Engineer Medical

Portal Babilonia

Email: *********@********.***

Address: **** ** ***** ******* **.Apt.No.1005-E

City: North Miami Beach

State: FL

Zip: 33179

Country: USA

Phone: 305-***-****

Skill Level: Director

Salary Range: 150

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Portal Babilonia, NHA; License Number: 5331

1351 NE Miami Gardens Drive, Suite 1005-E, North Miami Beach, FL. 33179

Cellular number: 305-***-****; e-mail *********@********.***

"Be effective and efficient in a dynamic and fast paced Industry"

Highly motivated and innovator with the ability to solve bottle-necks to deliver optimal results for which allows me to partner with personal staff, providers, and community. Innovative thinker to steer the process-revenue toward effectiveness and efficiencies.

Health Information Director, Business owner, Negotiator, Chemical Engineer Professor of Sciences; different approaches, however all of them centralized in only one superlative purpose, to be a leader and guide toward change, development, efficiency, and profitability.

Core Accomplishments as participant in the system of Health Care Industry:

* Lower the Tags-deficiencies from a facility with a history of several tags to none in the

four years as a HIM-Director.

* Lower the expenses in approximately 70% of the procedures done without approval to residents admitted to the facility under Medicare payer during appointments to physician's office.

* Improve the documentation-paper work from the personnel staff to reflect the changes of the resident's condition which will reflect in the resident plan of care.

* Negotiate the billing of residents admitted under Medicare for procedures done during appointments to physicians' office, resulting in savings of approximately 60% from the original face-bill amount.

* Lower the Turnover Ratio in approximately 45% of residents admitted to the facility and transfer back to acute care facilities in the 30 days of admission.

* Lower the number of resident-incidents to approximately 50%

* Negotiate the destruction of Medical Records aged from five to more years, saving in the process approximately 40-60 % from the face-bill monthly.

* Actualized the Medical Records Policy adapting to the New Rules and Regulations according to HIPAA, Federal, and State Laws.

* Improved compliance from physicians-visit to residents to avoid deficiency (Tags) for Non- compliance.

* Produced a guide-line for an efficient analysis of clinical records, which as a result improved the approach for resident care.

* Successfully resolved demands from Medicare-Medicaid reimbursement in two occasions through analyzing and gathering sensitive information to sustain the payments.

* Successfully recuperated $ 1.2 M, from past due accounts incurred for miss codifications, wrong social security number, misplace documentation, and/or combination of the three of them (Former employer as Medical Records Coordinator).

Professional Experience:

January 14 2007 to Current

Palmetto Health and Rehabilitation Center - Hialeah, Florida

Health Information Director (HIM)

* Reorganized the Medical Records Department through assignments of work load, responsibilities, and providing new indices of performance improvement.

* Implemented a filling- format package for resident admission, saving in the process capital and time through getting ride-off of duplication and /or outdated materials.

* Implemented a compilation papers-system for ease finding and reading of resident-clinical records.

* Controls the flow of resident's health information.

* Liaise with physicians, lawyers, and personnel staff, regarding depositions for lawsuits.

* Provide in-services for all personnel staff about charting resident-events.

May 2006 to January 2007

Hialeah Hospital- Hialeah, Florida

Coordinator of HIM-Department

* Re-distributed work load to coders and compilation personnel to be able to complete the codification process for all discharges from the day before.

* Partnered with other departments to have ready all documentation for codification from patients discharged day before.

* Liaise with physicians to ensure timely procedure-dictation for accurate codification.

July 1995 to December 2004

Babilonia, Trading Inc. - Miami, Florida

* Owner-Administrator-Manager of Front Showroom-Factory serving to the Industry of home construction through window treatment suppliers.

Education

University of Phoenix

Master of Business Administration-Health Care Management - Degree

Technical Career Institute

Medical Insurance and Coding Specialist - Diploma

National Insurance and Coding Specialist - Certified/Title

National University of Peruvian Amazon (Universidad Nacional de la Amazonia Peruana)

Chemical Engineer - Degree

Others

Active attendant to Seminars and Courses sponsored by Private/ Governmental institutions, and Universities in areas focused in administration, finances, planning, projects control, and new laws and regulations from federal, state, and local levels with regard to the Healthcare and other industries.

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