Alina Diaz
Polk City
Summary
Results-driven Nurse Auditor with extensive experience in healthcare compliance, documentation review, and critical thinking. Proven record of enhancing audit workflows and ensuring adherence to HIPAA regulations.
Overview
1
1
Certification
23
23
years of professional experience
Work History
Nurse Auditor
EXL Service
Florida
03.2004 - 01.2024
- Conducted comprehensive audits of medical records to ensure compliance with regulatory standards.
- Analyzed billing procedures and identified discrepancies to enhance accuracy in claims processing.
- Collaborated with healthcare providers to resolve audit findings and implement corrective actions.
- Developed and implemented training programs for staff on auditing processes and documentation standards.
- Oversaw a team of auditors, providing mentorship and guidance to enhance performance and professional growth.
- Led quality improvement initiatives that streamlined audit workflows and increased efficiency by 30%.
- Enhanced compliance with healthcare regulations by diligently reviewing clinical records and ensuring adherence to guidelines.
Case Manager
University of Miami Health System
Miami, FL
05.2001 - 03.2004
- Coordinated comprehensive care plans for diverse patient populations, ensuring tailored support and resources.
- Conducted thorough assessments to identify patients' needs, facilitating appropriate healthcare interventions.
- Collaborated with multidisciplinary teams to optimize treatment strategies and improve patient outcomes.
- Monitored patient progress, adjusting care plans as needed to enhance recovery and well-being.
- Educated patients and families on healthcare options, empowering informed decision-making in care processes.
Education
Associate of Science - Nursing
University of Sacred Heart
San Juan, Puerto Rico06-1979
Associate of Science - Nursing
University of Sacred Heart
San Juan, Puerto Rico06-1979
Skills
- Organizational growth
- HIPAA regulations
- Critical thinking
- Patient confidentiality maintenance
- Medical terminology
- Documentation review expertise
- Electronic health records navigation
- Healthcare compliance
Certification
- Licensed Registered Nurse
Languages
Spanish
Native or Bilingual
Timeline
Nurse Auditor
EXL Service
03.2004 - 01.2024
Case Manager
University of Miami Health System
05.2001 - 03.2004
Associate of Science - Nursing
University of Sacred Heart
Associate of Science - Nursing
University of Sacred Heart