Fernando R. Salinas

*** ****** *****

Laredo, TX 78046

956-***-****, cell

adw2g5@r.postjobfree.com

Summary:

• Self-starter who thrives on taking the lead, accomplishing objectives and being a team player with extensive knowledge in health information management regulations, Joint Commission, CMS, and Department of Health requirements.

• Experience in HIM operations and release of information management. Education:

Rasmussen College – Online (Graduated September 2015) A.A.S. Degree, MBCC, RHIT

Professional Experience:

Val Verde Regional Medical Center

801 N Bedell Ave., Del Rio, TX 78840 (April 2022 to February 2023) Health Information Management Director/Facility Privacy Officer Responsible for successful maintenance of patient records and organizational and administrative operation of the Health Information Management Department. Oversight responsibility for operational aspects of department. Serves as resource for facility regarding medical record content and regulatory requirements. Assures availability of the medical records at all times. Also, oversees ongoing activities related to the development, implementation, maintenance of and adherence to the organization’s policies and procedures covering the privacy of and access to patient health information in compliance with federal and state laws and the healthcare facility’s information privacy practices. Meditech is our current EHR system. 1. Establishes, reviews and updates short-term and long-term goals for HIM Department in order to be consistent with hospital wide plans.

2. Maintains current knowledge of applicable federal and state privacy laws (HIPAA) and accreditation standards.

3. Implements and maintains ICD-10 coding and ensures compliance to regulations and payer needs. 4. Serve as a liaison between clinical providers and coders to resolve documentation and coding issues 5. Establish, implement, and maintain a formalized review process for coding and documentation compliance, including a formal audit process and quality control system. 6. Assess current compliance activities and evaluate risk factors in coding and documentation practices and implement strategies to mitigate risk, educate providers and coders 7. Serves as point person for any RAC or other coding-related denials. 8. Develops comprehensive realistic annual budget that reflects departmental needs based on external and internal environments and the application of cost-effective management. Operates within this approved budget

9. Manages the department in a cost-effective manner by utilizing current materials management techniques, maximizing human resources and continuously reevaluating the manner in which services are delivered 10. Establishes policies and procedures necessary for effective and efficient systems and management of human resources. Assures compliance with all HIM policies and procedures. 11. Oversees staffing pattern and schedules to ensure that they meet the Health Information Management Department needs.

12. Establishes and monitors standards of performance among all HM staff and ensures that standards are being consistently met.

13. Establishes on monitors staffing patterns, to include to monitoring standards of performance are consistently met. Responsible for ongoing coaching, training and feedback. 14. Plans and coordinates staff development and continuing education. 15. Responsible for both the facility and practitioners in adhering and implementation of information privacy laws, access, and release of information, release control technologies, confidentiality consent and authorization forms, disclosure tracking, information notices and materials reflecting current policies and procedures pertinent to privacy of protected health information (PHI). 16. In coordination with Human Resources, the Information Security Officer, administration and legal counsel, implements and monitors processes for receiving, documenting, tracking, investigating, taking action and reporting all complaints concerning the facility’s privacy policies and procedures and all individuals in the facility’s workforce, extended workforce and business associates. 17. Represents the hospital in court cases involving subpoena of medical or clinical records. 18. Performs analysis of each discharged record, noting length of stay, service and would classification. 19. Prepares monthly statistical reports and distributes to specific departments, SR. Director of Rev. Cycle Management, and CFO.

20. Oversees the completion of birth certificates and the release of information. 21. Maintains current knowledge of applicable federal and state privacy laws (HIPAA) and accreditation standards.

22. Manages the scanning process and ensures that the records are being scanned appropriately. (Batch prep, acquisition, indexing, QA, etc.)

23. Assesses and evaluates staff performance and provides timely, regular feedback regarding their performance and coaches staff to assist them in improving their performance when necessary Attends meetings, prepares reports and analyzes and provides recommendations in a timely and accurate manner 24. Enforces suspension policy for delinquent Health Information Management 25. Coordinates with practitioners in overseeing patients’ rights to inspect, amend, restrict access and obtain an accounting of disclosure of PHI, when applicable. 26. Cooperates with applicable federal agencies or other legal entities and facility officers in compliance reviews or investigations.

27. Completes other duties as necessary and assigned by the SR. Director of Rev. Cycle Management and/or CFO.

Lutheran Kosciusko Hospital Warsaw, IN/Dukes Memorial Hospital Peru, IN 2101 East DuBois Drive, Warsaw, IN 46580; W 12th St., Peru, IN 46970

(November 2021 – March 2022)

Health Information Management Manager

Excel verbal and written communication skills.

Proficient Spanish. Strong computer skills and exposure to Microsoft Word, PowerPoint, Excel. Successful leader/effective team member.

Highly organized able to multi-task and accomplish multiple objectives. Professional demeanor and attentive to detail.

