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ad31pr@r.postjobfree.com

407-***-****

Ivan de Jesus Valdes Corrales

PROFESSIONAL OBJECTIVE

Medical Doctor graduated in Cuba with extensive medical practice and additional health care experience seeking a position in a hospital, clinic, health care center, or private doctors’ office. Fluent in Spanish and Basic English.

SUMMARY OF SKILLS

•Professional experience in health care and medical field, as a Family Medical Doctor in Cuba.

•Extensive experience taking care of Pediatrics, geriatrics, and adult population.

•Wide HEDIS Knowledge and Implementation process.

•Extensive knowledge of complex medical terms and procedures.

•Developed strong communication network with subject leaders such as: Physicians, Practice Administrators, Medical Assistants, Case Managers, Quality Coordinators, other Staff Members and Pharmacists.

•Good time management and organization skills.

•Skilled in developing trust and build good rapport with customers.

•Excellent command over writing and verbal communication.

•Patient Care and Patient Education.

•Medical Record Management.

•CPR & Electrocardiography.

•HIPAA Knowledge.

•Proficient in Microsoft Office, Excel, Power Point.

•Fully Bilingual.

•Extensive experience using ECW as EMR.

EDUCATION

Medicare/Medicaid Advantage Quality Improvement training courses, Orlando, Florida 2015, 2016, 2017, 2018, 2019, 2020 and 2021.

University of Medical Science Pinar Del Rio, Habana, Cuba - Medical Doctor - 1999.

Provincial Federico Engels - High School – Diploma, Habana, Cuba 1989 to 1992.

PROFESSIONAL EXPERIENCE

Orlando Family Physicians – Premier Health Network Orlando, Florida February 2019 to present.

Medicare Quality Coordinator

Establishes and maintain a healthy working relationship between Orlando Family Physicians Practices.

Educates providers and supports practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures.

Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding.

Assists in resolving deficiencies impacting OFP compliance to meet State and Federal standards for HEDIS.

Supports the development and implementation of quality improvement interventions and audits in relation to OFP with all health plans.

Provide an appropriate, timely and beneficial service to all patients which promotes quality and cost-effective health care outcomes.

Collaborative, proactive and providers-focused relationships to facilitate, and maximize quality care healthcare outcome.

Comprehensive Chart Review abstraction based on current CMS Star Rating /Medicare Quality programs.

Demonstrated interpersonal/verbal communication skills

Knowledge of medical terminology and/or experience with CPT and ICD-10 coding.

Responsible for coordination of any Quality gaps measures events with Quality Coordinators from OFP offices and Insurances Quality reps.

Responsible for coordination of Quality Chart review request from insurance companies in the offices.

Responsible to coordinate with office admin any medical records from Hospital, specialist visit and/or SNH for office follow up missing in chart.

Responsible for keep our EHR system (ECW) up to date as:

oIdentified and correct any patient’s information error.

oQuality Spreadsheet

oCDSS/Alert.

o

Abel Santamaria Hospital Pinar del Rio, Cuba, Physician 2001 – 2016

● Educated patients regarding their conditions and treatment options.

● Worked in the gynecology area on rotation shifts.

● Assisted in Surgery and care of elderly patients

● Gynecologist Diagnosis

● Managed Patient records and assisted doctors on general patient cases.

● Examined Test results and prescribed treatments to patients.

Justo Legon Padilla Hospital Pinar del Rio, Cuba, Physician 1999 – 2001

● Provided primary patient care.

● Ordered, performed, and interpreted tests and analyzed records, reports, and examination information to diagnose patient’s condition.

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