Medical Records Front Desk

VIVIAN CARDONA

Cayey, PR ***** C: 787-***-**** ***************@*******.***

KEY QUALIFICATIONS

WORK EXPERIENCE

HIM 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

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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 CAYEY

CONTINUING EDUCATION, 2013-2023

• AHIMA Member (American Health Information Management Association) Clinical Data Management, HIPPA Privacy and Security and Information Technology TRAININGS

• APRIL-JUNE 2018

ICD-10 CM, UNIVERSIDAD DEL SAGRADO CORAZÓN, CAMPUS Puerto Rico

• NOVEMBER 2016

ICD-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

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