Rolando S. Sabater
Granada Hills,USA
Overview
31
31
years of professional experience
Work History
Coder/Qa
All Care Home Health
Glendale, Ca
10.2019 - Current
- Knowledgeable with ICD 10 coding, provided interpretive analysis & interpretation of Oasis d, did to E present changes 2021, provided current changes for agency related to 2018 medicare pdgm update
- Performed quality improvement and quality management, provide data analysis and interpretation with outcome based quality improvement, quality improvement program for hospice, prepare agency for annual survey with knowledge in JCAHO standards, State regulation title 22 and Condition of participation
- Prepare infection control program, emergency preparedness and safety standards and precautions.knowledge on Medicare Benefit Policy Manual Chapter 7 - Home Health Services & Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice Services Under Hospital Insurance
- Hospice Local Coverage Determination (LCD), Home Health Agency Survey Protocols and a New State Operations Manual for home health and hospice
- Provide educations on current updates in home health and hospice based on medicare standard
- Assist with providing financial strategies to agency for profitability based on guidelines, project cost effective plan for agency through the balance of administration and clinical operations
- Prepare Program advisory committee activities for agency annually
Coder/Qa
RightCare Home Health
Glendale, Ca
06.2010 - 09.2019
- Knowledgeable with ICD-9 to ICD 10 coding, provided interpretive analysis & interpretation of Oasis C to update of Oasis C1 up to present changes, provided current changes for agency related to 2017 medicare update
- Performed quality improvement and quality management, provide data analysis and interpretation with outcome based quality improvement, quality improvement program for hospice, prepare agency for annual survey with knowledge in JCAHO standards, State regulation title 22 and Condition of participation
- Prepare infection control program, emergency preparedness and safety standards and precautions.knowledge on Medicare Benefit Policy Manual Chapter 7 - Home Health Services & Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice Services Under Hospital Insurance
- Hospice Local Coverage Determination (LCD), Home Health Agency Survey Protocols and a New State Operations Manual for home health and hospice
- Provide educations on current updates in home health and hospice based on medicare standard
- Assist with providing financial strategies to agency for profitability based on guidelines, project cost effective plan for agency through the balance of administration and clinical operations
- Prepare Program advisory committee activities for agency annually
Assistant Administrator, Coder/Qa
We Care Home Health
Las Vegas, Nevada
01.2006 - 01.2009
- Assisted administrator to run agency performed administrative function operation, Marketing, recruiting administrative staff and clinical personnel, cost report, reporting to state agency of alirts and exported data analysis
- Provided education on federal and state regulation, including knowledge with Health insurance manual
- Developed private insurance operation from HMO, workers com.& other insurances to diversify agency patient population not only accepting medicare patient but private insurance as well
- Knowledgeable with ICD-9 to ICD 10 coding, provided interpretive analysis & interpretation of Oasis C to update of Oasis C1, performed quality improvement and quality management, provide data analysis and interpretation with outcome based quality improvement, quality improvement program for hospice, prepare agency for annual survey with knowledge in JCAHO standards, State regulation title 22 and Condition of participation
- Prepare infection control program, emergency preparedness and safety standards and precautions
- Provide educations on current updates in home health and hospice based on medicare standard
- Assist with providing financial strategies to agency for profitability based on guidelines, project cost effective plan for agency through the balance of administration and clinical operations
- Prepare Program advisory committee activities for agency annually
Coder/Qa
Helping Hands Health Care
Arleta, Ca
01.1996 - 01.2006
- Help Director of patient care services clinical function operation, Marketing, recruiting, clinical personnel
- Provided education on federal and state regulation, including knowledge with Health insurance manual (HIM 11)
- Developed private insurance operation from HMO, workers comp.& other insurances to diversify agency patient population not only accepting medicare patient but private insurance as well
- The agency was involve in EPSDT and Mom & Me medical program, Respite Knowledgeable with ICD-9 to ICD 10 coding, provided interpretive analysis of Oasis C to update of Oasis C1, performed quality improvement and quality management, provide data analysis and interpretation with outcome based quality improvement, quality improvement program for hospice, prepare agency for annual survey with knowledge in JCAHO standards, State regulation title 22 and Condition of participation
- Prepare infection control program, emergency preparedness and safety standards and precautions
- Provide educations on current updates in home health based on medicare standard.Assist with providing financial strategies to agency for profitability based on guidelines, project cost effective plan for agency through the balance of administration and clinical operations
- Prepare Program advisory committee activities for agency annually
Quality Assurance Supervisor
Total Medical Support Services
Los Angeles, California
01.1994 - 01.1996
- Worked as a consultation for several agency's with there quality assurance through data gathering provided data interpretation and analysis
- Supervised several quality assurance personnel send to several agencies
- Provided with formulation of care plan and doing of HCFA 485
- Of Provided education on federal and state regulation, including knowledge with Health insurance manual (HIM 11)
- Developed private insurance operation from HMO, workers com.& other insurances to diversify agency patient population not only accepting medicare patient but private insurance as well
- The agency was involve in EPSDT and Mom & Me medical program, Respite care
- Performed quality improvement and quality management, provide data analysis and interpretation with outcome based quality improvement, quality improvement program for hospice, prepare agency for annual survey with knowledge in JCAHO standards, State regulation title 22 and Condition of participation
- Prepare infection control program, emergency preparedness and safety standards and precautions
- Provide educations on current updates in home health and hospice based on medicare standard
- Assist with providing financial strategies to agency for profitability based on guidelines, project cost effective plan for agency through the balance of administration and clinical operations
- Prepare Program advisory committee activities for agency annually
Education
Doctor of Medicine -
Doctor Nicanor Reyes FEU-NRMF
01.1998
kinder to high school -
Notredame of Manila
01.1976
Skills
- Quality Control Expertise
- Home Health Performance Improvement
- Documentation Management
- Program Quality Standards
- Client Documentation Management
Timeline
Coder/Qa
All Care Home Health
10.2019 - Current
Coder/Qa
RightCare Home Health
06.2010 - 09.2019
Assistant Administrator, Coder/Qa
We Care Home Health
01.2006 - 01.2009
Coder/Qa
Helping Hands Health Care
01.1996 - 01.2006
Quality Assurance Supervisor
Total Medical Support Services
01.1994 - 01.1996
Doctor of Medicine -
Doctor Nicanor Reyes FEU-NRMF
kinder to high school -
Notredame of Manila
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