I manged the Medical Records Department and have a total of 7 employees combined with both facilities. I handle calls from within the facility; interact with physicians physically and over the phone. Answer phone calls; work with the unbilled. Work with our inpatient census, transcription reports, reprocessing charts that have deficiencies pending to be completed by physicians. Scan, Analyzing and QA daily discharges. Provide training for our new electronic record system, “Cerner Power Chart” to all employees as a Super User. Attended daily huddles for both facilities.

PAM Rehabilitation Hospital of Centennial Hills

6166 N. Durango Dr., Las Vegas, NV 89149; (January 06, 2020 to September 10, 2021) Market Director of HIM/Facility Privacy Officer

Excel verbal and written communication skills.

Proficient Spanish. Strong computer skills and exposure to Microsoft Word, Power Point, Excel, Successful Leader/ effective team member.

Safeguards the confidentiality of patient records from unauthorized review or release. Keeps abreast of federal and state law.

Work to ensure compliance with HIPAA requirements. Serve as the coding specialist and/or oversees the assignment of the appropriate ICD-10-CM diagnostic and procedural codes to individual patient information for data retrieval analysis and claims processing daily. Delegate missing documentation diligently of our BSER, so that our accounts are corrected for coding purposes.

Timely submit required data to the Centers for Medicare and Medicaid Services (CMS). Coordinate monthly interdisciplinary record reviews. Assists in performance improvement activities as recommended by QAPI Committee: Track, trend, monitor, and report timeliness of physician documentation including the medical record delinquent numbers as per HIM policy/guideline to the QAPI Committee, MEC, and Governing Board.

Work with clinical staff, physicians, consultants, nurses, therapists, etc., to ensure documentation is in compliance with hospital, accrediting, and licensing guidelines and provide ongoing education to staff. Strive to help ensure timely record completion. Report deficiencies and record completion compliance to appropriate supervisor. Responsible to calculate the monthly record completion rate reportable to Joint Commission and presents the data at the Medical Executive Committee. Promote cooperation, fairness and equality: show respect for people and their differences; work to understand perspectives of others; demonstrate empathy at all times; bring out the best in others and in my team.

Coach, evaluate, develop, and inspire staff. Set expectations. Recognizes achievements. Effectively manages conflict. Provide feedback to our group leadership team. Delegate appropriately. Evaluations completed on time.

Maintain the highest level of customer service via courtesy, compassion and positive communication. Promote the Mission and Vision of Post Acute Medical within the work environment and community. Respect dignity and confidentiality by adherence to all applicable policies and procedures. Lead and director health information management services across the facility. Oversee data collection, storage, retrieval, filing and retention of medical records/data. Audit records and data for accuracy, compliance and timeliness. Review results with medical staff, nursing and clinical staff.

Conversion process from paper medical records into Wellsky EMR system for our PAM Specialty Hospital of Las Vegas – Tenaya LTAC.

San Jose Behavioral Health

455 Silicon Valley Blvd., San Jose, CA 95138; (July 22, 2019 to January 04, 2020) Health Information Management Director/Facility Privacy Officer Excel verbal and written communication skills.

Proficient Spanish. Strong computer skills and exposure to Microsoft Word, PowerPoint, Excel. Successful leader/effective team member.

Highly organized able to multi-task and accomplish multiple objectives. Professional demeanor and attentive to detail.

Director of Health Information Management and Facility Privacy Officer. I have 3 employees. My responsibilities are to maintain department productivity, quality, and efficiency for all processes within the department.

Lead and director health information management services across the facility. Oversee data collection, storage, retrieval, filing and retention of medical records/data. Audit records and data for accuracy, compliance and timeliness. Review results with medical staff, nursing and clinical staff.

Maintain approved levels of security and confidentiality of records/data. Interview, select, train and orient new employees to the department. Supervise medical records staff, coordinating schedules, delegating work assignments. May interface with inside/outside legal counsel regarding content of medical records. May oversee and complete coding according to current ICD and CPT coding classifications. Run monthly and quarterly HBIPs report to include abstracting data and entering into Press Ganey system to submit and present compliance and continued training tools and recommendation for staff in our (MEC) Medical Executive Committee Meeting.

OSHPD, Office of Statewide Health Planning and Development Semiannual reporting periods with due dates. San Angelo Community Medical Center

3501 Knickerbocker Rd., San Angelo, TX 76904; (January 19, 2018 to July 19, 2019) Health Information Management Director/Facility Privacy Officer Excel verbal and written communication skills.

Proficient Spanish. Strong computer skills and exposure to Microsoft Word, PowerPoint, Excel. Successful leader/effective team member.

Highly organized able to multi-task and accomplish multiple objectives. Professional demeanor and attentive to detail.

Director of Health Information Management and have a total of 6 employees. Responsible for the overall planning, organizing, implementing and controlling of HIM Department functions of the Hospital to assure, that medical records and related health information are collected, analyzed and maintained in an accurate and secure manner. Ensures compliance with corporate policies, State and Federal laws, and regulatory agencies, as they relate to the HIM Department. Collaborate with other departments to problem solve ongoing issues that impact department/organization’s goals and/or patient care delivery.

