Hi, I’m
Nivia Rodrigues
Reno,NV
Summary
A doctor with more than 10 years of training, she has extensive experience in the ICU, clinical medicine and auditing health services. A medical auditor is a healthcare professional responsible for reviewing and assessing the adequacy and quality of medical services provided, usually in contexts such as health insurance companies, hospitals or clinics. Ensuring that medical treatments and procedures comply with established policies, regulations and quality standards, as well as reviewing medical accounts to ensure accuracy and integrity, thus generating a positive cost-benefit ratio for both the service provider and the client.
Overview
11
years of professional experience
Work History
Expertise consultoria médica São Paulo , RJ
Medical Auditor
02.2023 - Current
Job overview
- Reviewed medical records to ensure accuracy of coding and billing practices.
- Analyzed medical documents for completeness, accuracy, and compliance with applicable standards.
- Conducted on-site audits of medical facilities to evaluate their performance in accordance with regulatory requirements.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Identified needs of customers promptly and efficiently.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Achieved cost-savings by developing functional solutions to problems.
FiocruzRio De Janeiro, RJ
Physician Assistant
11.2020 - 05.2023
Job overview
- Conducted patient assessments and physical examinations, ordering and interpreting laboratory tests and diagnostic studies.
- Provided diagnosis and treatment of acute illnesses, injuries, and chronic diseases.
- Instructed patients on preventive health care, medical problems, medications, and prescribed treatments.
- Assisted in performing minor surgeries such as suturing lacerations or removing foreign bodies from the skin.
- Performed routine medical procedures such as injections, immunizations, biopsies, joint aspirations, splinting fractures and dislocations.
- Developed plans for patient management with physicians' supervision.
- Documented all patient visits in an electronic medical record system using appropriate coding.
- Reviewed patient records to assess quality of care provided by other health professionals.
- Counseled patients about wellness activities including diet and exercise regimens; referred patients to specialists when necessary.
- Evaluated the effectiveness of therapeutic interventions; adjusted treatments based on response to therapy.
- Participated in multidisciplinary team meetings to discuss complex cases; collaborated with other healthcare providers.
- Advised patients on end-of-life issues; provided emotional support during difficult times.
- Prescribed medication according to protocols established by supervising physician.
- Monitored progress of patients over time through regular follow-up visits.
- Coordinated services between primary care providers and specialists.
- Provided emergency department coverage as needed.
- Worked with medical professionals to provide complex clinical care management, patient education and counseling.
- Performed comprehensive patient exams and assessments to formulate, implement and continuously update individualized plans of care.
- Ordered laboratory tests and imaging scans to complete further investigations.
- Assessed, diagnosed, treated and delivered follow-up care.
UNIMED RioRio De Janeiro, RJ
Physician
10.2019 - 04.2023
Job overview
- Performed physical examinations and diagnostic tests to assess patient health.
- Provided medical advice and guidance regarding diet, activity, hygiene and disease prevention.
- Ordered laboratory tests and reviewed results with patients.
- Prescribed medications as needed for treatment of illnesses or injuries.
- Developed treatment plans based on individual patient needs.
- Monitored patient progress through follow-up visits to ensure effectiveness of treatments.
- Collaborated with other healthcare professionals to coordinate optimal care for each patient.
- Maintained detailed records of all diagnoses, treatments, medications, test results and other information related to patient care.
- Reviewed X-rays, MRI scans, CT scans and other imaging studies to diagnose conditions or diseases.
- Provided emergency care when necessary.
- Communicated effectively with staff members, colleagues and other healthcare providers.
- Adhered to hospital policies, procedures and standards of care.
- Attended continuing education courses to stay current on best practices in the field.
- Diagnosed acute illnesses such as infections or injuries quickly and accurately.
- Consulted with specialists regarding complex cases when appropriate.
- Conducted regular rounds at hospitals or nursing homes to monitor the progress of patients under their care.
- Diagnosed and treated diseases and disorders affecting different body structures and systems.
- Created and maintained comprehensive patient charts to facilitate continuum of care and document patient assessments, interventions and results.
- Kept patient information confidential and respected patients' rights to privacy according to HIPAA requirements.
- Obtained and recorded patients' medical histories and treatment progress for optimal treatment planning.
Hospital Quinta D’orRio De Janeiro, RJ
Physician Assistant
10.2013 - 07.2020
Job overview
- Conducted patient assessments and physical examinations, ordering and interpreting laboratory tests and diagnostic studies.
- Provided diagnosis and treatment of acute illnesses, injuries, and chronic diseases.
- Instructed patients on preventive health care, medical problems, medications, and prescribed treatments.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Performed physical examinations and diagnostic tests to assess patient health.
- Developed treatment plans based on individual patient needs.
- Monitored patient progress through follow-up visits to ensure effectiveness of treatments.
- Communicated effectively with staff members, colleagues and other healthcare providers.
- Conducted regular rounds at hospitals or nursing homes to monitor the progress of patients under their care.
- Consulted with specialists regarding complex cases when appropriate.
- Kept patient information confidential and respected patients' rights to privacy according to HIPAA requirements.
- Utilized specialized diagnostic testing equipment and tests to determine nature and severity of disorder, prescribe medications, perform surgical procedures and formulate treatment plans.
Education
Albert Einstein Inst Israelita De Ensino E PesquisSão Paulo , RJ
Ph.D. from Auditing
07-2023
Universidade Federal Do Estado Do Rio De JaneiroRio De Janeiro, RJ
M.D. from Medicine
07-2013
Skills
- Compliance Monitoring
- HIPAA Compliance
- Healthcare regulations
- Clinical Documentation
- Audit management
- Risk Management
- Patient Education
- Infection Control
- Patient Care
- Vital signs monitoring
- Medical Equipment Operation
- Patient Safety
- Medical record-keeping
- Basic Life Support
- Documentation Management
- Follow-up skills
- Relationship building and management
- Excellent Communication
- Attention to Detail
- Time Management
- Strategic Planning
- Team Leadership
- Wealth Management
Timeline
Medical Auditor
Expertise consultoria médica
02.2023 - Current
Physician Assistant
Fiocruz
11.2020 - 05.2023
Physician
UNIMED Rio
10.2019 - 04.2023
Physician Assistant
Hospital Quinta D’or
10.2013 - 07.2020
Albert Einstein Inst Israelita De Ensino E Pesquis
Ph.D. from Auditing
Universidade Federal Do Estado Do Rio De Janeiro
M.D. from Medicine
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