Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

Adriana Brashear

Raton,NM

Summary

Accomplished Health Information Management Director with a proven track record at Miners Colfax Medical Center, enhancing patient care through meticulous record management and coding accuracy. Skilled in database systems and leadership, I significantly reduced claim denials and improved compliance. Expert in HIPAA regulations, I blend technical prowess with compassionate patient interactions, driving team excellence and operational efficiency. Resourceful professional in healthcare management known for high productivity and efficiency in task completion. Skilled in strategic planning, regulatory compliance, and patient care coordination. Excel at team leadership, problem-solving, and communication, ensuring seamless operations and quality service delivery in fast-paced environments.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Health Information Management Director

Miners Colfax Medical Center
Raton , NM
08.2022 - Current
  • Resolved discrepancies between billings and payments received from third-party payers.
  • Developed strategies for accurate coding, data entry, and data retrieval processes.
  • Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
  • Ensured that all privacy laws were adhered to by staff members handling patient information.
  • Provided guidance and expertise on best practices in Health Information Management.
  • Communicated with patients with compassion while keeping medical information private.
  • Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Maintained records management system to process personnel information and produce reports.
  • Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
  • Coordinated activities related to the maintenance and release of medical records requests.
  • Put new coding and billing procedures into practice, which helped to reduce number of claims that insurance companies denied.
  • Conducted audits of medical records to identify errors or potential issues with compliance regulations.
  • Participated in committees focused on improving patient safety through improved documentation practices.
  • Trained new personnel on EHR systems and coding standards.
  • Provided regular updates to executive leadership team regarding progress towards meeting goals set forth by the organization's strategic plan.
  • Explained policies, procedures and services to patients.
  • Monitored performance metrics related to coding accuracy and turnaround times, as well as made recommendations for improvement.
  • Maintained current knowledge of federal, state, and local healthcare regulations regarding HIPAA compliance.
  • Oversaw staff responsible for managing electronic health records systems.
  • Took part in meetings and committees to discuss such topics as electronic health records and communicate best ways to improve workflows.
  • Collaborated with department heads to develop strategies for improving data collection methods.
  • Analyzed workflow processes within the HIM department to identify areas needing improvement.
  • Directed, supervised and evaluated medical, clerical or maintenance personnel.
  • Developed training materials for coders, clinicians, and other personnel involved in health information management functions.
  • Interviewed and hired talented performers, bringing exemplary expertise and knowledge to job positions within organization.
  • Worked with physicians and nurses to find methods to improve quality of patient health documents and records.
  • Worked with cross-functional teams to achieve goals.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
  • Pulled patient records and transferred information to appropriate parties.
  • Assigned patients to diagnosis-related groups using appropriate computer software.
  • Analyzed patient charts and records to extract relevant coding information.
  • Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
  • Educated healthcare staff on coding standards and changes in coding guidelines.
  • Maintained up-to-date knowledge of coding changes, updates, and new rules.
  • Monitored and analyzed coding error trends to improve coding accuracy.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Kept abreast of updates and changes in coding guidelines and reporting requirements.
  • Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.

Service Manager

Wells Fargo Bank, N.A.
Raton, New Mexico
04.2021 - 08.2022
  • Improved customer satisfaction ratings by listening to complaints, and finding appropriate solutions to problems.
  • Prioritized and delegated daily work tasks to meet anticipated project goals.
  • Motivated, led, and supported employees to maintain low turnover.
  • Created employee work schedules to keep shifts properly staffed.
  • Pitched in to complete various duties during peak periods or employee absences.
  • Upheld team productivity and quality objectives by setting and maintaining clear benchmarks for service.
  • Reviewed inventory levels, and ordered supplies to keep products in stock.
  • Collaborated with customers to offer solutions to service needs.
  • Monitored employee performance through the analysis of key metrics.
  • Hired, trained, and developed service department staff to drive performance.
  • Defined department objectives, and monitored performance to facilitate operations.
  • Delivered positive reinforcement and constructive criticism for employee work efforts.
  • Coordinated efficient maintenance schedules to keep systems running at peak levels.
  • Eliminated knowledge gaps by managing continuous training and mentoring strategies for new and junior personnel.
  • Hired and trained service department staff to drive performance.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.
  • Coached staff on strategies to enhance performance and improve customer relations.
  • Provided leadership, insight, and mentoring to newly hired employees to supply knowledge of various company programs.
  • Recruited and trained new employees to meet job requirements.
  • Executed successful compliance monitoring and risk assessment programs.
  • Completed quarterly and yearly audits.
  • Completed quarterly and yearly employee evaluations.

