Epic
Ralph Jay Diez
RHIT, CCS, CCS-P, CHTS-IM
Fremont,CA
Summary
Insightful leader of over 13 years of experience in Health Information Management with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving, with the ability to leverage technology in implement process improvement initiatives.
Overview
4
4
Certificates
8
8
years of post-secondary education
13
13
years of professional experience
Work History
HIMS Supervisor
Santa Clara Valley Health and Hospital System
San Jose, CA
04.2021 - Current
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Initiated and innovated ways leveraging technology succeeding in process improvement.
- Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
- Developed training, task and process guidelines and communicated clear and concise directions to employees
- Trained staff in new health information processes affecting workflow of hospitals and clinics, including custody and behavioral health / substance use programs.
- Successful and reliable in acting in place of HIM Manager in their absence.
Assistant HIM Director (Acting HIM Director)
San Joaquin General Hospital
French Camp, CA
03.2020 - 03.2021
- Successfully took on role acting as HIM director after 2 weeks of being hired, directing day-to-day administrative and operational functions for 196-bed facility, providing guidance and leadership to over 43 FTE including, but not limited to admissions, birth and death certificates, coding, chart assembly and analysis, release of information, incomplete chart control, filing.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Compiled data highlighting key metrics to report information, determine trends and identify methods for improving store results.
- Maximized performance by monitoring daily activities and mentoring team members.
Lead Medical Coding Specialist
Sante Health System
Fresno, CA
06.2019 - 05.2020
- Improved timeliness of claim submissions from 6 months delay to 2-5 weeks from date of service within 3 months of hire.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Successfully led process improvement initiatives and quality improvement projects.
HIM Director
Covia, Spring Lake Village Healthcare
Santa Rosa, CA
10.2012 - 05.2019
- Recognized to have established best practice in HIM department; provided training and acted as resource for HIM departments throughout organization (6 facilities).
- Fostered excellence by example by "setting pace" and being hands on mentor and trainer to both clinical and clerical staff in EHR use and documentation integrity.
- Focused teams on developing innovative and cutting-edge approaches at all levels with effective resource allocation and strategic planning.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Created annual budget and developed comprehensive plan to accomplish company objectives while staying within budget.
Medical Records Manager
Broadway Villa Post Acute, Ensign-affiliated
Sonoma, CA
09.2010 - 09.2012
- Effectively trained HIM staff, physicians, and nurses regarding EHR workflow process.
- Improved clinical staff's documentation quality and timeliness.
- Improved compliance rate of physicians, nurses, and other interdisciplinary team members.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
Medical Records Assistant
Park View Post Acute, Ensign-affiliated
Santa Rosa, CA
06.2008 - 08.2010
- Assisted in transition from paper medical record system to hybrid medical record system.
- Introduced innovative ideas improving processes and workflows in medical records department.
- Successfully managed department in absence of director within 3 months of hire.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Audited files for completion and accuracy.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT 11.2019 - Current
Associate of Science - Health Information Technology
Santa Barbara City College
Santa Barbara, CA 06.2017 - 11.2019
Bachelor of Science - Nursing
Cebu Doctors' University - College of Nursing
Cebu City, Philippines 05.2004 - 06.2008
Skills
Project oversight
undefinedCertification
Registered Health Information Technician (RHIT)
Software
MyAvatar
Cerner
Meditech
3M
Greenway Intergy
E-Clinical Works
Medisoft
PointClickCare
UltiPro
MyADP
Microsoft Office Suite
Professional Associations
Member | American Health Information Management Association (AHIMA) 2013 – Present
Member | California’s Health Information Association (CHIA) 2013 – Present
Member | National Society of Leadership and Success 2020 – Present
Timeline
HIMS Supervisor
Santa Clara Valley Health and Hospital System
04.2021 - Current
Assistant HIM Director (Acting HIM Director)
San Joaquin General Hospital
03.2020 - 03.2021
Registered Health Information Technician (RHIT)
01-2020
Bachelor of Science - Health Information Management
Western Governors University
11.2019 - Current
Certified Coding Specialist – Physician Based (CCS-P)
11-2019
Lead Medical Coding Specialist
Sante Health System
06.2019 - 05.2020
Certified Coding Specialist (CCS)
03-2019
Certified Healthcare Technology Specialist – Implementation Manager (CHTS-IM)
11-2018
Associate of Science - Health Information Technology
Santa Barbara City College
06.2017 - 11.2019
HIM Director
Covia, Spring Lake Village Healthcare
10.2012 - 05.2019
Medical Records Manager
Broadway Villa Post Acute, Ensign-affiliated
09.2010 - 09.2012
Medical Records Assistant
Park View Post Acute, Ensign-affiliated
06.2008 - 08.2010
Bachelor of Science - Nursing
Cebu Doctors' University - College of Nursing
05.2004 - 06.2008
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