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ALVARO [email protected]
786-303-5594
SUMMARYA bilingual medically trained professional with more than 10 years of experience in the healthcare industry. A team player having extensive knowledge in HEDIS, medical record review, case management, medical assistant and medical coding.
WORK EXPERIENCE
Salvador Mora, MD 03/2013 - Present Medical Assistant, per-diem • Complete Medical History/Take Vital Signs • Assist Doctor for different procedure • Prepare rooms for Physician and Patient • Answer phone and make appointments • Venipuncture for different Lab Tests • Complete/Update EMR’s
Outcomes Health Information Solutions 12/2012 - 02/2013HEDIS/Field Chart Reviewer (Temp assignment)
Reviewed medical information from various sources. Entered documentation into database. Abstracted Clinical data from surveys, medical charts.
Simply Healthcare Plans 06/2010 - 08/2012Field Case Manager in Broward and Dade Counties Hospitals
Preformed (ICD-9, CPT) coding of diagnosis and procedures. Reviewed charts in PCP's and specialists medical offices. Collected clinical data for HEDIS review. Created tools for Medical Record Review Medicaid/Medicare Guidelines. Produced tools for PCP's Education in CMS/AHCA Guidelines.
HealthSun Health Plan 01/2008 - 05/2010Field Case Manager in Broward and Dade Counties Hospitals
Complied clinical data for HEDIS review. Coded diagnosis and procedures (ICD-9, CPT).
Kendall Regional Medical Center 08/1999 - 12/2008House Staff
Took complete medical history from patient. Reviewed medical charts. Preformed a complete physical examination.
EDUCATION / CERTIFICATIONS
Foreign Medical Graduate, National Autonomous University of Nicaragua, Managua, NicaraguaMedical Assistant Diploma
Certified Professional Coder House Physician, Registered in Florida
Member of the American Association of Professional Coders (AAPC)
COMPUTER SKILLSMicrosoft Word and Excel