Nicolas G. Jimenez
Saint Augustine,FL
Summary
Medical doctor with extensive experience providing strategic solutions and valuable insights for CDI departmental success. Strong analytical skills and comprehensive industry knowledge drive impactful outcomes. A proven track record of fostering team collaboration and adapting to fast-paced environments ensures project success and high levels of client satisfaction. Committed to continuous improvement and innovation in the field of clinical documentation integrity.
Overview
14
14
years of professional experience
1
1
Certification
Work History
CDI Manager
UF Health Shands Hospital
2025.01 - 2025.08
- Managed and motivated employees to be productive and engaged in all related work activities within the Outpatient CDI Department.
- Accomplished multiple tasks within established timeframes.
- Maximized performance by monitoring daily activities and mentoring team members.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Collaborated with Professional Coding teams and Compliance teams to ensure medical coding and billing compliance.
CDI & Reimbursement Strategies Consultant
The CPR Doc, LLC
2021.01 - 2024.12
- Assisted client’s private practice in achieving accurate documentation, CPT & ICD-10 coding and quality metric reporting for various contracted payers, resulting in increased revenue.
- Acted as a liaison between insurance companies and client’s office to resolve documentation discrepancies, promoting collaboration and maintaining the integrity of medical records.
- Developed customized processes and workflows that targeted specific challenges faced by clients, improving their understanding and regulatory and compliance guidelines.
- Troubleshoot data-related problems and coordinated maintenance or modifications to correct defects.
- Utilized advanced data analytics tools to monitor the impact of implemented CDI strategies on overall performance metrics, guiding future improvements as needed.
- Supported the design and implementation of a robust business intelligence infrastructure, enabling real-time reporting capabilities.
- Streamlined staff workflows across multiple departments for increased efficiency and reduced processing time.
- Automated repetitive tasks, freeing up team members to focus on strategic initiatives.
- Provided expert consultation on complex cases that required specialized knowledge of HCC coding rules and guidelines, offering guidance for optimal code assignment strategies.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Acted as office care coordinator for patients seeking information about community resources and support services available to them in their healthcare journey.
- Collaborated closely with physicians regarding treatment plans, ensuring continuity of care and seamless transition between care providers.
Documentation Integrity Specialist
Baptist Medical Center
2017.01 - 2021.01
- Review inpatient/outpatient medical records to identify opportunities to clarify missing or incomplete documentation.
- Collaborate with providers, case managers, coders, and other healthcare team members to facilitate comprehensive health record documentation that reflects clinical treatment, decisions, diagnoses, and interventions.
- Conducted regular audits of posted queries to ensure that compliance and regulatory guidelines were met.
- Develop provider education strategies to promote complete and accurate clinical documentation and correct negative trends.
- Conduct independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics.
- Aid in identification and proper classification of complication codes (patient safety indicators/hospital-acquired conditions) by acting as the intermediary between coding staff and medical staff.
- Participate in CDI-related continuing education activities to maintain certifications and licensures.
Student Physician: Patient Care Coordinator
Emed Multispecialty Group
2014.01 - 2017.01
- Coordinated patient referrals with specialists for optimal continuity of care throughout treatment process.
- Enhanced clinic efficiency by streamlining processes and implementing electronic health record systems.
- Evaluated previously prescribed interventions for successes or failures and adjusted strategies.
- Instructed patients and families on medical diagnoses and treatment options.
- Documented interactions using correct format, codes and facility standards for optimal medical care.
- Conducted thorough physical examinations for accurate diagnosis, leading to effective treatment strategies.
- Trained support staff in patient care strategies, intake requirements.
Physician Intern-General Surgery, Internal Medicine, Psychiatry
Hospital Central De La Fuerzas Armadas
2012.01 - 2013.01
- Observed, assisted and documented complex surgical procedures.
- Preoperative and Postoperative Patient Monitoring.
- Perfected Suturing Techniques.
- Delivered emergency treatment on-site and responded appropriately in urgent or emergency situations.
- Improved patient outcomes by developing comprehensive treatment plans tailored to individual needs.
- Educated patients on preventative measures, contributing to a decrease in hospital readmissions.
- Managed high-stress situations effectively during emergency procedures, providing life-saving interventions when needed.
Physician Intern- Gynecology
Hospital General Dr. Marcelino Velez Santana
2012.01 - 2013.01
- Completed basic in-office procedures with local or topical anesthetic.
- Collaborated with multidisciplinary teams to ensure cohesive patient care and successful recovery.
- Instructed patients and families on medical diagnoses and treatment options.
- Counseled female patients on birth control methods, cervical and breast cancer and answered questions or concerns.
- Advanced surgical procedures, such as laparoscopic hysterectomies and dilation and curettage operations, leading to enhanced patient outcomes.
- Kept detailed records of patient treatments and needs throughout medical processes.
- Explained test results to patients to help each make decisions about lifestyle choices, future healthcare, and treatments for gynecologic or obstetric issues.
- Provided post-operative care for patients who underwent surgical procedures, ensuring proper healing, pain management, and follow-up appointments to monitor progress.
Physician Intern- Pediatrics
Hospital Materno Infantil Santo Socorro
2012.01 - 2012.12
- Exhibited excellent problem-solving skills when encountering complex medical cases, collaborating with physicians and other healthcare professionals to determine the most appropriate course of action for optimal patient outcomes.
- Streamlined clinic workflow by collaborating closely with physicians, nurses, and support staff.
- Conducted physical examinations to assess patients' health and current condition for optimal treatment.
- Ordered and interpreted diagnostic testing to confirm diagnosis and implement accurate treatment plans.
- Performed therapeutic procedures such as injections, immunizations, and infection management.
- Ensured accurate diagnoses by ordering appropriate diagnostic tests and interpreting results efficiently.
Education
Doctor of Medicine -
Universidad Ibero-Americana (UNIBE)
Santo Domingo, Dominican Republic2013-01
Skills
- Bilingual: English and Spanish
- Documentation Compliance
- Payer Regulations
- Clinical Practice Process Improvements
- CPT/HCPCS, ICD-10 CM & PCS
- Exemplary Communication Skills
- Training and Mentoring
- Anatomy & Medical Terminology
- HIPAA requirements
- Record Auditing
- Regulatory Compliance
- Administrative Coordination
Certification
- CCDS Certified Clinical Documentation Specialist, Certified Since 2019
- CCDS-O Certified Clinical Documentation Specialist Outpatient, Certified Since 2022
- American Red Cross Licensed Training Provider (CPR/BLS/AED), Licensed Since 2021
Timeline
CDI Manager
UF Health Shands Hospital
2025.01 - 2025.08
CDI & Reimbursement Strategies Consultant
The CPR Doc, LLC
2021.01 - 2024.12
Documentation Integrity Specialist
Baptist Medical Center
2017.01 - 2021.01
Student Physician: Patient Care Coordinator
Emed Multispecialty Group
2014.01 - 2017.01
Physician Intern-General Surgery, Internal Medicine, Psychiatry
Hospital Central De La Fuerzas Armadas
2012.01 - 2013.01
Physician Intern- Gynecology
Hospital General Dr. Marcelino Velez Santana
2012.01 - 2013.01
Physician Intern- Pediatrics
Hospital Materno Infantil Santo Socorro
2012.01 - 2012.12
Doctor of Medicine -
Universidad Ibero-Americana (UNIBE)