Suheli Serrano

Experience

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  Traveler's Medical Service/ Alberto Acosta MD

  Jul 2004 - Jul 2015

  Office Manager

  As a Medical Receptionist and Office Manager, I managed front office operations, including greeting patients and visitors, scheduling appointments, and registering new patients while updating existing patient demographics. I provided professional telephone services, advising patients on CDC-recommended vaccines for their travel itineraries. I obtained pre-certifications, prior authorizations, and approvals from insurance companies for prescriptions and radiology exams. In addition, I supervised front office staff, ensuring compliance with HIPAA regulations, coding standards, and policy updates. I assigned ICD-9 and CPT codes to physicians for accurate diagnoses and service levels, followed up on insurance and patient aging accounts, and reconciled payments. I also oversaw the inventory and procurement of medical and office supplies, coordinated telephone consultations, and maintained strong patient relationships and communications. Show less

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  Blue Cirrus Consulting

  Dec 2013 - Jul 2014

  EPIC MERGE PROJECT TEAM MEMBER

  As part of the MPI Team for Valley Health System and Inova Health System, I played a key role in merging records from two major health systems into a shared EPIC EHR database. I was responsible for conducting thorough reviews of EPIC records to identify and resolve duplicate patient entries across both hospitals. Working remotely, our team analyzed and integrated over 800,000 records into the unified database. I meticulously documented duplicate patient data in Excel spreadsheets and submitted daily status reports. Throughout the project, I ensured full compliance with HIPAA regulations to maintain data privacy and security. Show less

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  Himagine solutions inc.

  Feb 2016 - Jul 2019

  As a Data Integrity Specialist, I analyzed and evaluated potential duplicate records within databases to determine if separate entries represented the same patient. I adhered to established merge guidelines for identifying discrepancies, such as duplicate medical record numbers, transposed birthdates or social security numbers, and other issues that generate duplicate records. Recognized as a top performer on my team, I consistently resolved a high volume of accounts through strong problem-solving, accuracy, and research skills. I regularly reported findings and daily activity to the project manager and actively participated in training sessions and team meetings to ensure project success. Show less

  • Remote EMPI Data Analyst

    Feb 2016 - Jul 2019

  • Remote EMPI Data Analyst

    Feb 2016 - Jul 2019
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  ICP Health

  Apr 2021 - Sept 2023

  HIM Specialist

  As an HIM Specialist, I ensured the integrity of patient demographic information within source systems and the EMPI database, which feeds downstream into electronic health records (EHR). My role involved researching and performing maintenance tasks to validate patient identity using established EMPI guidelines, processing 320-400 records weekly. I also resolved overlays and managed linkage-related tasks across multiple facilities using EMPI database tools. Additionally, I collaborated with external resources, including physician office staff and insurance companies, to verify the accuracy of patient data, ensuring consistent and compliant records management. Show less

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  CSI Companies

  Jun 2022 - Feb 2023

  EMPI Analyst

  ❖As an EMPI Consultant, I conducted detailed reviews of potential duplicate records across multiple electronic health record (EHR) systems and patient data in Excel spreadsheets. This involved analyzing key patient information such as demographics, insurance details, and visit dates to ensure data accuracy. I meticulously documented findings in Excel, categorizing records as duplicates, insufficient information, or distinct patients (KND), and submitted daily status reports to the team supervisor. Additionally, I ensured strict compliance with HIPAA policies to protect patient health information (PHI) throughout the project. I also performed charge entry and claim abstraction using Citrix, Parallels, and Health Wyse systems. Show less

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  Resource Employment Solutions

  Mar 2024 - Sept 2024

  HIM Data Integrity Specialist

  As a HIM Data Integrity Specialist, I played a pivotal role in ensuring the accuracy and reliability of patient data at Jupiter Medical Center. My primary responsibility involved merging duplicate medical records across various integrated electronic medical record (EMR) systems, including EPIC, eClinicalWorks, and Citrix Power Chart.I meticulously analyzed patient data to identify discrepancies and ensure the integrity of the Enterprise Master Patient Index (EMPI). By implementing robust data validation processes, I enhanced data quality and streamlined patient information management. My efforts not only improved operational efficiency but also ensured compliance with healthcare regulations, ultimately contributing to better patient care and outcomes.Through collaboration with clinical and administrative teams, I fostered a culture of data accuracy, empowering the organization to make informed decisions based on reliable information. My dedication to maintaining high standards of data integrity supports Jupiter Medical Center’s commitment to excellence in healthcare delivery. Show less

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  Evergreen Health Partners-Ulvalde Memorial Hospital

  Dec 2024 - Mar 2025

  Clinical Chart Abstractor

  In my role as a Clinical Data Abstractor at Evergreen Health Partners-Ulvalde Memorial Hospital, I abstracted specific data from legacy EMR systems into Meditech Expanse, ensuring accurate and efficient transfer of vital patient information. By retrieving and uploading progress notes, I facilitated a seamless transition before go-live, enabling billing processes to proceed smoothly.