Daniel Nieves
Brooklyn,NY
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
15
15
years of professional experience
Work History
Assistant Director Ambulatory Care Operations
Woodhull Medical & Mental Health Center
10.2023 - Current
- Launched quality assurance practices for each phase of development
- Streamlined communication between teachers, parents, and administrators to foster a collaborative learning environment.
- Developed detailed plans based on broad guidance and direction.
- Served on school committees focused on enhancing student achievement through curriculum review and policy implementation.
Assistant Director
Woodhull Medical & Mental Health Center
08.2021 - 10.2023
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Oversaw the recruitment, hiring, and onboarding process for new educators to maintain a high-quality teaching staff.
- Leveraged data and analytics to make informed decisions and drive business improvements.
- Partnered with educators to instruct and mentor students with developmental and physical disabilities.
Coordinating Manager
Woodhull Medical & Mental Health Center
01.2016 - Current
- Oversee daily operations of HIM Medical Records Department
- Lead Super User & Training Coordinator for Epic implementation process overseeing HIM
- Supervise the Data Integrity Unit, Release of Information Unit, and Chart Analysis Unit within set timeline and framework of Epic Healthcare Software
- Directing all hospital departments regarding storage and destruction of records according to Operating Procedure 120-19
- Performs employee evaluations on Oracle PeopleSoft while conducting monthly PI meetings
- Monitors Compliance of RAC (Recovery Auditor Contractor), review technical denials
- Implement HEDIS (Healthcare Effectiveness Data and Information) measures in accordance with NYS/CMS (Center for Medicare/Medicaid standards) to prevent insurance fraud
- Generated more efficient process for providing medical documentation to process DRG claims
- Ensure Risk Management Litigation requests are processed within legal framework and manage court ordered subpoenas
- Supervise 3 outsource ROI (Release of Information) Specialists regarding transition of correspondence unit to third party vendor (CIOX Health)
- Created & Implemented indexing procedures for storage of medical information
- Manage employee development program
- Manage Visit Summary exportation process
- Deputy Administrator for Department of Health and acting as a liaison for facility in ensuring physician certification of STOP/ITOP clinical procedural cases within eVital systems.
Assisting Coordinating Manager
Woodhull Medical & Mental Health Center
09.2013 - 12.2015
- Designed and ran monthly statistics for release of documentation to ensure target percentages were being met
- Supervised Correspondence Unit of Medical Records Department
- Processed litigating and continuing of care requests in accordance with HIPAA guidelines
- Executed Visit Summary exportations
- Aided process of providing documentation for Insurance, Quality of Care, & IPRO audits for purpose of bill justification and clinical documenting improvements.
Clerical Associate Level 2
Woodhull Medical & Mental Health Center
01.2009 - 08.2013
- Prepared emergency room medical records in compliance with established policies
- Scanned emergency room records and clinical reports for electronic filing
- Prepared and scanned all new born baby records in accordance with HIPAA policy
- Indexed, boxed, and shipped charts to off-site records retrieval facility
- Liaison between HIM and other clinical departments.
Education
MBA - [Master of Business Administration] -
University of Phoenix
08.2016
BS - [Bachelors of Science in Business with a Concentration in Public Sector] -
University of Phoenix
09.2014
AA - [Associates of Arts with a concentration in Foundations of Business] -
University of Phoenix
09.2012
Skills
- Budget Management
- Human Resources
- Consulting
- Brand Management
- Staff Development
- Strategic Planning
- Team Leadership
Timeline
Assistant Director Ambulatory Care Operations
Woodhull Medical & Mental Health Center
10.2023 - Current
Assistant Director
Woodhull Medical & Mental Health Center
08.2021 - 10.2023
Coordinating Manager
Woodhull Medical & Mental Health Center
01.2016 - Current
Assisting Coordinating Manager
Woodhull Medical & Mental Health Center
09.2013 - 12.2015
Clerical Associate Level 2
Woodhull Medical & Mental Health Center
01.2009 - 08.2013
MBA - [Master of Business Administration] -
University of Phoenix
BS - [Bachelors of Science in Business with a Concentration in Public Sector] -
University of Phoenix
AA - [Associates of Arts with a concentration in Foundations of Business] -
University of Phoenix
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