Medical Records and Health Information Tech

Miners Colfax Medical Center
Raton , NM
08.2018 - 04.2021
  • Transcribe Physician dictations,
  • Provided respectful assistance to all parties, including patients, staff members and insurance company representatives
  • Pulled patient records and transferred information to appropriate parties
  • Logged all requests for medical records into spreadsheets and electronic medical records
  • Verified record copies before handing each over to check for and remove unnecessary details
  • Maintained HIPAA compliance across all patient data-handling, systems and training
  • Evaluated accuracy and compliance of all documentation and reports
  • Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing
  • Assigned procedure and diagnosis codes for insurance billing using 3M
  • Communicated with healthcare personnel, including practitioners to promote accuracy
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses
  • Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes
  • Reconciled clinical notes, patient encounter forms and health information for compliance with HIPAA rules
  • Verified final claim submissions by comparing account charges with documentation
  • Used coding rules established by the American Medical Association and the Centers for Medicare and Medicaid Services in the assignment of procedural codes
  • Worked with physicians and nurses to find methods to improve quality of patient health documents and records.
  • Took part in meetings and committees to discuss such topics as electronic health records and communicate best ways to improve workflows.
  • Put new coding and billing procedures into practice, which helped to reduce number of claims that insurance companies denied.
  • Supported healthcare applications by monitoring security, performance and reliability.
  • Protected medical information against unauthorized access, loss or corruption by consistently following security protocols.
  • Scanned incoming documentation.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Observed confidentiality and safeguarded all patient-related information.
  • Consolidated diverse medical records.

Clerk Specialist

New Mexico Department of Health
Raton, NM
05.2015 - 08.2018

Expedite all financial documents as pay vouches, create staff travel reimbursements, customer service, Vital Records Local Registrar, issue benefits for WIC clients, create and forward monthly reports to Region liaison,schedule clients for WIC, Health Services and Vital Records, Office Supplies ordering, complete and review monthly bills in SHARE, review and audit vouches completed by other Clerk, complete Accounts Payable log.

Lead Teller

Wells Fargo Bank
Springer, NM
07.2007 - 05.2015

Investigated and resolved discrepancies in monthly bank accounts while under tight deadlines. I opened new customer accounts, including checking, savings and lines of credit.Scheduled staffing for multiple branch locations; balanced daily cash deposits and bank vault inventory with a zero error rate; processed cash withdrawals; trained employees on cash drawer operation; researched and resolved customer issues on personal savings, checking and lines of credit accounts; examined checks for identification and endorsement; processed treasury, tax and loan payments; maintained confidentiality of bank records and client information; delivered prompt, accurate and excellent customer service; directed specific questions to appropriate branch personnel.

Education

Master of Science - Public Health

New Mexico State University
Las Cruces, NM

Bachelor of Science - Technical Management

Credit.ScheduledDeVry University
Downers Grove, IL

Associate of Science - Information Technology

Carrington College California - Sacramento
Sacramento, CA

Medical Billing And Coding -

Carrington College California - Sacramento
Sacramento, CA

High School Diploma -

Springer High School

Skills

  • Cash handling
  • Detail-oriented
  • Strong organizational skills
  • Proficient In Managing High-Value Transactions
  • Telephone inquiries specialist
  • Goal-oriented
  • Bilingual
  • Dedicated
  • Customer- and service-oriented
  • Loss prevention comprehension
  • Reliable and punctual
  • Responsible
  • Accounts payable experience
  • Travel reimbursements

experience

  • Payment vouchers experience
  • SHARE experience
  • Staff training
  • Risk assessments
  • Record keeping
  • Database systems
  • Information Management
  • Data entry
  • Customer service
  • Billing codes
  • Proficient in Medical Coding
  • Submission of medical claims
  • Telephone etiquette
  • Records filing
  • Patient care assessments
  • HIPAA expert
  • Records audits
  • Medical auditing
  • Accurate Medical Record Management
  • Transcribing
  • Healthcare claim coding
  • Medical terminology
  • Patient data identification
  • Billing procedures
  • Diagnostic tools experience
  • Insurance billing
  • Client relations
  • Leadership
  • Supervision
  • Project planning
  • Clerical
  • Meeting planning
  • Excel spreadsheets
  • NM Notary Public
  • Operational planning
  • Health records review
  • Clinical documentation
  • Healthcare compliance
  • Revenue cycle management
  • Health information systems
  • Accurate documentation
  • Facility workflow
  • Information governance

Accomplishments

  • In 2009 received The Sales And Service award for the Desert Mountain region which includes Arizona, Nevada and New Mexico
  • In 2010 I traveled to Virginia to assist with the merging of Banks and helped teller, bankers and Managers learn new systems and follow new policies and procedures
  • Completed Medical Billing and Coding Certification in August of 2018
  • Obtained CBCS license 06/2019
  • RHIA Certification

Certification

  • RHIA

Languages

Spanish
Native/ Bilingual

Timeline

Health Information Management Director

Miners Colfax Medical Center
08.2022 - Current

Service Manager

Wells Fargo Bank, N.A.
04.2021 - 08.2022

Medical Records and Health Information Tech

Miners Colfax Medical Center
08.2018 - 04.2021

Clerk Specialist

New Mexico Department of Health
05.2015 - 08.2018

Lead Teller

Wells Fargo Bank
07.2007 - 05.2015

Bachelor of Science - Technical Management

Credit.ScheduledDeVry University

Associate of Science - Information Technology

Carrington College California - Sacramento

High School Diploma -

Springer High School

Master of Science - Public Health

New Mexico State University

Medical Billing And Coding -

Carrington College California - Sacramento
Adriana Brashear