HIM unbilled management activities. Forms management/chairman program support, including creating new bar-coded e-Forms. Hospital remote coding support services, including coding questions. Release of information support including that for subpoenas or requests for records from closed facilities. Facility Privacy Officer (FPO) responsible for assisting the Senior VP, Corporate Compliance Privacy Director

(CCD) with facilitating the oversight and ongoing compliance with organizational HIPAA Privacy policies and procedures covering the access, use and disclosure of protected health information. The FPO ensure that privacy complaints are reported to the office of the CCD, investigated appropriately and that adequate corrective action is taken to mitigate non-compliance of the organization’s HIPAA privacy policies and procedures as directed by the CCD or her designee. Laredo Medical Center

1700 E. Saunders St., Laredo, TX 78041

(January 2005 to January 19, 2018 transferred to San Angelo Comm. Med. Ctr.) Health Information Management Supervisor

Excel verbal and written communication skills.

Proficient Spanish. Strong computer skills and exposure to Microsoft Word, PowerPoint, Excel. Successful leader/effective team member.

Highly organized able to multi-task and accomplish multiple objectives. Professional demeanor and attentive to detail.

I Supervise the Medical Records Department and have a total of 16 employees. I handle calls from within the facility; interact with physicians physically and over the phone. Answer phone calls; work with the unbilled, filing using the alpha and numeric order. I handle all interviews for new job posting and have the final decision for who will be the selected candidate to hire. Work with our inpatient census, transcription reports, reprocessing charts that have deficiencies pending to be completed by physicians. Remove physicians from Suspension once they have completed all the pending deficiencies which I have to notify Bed Control, House Supervisor, ER, Admitting, and Administration. I am in charge of handling all the approvals for days off and Holidays. Birth Certificate Certifier and transmit. Provide training for our new electronic record system,

“Cerner Power Chart” to all employees as a Super User. Assisted in creating all facility e-Forms that include a barcode in our new Emprint Library system. Translate some English facility used forms into Spanish. Self-Employed

125 Malaga Dr., Laredo, TX 78046; (1999 – 2005)

I had my own business in retail and wholesale.

Northline Manor

7210 Northline Dr., Houston, TX 77076; (1998 – 1999) Certified Nurse Aide

Providing assistance to patients such as bathing, grooming, feeding, ROM to bed bound patients. Take vital signs, making patients beds. Assisted Nurses in cleaning open wounds with saline. Mercy Regional Medical Center

1500 Logan Ave., Laredo, TX 78040; (1996 – 1998)

Certified Nurse Aide

Taking vital signs, glucose check, transferring patients, grooming, feeding, bathing, assisted physicians, nurses, inputting information in patient charts, weigh patients, and making surgical beds. Kaplan College

6410 McPherson Rd, Laredo, TX 78041; (June 2009 to April 2012) Instructor

Medical Billing and Coding Specialists and Medical Assistants I have been an instructor for Kaplan College for entering Allied Health Professionals. I teach the two pre- requisite modules for all new students. My duties are to teach law and ethics, medical ethics, vital signs, Math and English Fundamentals, Principles of Pharmacology, Anatomy and Physiology, HIPAA law, patient confidentiality in the medical field, Introduction to coding, EHR and EMR, medical terminology, creating a patient health record, alphanumeric filing, verbal and nonverbal communication, certify students on CPR, general academic skills and allied fundamentals and communication, etc. Education/Certification

RHIT – Registered Health Information Technician, September 27, 2017 American Health Information Management Association Associates – Associates of Science – Health Information Management - Rasmussen College MBCC - Medical Billing and Coding Diploma, 2015 - Rasmussen College Skills:

Knowledge in all hospital programs such as, HMS AS400, Paper Vision, Keane IMED, ChartNet, Spheris Clarity, Excel, Kronos, Protomed, Promed, fax, printer, copier, 3M Encoder, Quantum, Microsoft Word, Excel, Office, PowerPoint, TER-Genesis Electronic Birth Registrar, Spheris Clarity, Cerner PowerChart, Citrix App, HPF Workstation, HPF Report Manager,, MPF V17, Press Ganey, QCI Workstation to scan documents, Clickview

(PHysDoc) dictated reports, 3M-HMS Stack 2-3M360 Encompass Application-HIM Coding Holds Report, HIM Coding Weekly Summary Report, COPD. HealthGrid Pilot - Patient Portal, Scanning documents into Cerner Power Chart, Mckesson HPF, Athena, Analytics Exchange, Compliance 360, Citrix XenApp, Wound Expert, BARRT Resources, DCS Workstation, MedHost Ariba, HMS Pacific Partition, and Care Narrative, WellSky conversion from paper medical records, Mmodal Fluency Direct MedHost Physician Experience 2, HMS Abstracting, WellSky Interactant EHR System, DrFirst/RCopia e-Prescription system.

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