CELINA GUTIERREZ

Helendale, CA ***** 760-***-**** actnxk@r.postjobfree.com

Quality Improvement Specialist

Motivated, dynamic, and resourceful professional with more than 5 years of experience leverage unique combination of administrative and clinical expertise to provide improvement plans and solutions for allied healthcare professionals. Analytical and organized with a keen eye for potential improvements to health service activities, contracts, policies, procedures, goals, and objectives. Recognized for excellence as a communicator with an aptitude for quickly developing collaborative relationships with peers, physicians, teams, and clients. Seeking advancement and exciting challenges within an organization that values hard work, integrity, and results.

Core Competencies

Bookkeeping • Medical Research • Insurance Verification • ICD-10 Coding & CPT Billing • Time Management

Contract Administration • Team Leadership & Coordination • Staff Training & Development

Public Relations • Community Outreach • Decision Making • Problem Solving • Patient & Family Support

Hematology • Venipuncture • EKG • Surgical Prep • Injection & Vital Signs • Triage • Diagnostics

Professional Experience

CHOICE MEDICAL GROUP, Apple Valley, CA 2011 – Present

Quality Improvement Program Specialist

Conduct regular site visits and review of facilities in order to ensure CAP compliance. Complete data mining and claim entry. Prioritize office needs in order to effectively divide responsibilities among staff and ensure adequate staffing at all times. Manage all financial sources including funding and professional billing. Provided patients with direct assistance and medical care per physician orders. Designed and implemented CMS 5-Store Programs. Facilitate staff support of various committees, including coaching and evaluation of programs. Participate in preparation of educational materials and course objectives, creating link between medical staff and needs in quality improvement, risk management, and continual development.

Facilitate training of medical office staff in proper use of Ascenders and All Scripts Pro.

Supervise all staff activities and responsibilities daily, ensuring timely and accurate work through follow-up and regular reviews.

Develop, implement, and monitor quality department policies and procedures as well as review and revision of QA monitors needed to meet accreditation and regulatory standards.

Create reports based on data collected, accurately identifying trends and monitoring any issues.

Coordinate preparation for CME, accreditation, licensing and external quality surveys or audits, including all quality databases, credentials, and provider profiles.

DR. PAREDES, Barstow, CA 2011 – 2012_Promotion

Medical Assistant – Front & Back Office

Monitored health and vital signs of patients in care, including accurate documentation and wound care treatment. Maintained office schedule of appointments, provided in-person and phone-based customer service, and verified insurance policies. Over seas Hedis 5 Star.

Maintained compliance with clinical standards, physician orders, and hospital policies in all activities.

Ensured accuracy and completeness of ICD-9 coding and CPT billing in Progress Notes.

Education

Master of Arts, Medical Assisting, Westech College, 2011

CPR Certified DOT Certified Older Adult Sensitivity Certification

Technical Skills

Microsoft Office Suite • Windows XP • Ascender Portal • Allscripts Pro EMR • EZNET-EZCAP

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