Yolanda's Resume 072016
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Yolanda Nieves has over 15 years of experience in health information management, health insurance claims processing, and health information technology. She has skills in coding, documentation, EHR systems, quality improvement, and compliance. She holds an RHIA certification and seeks a position applying her skills and education in health information technology and administration.
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Yolanda's Resume 072016
- 1. Y O L A N D A N I E V E S , R H I T 12100 Windriver Ln. Hudson, FL 34667 727-815-2309 Ynieves1963@yahoo.com AHIMA CertifiedRHIA, with workingknowledge of HIM functions, andHealth Insurance claims processingseekinga positionin Health InformationTechnology and Administration. S K I L L S P R O F I L E Professional people skills andproblemsolving Professional communication skills, verbal andwritten Strongattentiontodetail andproficient at runningandhandlingoffice equipment Experience with filing, charting, documentingandorganizational skills,alongwith other office requirements Efficient in billingandcoding, andexcellent computer skills Fully bi-lingual in English andSpanish Experience with various EHR systems, including; Quadra Med, 3M, Quantim, Cerner, Care Tracker,ECW,All Scripts, Practice Fusion, and EPIC, as well as others. ED U C A TI O N Rasmussen College Online, NewPort Richey, FL RHIA Certified February 2013 RHIA, BS Degree graduate September 2015 R EL A TED EX P ER I EN C E Access Health Care, LLC,SpringHill, FL October 2015- PresentlyEmployed CodingandDocumentationQuality Improvement Specialist Medical chart reviews for codinganddocumentation accuracy, consistency,andintegrity. Reviewcharts for compliance withNCQA HEDIS5 Star Measures. Assist physician practices with documentationrequirements andHEDISmeasure submissions to various insurance carriers. Create excel spreadsheets, andreports for various medical documentationrequirements. Internship; Gulf Side Hospice & PascoPalliativeCare 08/13/2015-09/11/2015 PerformHealthInformation Administrativefunctions to assist management CreatedaggregatedDRGreports Records Retention Revision of HIM PolicyandProcedure Manual CreatedHIM TaskForce Competencies Assessment form for utilization in employee reviews Reviewed, andprovidedvaluable workflowfeedback toreduce cost andworkflowredundancies Assist in clinical documentationscanningandfiling Experience with hybridmedical records system Rasmussen College, NewPort Richey,FL 04/07/2015-06/15/2015 Online Tutorin Health Sciences Provide educational tutoringandmentoringtoonlinestudents in the Bachelor’s Degree programforHealthSciences UnitedHealthCare, FL 4/2000 – 4/2010 Claims Adjudicator Reviewedclaims for accuracy andcompleteness in coordination withregulations. Processedpatient medical claims with coordination ofbenefits Ensuredpatient confidentiality per HIPAA regulations Processedinbound/ outboundcorrespondence for reworkissues Escalatedissue control Processedrelease of information requests in accordance to HIPAA andAHIMA guidelines Assistedin trainingnewhiredemployees InboundCall Center functions includingbillingand technical troubleshooting V O L U N TEER A C TI V I TI ES Volunteeredservices at Dr. ReynaldoLim MD practice for2 months togain hands on medical recordprocessingexperience while in school for HIT certification.