plans for statistical and coding reports. Conduct meetings by preparing the agenda with departmental updates and changes that will directly impact the staff.MEDICAL FRONT DESK SPECIALIST, FAMILY SERVICE AGENCY, ARIZONA U.S. MAY 2021-SEPTEMBER 2021 Interviewing incoming patients prior to admission to gather demographic, insurance and emergency information. Ensuring completion of medical records, sign-in and security procedures. Schedule and confirm appointments and follow-up visits. Confirms insurance eligibility collects co-pays and payments. Enter patient information into EMR accurately retrieve data as needed. Bilingual (English/Spanish), Outlook, Microsoft/Excel & Power Point EHR- Meditech, Clin Next 10 Electronic Medical Record (EMR) Medical Billing Software- Medisoft ICD-10 Coding Medical Terminology Proficient at determine priorities Respond effectively under pressure Management different Scenarios Big data management Planning strategies HIPAA compliance.CHIROPRACTIC ASSISTANCE, CLINICA REAL MESA, ARIZONA U.S. OCTOBER 2019-DECEMBER 2020 Conduct patients to be oriented to procedures and their therapies. Responsible for greeting patients, preparing treatment room for examinations. Assist in obtaining patient health history. Provide administrative support, schedule appointments, send e-mails to medical referral and billing department. Follow-up new patient charts. Review medical records for appropriate documentation to billing department. HEALTH INFORMATION MANAGER, MENNONITE GENERAL HOSPITAL AIBONITO, PUERTO RICO, JANUARY 2014 JUNE 2018 Supervise 7-8 direct employees, (attendance, evaluation, recruitment and training) and supervise 15 indirect employees (other division department as scanning, release of information, abstract, coding and clinical records files of Medicine, Ob-Gyn, Surgery, Pediatric and Nursery care services). Manage the process of clarify clinical information with physician and clinical providers to accurate classification of illness using query forms. Comply with federal and state laws and regulations, Joint commission standards; medical staff by laws, policies and procedures. Respond to the RAC audit programs and CMS-denials to considered appeals of coding review. Perform general statistical reports. Comply quality indicators as documentation of Electronic Health Record. Responsible for communicate and maintained the standard Incomplete/Delinquent Medical Records Reports of providers. Continuous communication with IT staff the electronic data issues as missing data, delays, fields required, modified information and updates. Maintain the coordination of chart request to quality department, peer review, court legal purpose as lawsuits, medical insurance Center Medicare and Medicaid and other government agencies EDUCATION MASTER S DEGREE IN HEALTH INFORMATION MANAGEMENT, 2013 MEDICAL SCIENCES CAMPUS, UNIVERSITY OF PUERTO RICO BACHELOR S DEGREE IN OFFICE ADMINISTRATION, 2008 UNIVERSITY OF PUERTO RICO AT CAYEYCONTINUING EDUCATION, 2013-2023 AHIMA Member (American Health Information Management Association) Clinical Data Management, HIPPA Privacy and Security and Information Technology TRAININGS APRIL-JUNE 2018ICD-10 CM, UNIVERSIDAD DEL SAGRADO CORAZN, CAMPUS Puerto Rico NOVEMBER 2016ICD-10 CM/PCS & CPT 4 2017 UPDATES, MENNONITE HEALTH SYSTEM, Puerto Rico AUGUST-OCTOBER 2015 ICD-10 CM & ICD-10-PCS, HUERTAS JUNIOR COLLEGE, Puerto Rico |
