Administrative Assistant Quality Assurance
Resume:
JOLENE VASQUEZ
San Antonio, Texas 78251
acqe8z@r.postjobfree.com
PROFESSIONAL PROFILE
Experienced auditor/analyst in several disciplines and a comprehensive background in administrative/project/financial management. Strengths include the accomplishment of audits utilizing organized auditing protocols such as the Institute of Internal Auditors professional protocol, the ability to relate to the type of data needing to be analyzed due to my familiarity of completing the tasks myself in previous employment settings. Providing auditees with recommendations/suggestions based on audit report findings for performance improvement. Possesses outstanding interpersonal skills; recognized for being able to provide suggestions for improvement to auditees with a sense of team effort approach.
CORE COMPETENCIES
Regulation Research, Standard Operating Procedure Development, Risk Management, Process/Performance Improvement, Bi-Lingual (English-Spanish)
EXPERIENCE
UTHSCSA Allograft Resources, San Antonio, Texas June 2014 – May 6, 2015
Quality Assurance Coordinator
Responsible for all quality assurance activities for a Transplantation Recovery Service to remain in compliance with the AATB Standards for Tissue Banking and Federal Regulations.
• Knowledgeable resource to clinical staff, peers, colleagues and management and medical staff; incorporates risk management issues with all staff preventive education; facilitates clinical employee orientation; mentors new staff.
• Keeps abreast of relative Tissue Banking standards to include American Association of Tissue Banks (AATB) and State and Federal guidelines, national safety initiatives, potential adverse events, forms and filing dates.
• Perform and coordinate audits to monitor the quality system and regulatory compliance.
• Oversees documentation compilation and analysis of prescribed time lines for the recovery of donor tissues.
Accenture, San Antonio, Texas October 1, 2007 to May 5, 2012
Internal Auditor/Compliance Analyst
Responsible for internal audits for different disciplines included in company outsourcing contracts for services for North and South America regions.
• Resource to professional staff conducting service coordination of said contracts regarding interpretation of statements found in agreed upon service definitions and quotas.
• Perform and coordinate audits to monitor the quality system and contract compliance.
• Conclude findings of audit reports in coordination with auditee staff to develop amicable measures of process and performance improvement and time frames for completion and responsible staff to contact.
• Provide follow up and follow along services regarding accomplishments of the agreed process and performance improvement measures and their timeframes.
Warm Springs Rehabilitation, San Antonio, Texas April 12, 2004 to January 5, 2007
Internal Auditor/Compliance Analyst
Responsible for internal audits for different disciplines of service to comply with Whistle Blower Act remediation plan to terminate January 1, 2007 for alleged third party billing fraud.
• Coordinate audits to monitor the quality of the documentation system to comply with third party insurance service definitions.
• Coordinate audits to monitor the accuracy of the electronic/financial aspect of the third party billing system.
• Maintain audit working papers and reports.
• Present audit findings to senior management staff and answer, if any, questions they might have had.
The Center for Health Care Services, San Antonio, Texas January 1, 1981 to August 31, 2003
This employment lasted 22 years and during this period progressed into upwardly mobile positions ranging from a level 8 to ending level 22. My ending title is listed below and a list of duties successfully accomplished during this period 22 year period:
Quality Assurance Coordinator
Responsible for Quality Assurance and Improvement System (QAIS) at the Center which evaluated the quality of mental retardation services provided. Served as audit team member at the State level at other Mental Retardation Authorities. Conducted documentation reviews to ensure the Center was in compliance with the TDMHMR contract. Provided training to employees on identified documentation weaknesses.
Executive and Administrative Assistant positions
• Third party billing in which I would abstract medical records for possible revenues.
• Provide guidance and training to both professional clinical staff as well as technical support staff regarding HIPAA guidelines.
• Provide guidance and training to professional clinical staff regarding the appropriate documentation to be able to request payment for services. This included third party billing as well as for State funding.
• Evaluate and monitor allowable expenditures as set by regulatory guidelines for multiple funding sources.
• Prepare required documentation and reports to State regulatory sites to include narrative reports regarding quarterly progress or lack of progress of required quotas to be met as well as plan of correction to overcome lack of progress situations.
• Prepared documentation training curriculum which would provide guidance to professional clinical staff regarding documentation of services provided.
• Supervise the new hire documentation completion as well as make necessary professional reference contacts for approximately 49 positions.
• Provide signature of approval for:
• Attendance and leave for approximately 50 employees;
• Attendance and leave documentation requirements; and
• Reconciliation of ‘discretionary fund’ of approximately $1000.00, with no mistakes or cause for employee to replenish funds.
• Coordination between Social Security Administration and the Center to become the payee for the mentally challenged population receiving services from that agency and the agency social worker assist the patient to pay his/her obligations to maintain other areas of his/her life that would assist in keeping them out of the State Hospital. To this day that agency still maintains this program.
EDUCATION
Bachelor of Science in Health Information Systems, University of the Incarnate Word, San Antonio, Texas.
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