Contact Marisol Rodriguez, Advanced Practice Registered Nurse (APRN) , Plainville

Manager Data Integrity

Hartford Healthcare

Hartford , CT

2016.01 - Current

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. Wrote Work instruction manuals, data capture guidelines and standard operating procedures.
Hired, managed, developed and trained non clinical and clinical, established and monitored goals, conducted performance reviews and administered salaries for staff. Cross-trained existing employees to maximize team agility and performance. Managed schedules, organized office functions and oversaw daily operations of office with 13 employees.
Performs paper record analysis and update electronic record with missing data. Uses investigational skills to identify patient identity clues in the EMPI, Epic record, scanned record, and various downstream systems. Merges duplicate charts when necessary.
Contacts patients as needed following strict protocols/policies and procedures to clarify, confirm and obtain documentation for identity changes and duplicate record verification. Collaborated with Compliance, Identity Officer for identity Theft.
Assists with data clean-up projects. Manages EMPI emails, telephone calls, service tickets and correspondence as required.
Quickly responded to situations impacting safety and security to patients, actualizing crisis prevention interventions to control and de-escalate situations.
Receives, validates, and completes requests to mark a patient as deceased, updating the EPIC MPI and EMPI systems. Compiles statistical data as needed for all entities participating in the EMPI and Epic MPI and identify trends and/or issues pertinent to the operations and integrity of the EMPI and Epic MPI database. Assists with follow-up with entities on outstanding data integrity issues. Provides feedback to users regarding data integrity errors, distributing communication regarding data integrity policies, procedures, tip sheets and best practices as needed.
Assists in identifying areas of non-compliance with established PHS policies and procedures in order to decrease the creation of duplicate medical records, overlays, and other patient data integrity issues across Hartford Healthcare. Assists in supporting query processes management e.g., Dynamic Patient Matching and Epic Care Everywhere, Physician Gateway.
Participates in chart correction activities as appropriate. Understands the operational landscape of PHS entities, affiliates and community practices. Attain a general knowledge of all entity-level information systems (i.e., registration systems, master patient indexes, emergency registration practices, clinical results, electronic health record, scanning systems, downstream systems, etc).
Functions as an individual contributor and as a team player within the PHS IS groups, PHS entities, affiliates and the community practices, fostering a positive team approach. Interacts positively and effectively within the EMPI Operational Team, the EMPI Technical Team along with Care Connect.
Assists with and participate in system testing and implementation as needed. Reports work progress to upper management on a daily basis, denoting issues and/or problems in a timely fashion
Encourages positive interactions and maintain a high level of customer satisfaction. Maintains open communications via e-mails and phone calls and in person discussions with all customers in Hartford Healthcare. Provides quality customer service and maintains on-going communication, feedback, and follow-through with customers and peers.
Performs other duties as assigned by management. Uses the Hartford HealthCare values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.

Registered Nurse

St. Frances Hospital

Hartford , CT

2018.07 - 2020.05

Provide direct quality care to patients recording, and evaluating of medical conditions of up to 20 patients per day.
Interact and communicate with patients of all ages and ethnic backgrounds, giving quality medical care and treatment. Educate patients about their health.
Assisted physicians in taking blood pressure, measuring heartbeat, and recording vitals in physical examinations. Maintain and update health records via the electronic system, phone triage, test results, medication refills, Conveying plans of care. Perform lab work.
Collaborated with 4 other nursing staff in maintaining a calm environment in caring for patients.
Commended by supervisors for handling difficult situations involving both patients and their families.
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans. Provide care under the prescribed treatment plan, observe and report on the well-being of patient.
Monitored patient condition, including interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity..
Audited charts and reviewed clinical documents to verify accuracy.

Clinical Practicum in Acute Care

St. Frances Hospital

Hartford , CT

2016.09 - 2018.07

Collaborated with other healthcare professionals to plan, manage, and assess patient treatments in the acute care unit with a bed capacity of 32 patients.
Administered blood product transfusions or intravenous infusions, monitoring patients for adverse reactions.
Performed emergency medical procedures, such as basic cardiac life support (BLS), advanced cardiac life support (ACLS), and other condition stabilizing interventions.
Discussed illnesses and treatments with patients and family members in a supportive manner.
Collaborated with peers and attended meetings to brainstorm new activities for patients and discuss ways to resolve issues.

Cardiology Billing Specialist/ICD Clinic

Hartford Healthcare

Hartford , CT

2005.11 - 2016.01

Welcomed office visitors warmly and alerted staff to arrivals of Device scheduled appointments.
Interacted with Device vendors (St. Jude, Guidant, Medtronic, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
Processed all billing charges in SMS and Pt. Keeper. Developing and planning strategies to meet the business unit goals. Maintained compliance in areas such as OSHA, HIPPA.
Work independently and collaboratively with the Arrhythmia Services Director and other health care professionals
assisting Outpatient Device Clinic checks.
Provide education of individuals, families, staff, and groups on Carelink, Latitude, and Mednet, Biotronik.
Coordinated with Admissions, Coumadin readiness for procedures, Nieps (non invasive study), Cardioversions, ablations. Assesses required labs and x-ray for AARX patients (Amiodarone, Dofetilide/Tikosyn, Sotalol, Mexilitene). Coordinate with Medtronic, St.Jude, Boston Scientific, and Biotronik for generator placements.
Check ICD patients with appropriate programmers (Medtronic, St. Jude, Boston Scientific, and Biotronik).
Billing, answer Multi phone line, prepare and pull and file ICD/Pacemaker charts. Inputs varied data entry into established database and ensure quality and accuracy of data. Process ICD and Pacemaker correspondence. Maintains ICD and Pacemaker
resource schedule.
Collected data to complete detailed reports for stakeholders and management.
Determined proper ICD 9 and ICD 10 codes for medical records and patient services.
Kept all patient information secure and confidential.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Checked insurance eligibility for ICD checks and procedures by making appropriate phone calls to insurance companies.

Marisol Rodriguez

Summary

Overview

Manager Data Integrity

Registered Nurse

Clinical Practicum in Acute Care

Cardiology Billing Specialist/ICD Clinic

Work History

High School Diploma -

Business Administration -

Bachelors Health Care Administration -

Master of Science - Advanced Practical Registered Nurse

Education

Skills

Timeline