SURGICAL CLINICAL REVIEWER Summary A self-motivated organized professional 20 years' experience providing thorough skillful support. More 10 years' management experience organizational leadership relationship building clients team members. Administrative experience diverse business settings. Extensive international experience, deep understanding diverse cultural business practices, professional international liaison. Excellent writing skills, ability find innovative solutions. A patient listener fully focuses speakers understands variety accents. A flexible professional enjoys learning new skills quickly adapts organizational changes. An energetic team leader, able communicate effectively people ages backgrounds, work collaboratively resolve problems, motivate team members achieve personal organizational objectives. Self-starter strong communication skills; work well independently team. Skilled clinical researcher administrator; hold BS Degree Health Information Management currently enrolled MBA Degree. Highlights Management skills: administered, coordinated, delegated, evaluated, prioritized, performed trouble shooting, HR duties, Manage PTO, payroll, interview, hire train new personnel, team goals Research skills: collected, extracted, organized, interpreted, summarized, audited Communication skills: corresponded, professional telephone etiquette, excellent customer service, Bilingual interpreted translated English/Spanish Detail skills: catalogues, multi-tasked, set goals, skilled typist, working knowledge computer soft wares Creative skills: customized, integrated, established, marketing Clerical skills: compiled, monitored, generated, implemented Experience 01/2011 01/2014 Surgical Clinical Reviewer Company Name Collected submitted reliable data ACS NSQIP surgical patients, provided morbidity mortality postop reporting, generated lists cases abstracted, completed abstraction applicable cases entering data appropriate database (NSQIP). Participated inter-rater reliability reviews ensure accuracy abstraction, validation audits, followed appeals necessary, participate conference calls webinars. 01/2008 01/2010 Field Reviewer/Auditor Company Name Provided support 2009 2010 HEDIS project including Physician Grading, (payment integrity audit), Reporting, Medical Record Abstraction, Quality Improvement, data analysis, provided feedback reporting HEDIS, NCQA governing regulatory agencies. 01/2004 01/2008 Healthcare Business Consultant Company Name Provided quality assurance reviews specializing outpatient centers along business development strategies. Reviewed charts ensure correct coding services billed. Conducted mock surveys facilities, kept date policies procedures. Developed training schedules job descriptions staff conducted performance evaluations. Handled payroll, billing issues, physician contract credentialing. Hired terminated staff necessary. Provided findings Medicare facilities reconciliation, well as, resolved claim issues physician offices collect outstanding monies. 01/2002 01/2004 Health Information Manager Company Name Oversaw Health Information Management work flow department, including performance employees, training, orientation new staff, in-service current employees, payroll submission, medical record completion per JCAHO guide. Participated JCAHO, HEDIS, ACHA Tumor Registry reviews committee. Responsible Utilization Records Committees, Medical Records Abstract, house clinical pertinence, closed chart review, 3M Encoder knowledge, managed staffing levels accordance departmental needs. Education 2015 Paralegal Blackstone Institute Blackstone Institute Paralegal course currently enrolled 2015, expected completion June 2015 2015 MBA Public Northcentral University Northcentral University MBA Public currently enrolled 2014 2015 Certificate Completion Surgical Clinical Reviewer ACS NSQIP Certificate Completion Surgical Clinical Reviewer October 2012 BS Health Information Management Florida International University Florida International University BS Health Information Management Dec 1999 AA Psychology Miami Dade Community College Miami Dade Community College AA Psychology May 1999 Certifications ACS NSQIP Certificate Completion Surgical Clinical Reviewer Languages customer service, Bilingual interpreted translated English/Spanish Presentations Collected submitted reliable data ACS NSQIP surgical patients, provided morbidity mortality postop reporting, generated lists cases abstracted, completed abstraction applicable cases entering data appropriate database (NSQIP). Participated inter-rater reliability reviews ensure accuracy abstraction, validation audits, followed appeals necessary, participate conference calls webinars Skills Payroll, Training, Hedis, Audits, Cases, Database, Billing, Business Consultant, Business Development, Coding, Healthcare, Medicare, Outpatient, Quality Assurance, Reconciliation, Audit, Data Analysis, Marketing Analysis, Encoder, Medical Records, Staffing, Work Flow, Mba, Clerical, Clients, Customer Service, Energetic, Etiquette, Excellent Writing, Excellent Writing Skills, Hr, Liaison, Marketing, Pto, Receptionist, Relationship Building, Retail Sales, Self Motivated, Self-starter, Solutions, Strong Communication Skills, Telephone, Translated, Writing Skills, Paralegal