Yurisan Machado
Miami
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet organizational goals.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Director of Health Information and Medical Staff Services
West Gables Rehabilitation Hospital
01.2004 - Current
- Responsible for developing and overseeing the internal processes of the HIM Department, which include: Analysis of medical records, release of information, transcription (outsourced), and Prospective Payment System (PPS)/coding functions
- Responsible for initiating, reviewing, implementing, and maintaining contracts with vendors for outsourced HIM services (i.e., transcriptions services)
- Monitors the initiation, revision, and implementation of external regulations, statutes, and standards; facilitates implementation of revised regulations; ensures conformance to compliance initiatives
- Responsible for the development and implementation of medical record practices policies and procedures to ensure the timely, quality and accurate delivery of medical records services
- Directs department within the scope of the operating budget/business plan and maintains necessary controls to ensure compliance with budgeted expenses, resources and staff
- Assists in the development and implementation of systems to assess, analyze and improve health information processes and outcomes in a cost effective manner
- Responsible for the Medical Records and Utilization Review Committee
- During this committee, quarterly data pertaining to HIM quality indicators is presented
- Similarly, findings related to performance improvement activities, as related to health information, is also discussed
- Initiate, facilitate and promote activities to foster information privacy awareness within the organization
- Current knowledge in the following system: Health Management Systems (HMS) and EPIC
Director of Quality Management/Risk Management
West Gables Rehabilitation Hospital
09.2010 - 08.2015
- Coordinate the Quality Management and Performance Improvement activities to measurably enhance the quality, process and cost effectiveness of patient and customer services rendered
- Assist with the design and compliance of quality processes/activities in the areas of clinical/medical staff performance improvement for all applicable Joint Commission, CARF, AHCA, and CMS standards
- Responsible for ensuring hospital wide accreditation with Joint Commission and CARF
- Assists clinical areas in developing criteria, monitoring and reporting mechanisms and action documentation related to the hospital’s CQI program
- Serve as consultant for all clinical performance indicators being implemented within the hospital
- Responsible for overseeing and managing all hospital committees, inclusive of: Medical Record and Utilization Review, Quality Council, Patient Safety, Medical Executive, Clinical Oversight Committee and Governing Board
- Responsible for overseeing the Risk Management function, inclusive of: loss prevention, risk assessment, patient safety promotion and claims management
- Develop hospital wide strategic plans to meet the needs of the hospital, patients and stakeholders
- Responsible for the development and revision of hospital wide policies and procedures, following regulatory standard requirements
- Perform independent and ongoing audits to ensure compliance with Federal, state and private payer health care programs
- Maintain current knowledge of all state and federal regulations affecting the operation for Inpatient Rehabilitation Facilities (IRFs)
- Identify high risk areas to reduce vulnerability to fraud and abuse
- Investigates and acts on matters related to compliance, including designing and coordinating internal investigations in response to reports of problems
- Work closely with Infection Control Coordinator to ensure compliance with CMS requirements (i.e., NDNQI, CDC/NHSN reporting requirements)
- Serve as the facility resource for guidance on designing, implementing, analyzing and reporting on Quality Improvement
- Responsible for investigating any patient complaint/grievances.
Education
Master’s Degree in Nursing -
Miami Regional University
Miami, FL08.2024
Master’s Degree in Executive Health Services Administration -
University of Central Florida
Orlando, FL08.2015
Bachelor’s Degree in Health Information Management -
Florida International University
Miami, FL04.2003
Skills
- Quality Improvement
- Compliance requirements
- Risk Management
- Electronic Health Records
- Patient Assessments
- Organization and Multitasking
- Multicultural Sensitivity
- Supervision and leadership
- Infection control standards
- Certified in CPR/AED
- Basic Life Support for Health Care Providers (BLS)
Certification
- Registered Health Information Administrator (RHIA)
- Healthcare Licensed Risk Manager (LHRM)
- Basic Life Support Certified (BLS)
- CPR and AED Certified
References Available
References are available upon request
Affiliations
- American Health Information Management Association (AHIMA)
- American College of Healthcare Executives (ACHE)
- National Student Nurses Association (NSNA)
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Director of Quality Management/Risk Management
West Gables Rehabilitation Hospital
09.2010 - 08.2015
Director of Health Information and Medical Staff Services
West Gables Rehabilitation Hospital
01.2004 - Current
Master’s Degree in Nursing -
Miami Regional University
Master’s Degree in Executive Health Services Administration -
University of Central Florida
Bachelor’s Degree in Health Information Management -
Florida International University
- Registered Health Information Administrator (RHIA)
- Healthcare Licensed Risk Manager (LHRM)
- Basic Life Support Certified (BLS)
- CPR and AED Certified
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