Deborah Kerinuk Email and Phone Number
irving, texas, united states
Deborah Kerinuk's Location
Hamilton, Ohio, United States, United States
Deborah Kerinuk's Contact Details
Deborah Kerinuk work email
- Valid
- Valid
Deborah Kerinuk personal email
n/a
About Deborah Kerinuk
HEALTHCARE MANAGEMENTQuality Assurance • Compliance • TrainingDiversified healthcare professional who has consistently improved compliance metrics and client / member satisfaction by ensuring the highest quality of care while also containing and reducing costs.Major strengths include organization, planning, supervision, teambuilding and training. A dependable, detail-oriented professional who is thorough, well organized, a liaison and a project manager whose skills allow for effective interpersonal communication within the organization and throughout the company.Areas of Expertise:Quality Assurance / HEDIS • Compliance / JCAHO • Management / TeambuildingInfection Contro • Medical Record Review • Staffing / TrainingBudgeting / Cost Control • Billing Systems • Performance Management
Deborah Kerinuk's Current Company Details
Romack Staffing International, Ltd.
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HEDIS Reviewer III
irving, texas, united states
- Website:
- romacksearch.com
- Employees:
- 2
Deborah Kerinuk Work Experience Details
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Hedis Reviewer IiiRomack Staffing International, Ltd. Sep 2024 - Present
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Hedis Reviewer IiiRose International Sep 2023 - PresentColumbus, Ohio Metropolitan Area* Knowledge of NCQA HEDIS abstracting guidelines* Identifying trends and documentation of areas for improvement * Experience applying technical specifications to and abstracting information from medical documents* Experience using management software, databases and spreadsheet software* Exceptional attention to detail and excellent analytical, investigation and problem-solving skills* Excellent knowledge of Word and Excel and Adobe PDF* Maintain a less than 5 percent error rate in record abstraction and data entry* Produce organized, accurate and detail oriented work* Maintain confidentiality of PHI; HIPPA Privacy and Security Rules*Prioritize and accurately complete tasks within established time-frames* Exceptional technical skills for remote working including virtual meetings, video conferencing, etc -
Quality Assurance ConsultantRose International Oct 2018 - PresentColumbus, Ohio Metropolitan AreaHEDIS Project Abstractor / Chart Review
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Quality Management ConsultantRose International Sep 2021 - Jun 2022Columbus, Ohio Metropolitan AreaHEDIS Project
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Office CoordinatorMccullough Hyde Memorial Hospital Jul 2018 - PresentOxford, OhioUse of Epic Software to schedule referrals, make initial evaluation appts, follow-up appts, input authorized insurance coverage,etcMake all outgoing phone contacts and answer all incoming calls to the Outpatient Physical Therapy Dept. -
Chart Management AssociatePath Forward Oct 2014 - Present6900 Steger Drive, Cincinnati, Ohio, 45237* Use of the EPIC Software for Medical Record retreival and chart preparation* Use of NextGen Software for Medical Record retreival and chart preparation* Use of EMR database* Indexing Medical Records* Electronic Release of Information * Use of Outlook* Use of WebEx for conference calls* ROI/ Release of Information -
Release Of Information AssociatePathforwardit Oct 2015 - Jan 2016Cincinnati, OhioUtilizes Epic Software SystemUtilizes Next Gen Software SystemUtilizes IntelliDose Software SystemUtilizes Centricity Software SystemUtilizes SharePoint SiteUtilizes Availity Web Portal for claims managementUtilizes Internet Explorer for researchUtilizes Business Skype for company wide usageResearches and retrieves medical records per patient requests, physicians,insurance companies, hospital, attorneys, corner and law enforcement requestsUtilizes and ensure the proper use of the Authorization to Release Records formManintain HIPPA compliance in all requests Utilizes customer service skills and telephone etiquette skills on a daily basisWrote Standard Operating Procedures for both department and training purposesProper disposal of paper documentsUse of Outlook, Word, Excel, PowerPoint and WebEx
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Coordinator Of Quality ManagementAmerigroup Community Care - Oh Plan 2010 - PresentCincinnati, Ohio AreaManaged performance and quality improvement activities and projects.Improved quality of care through cost containment measures.Corporate received $750,000 in incentive monies based on outcomes.Improved compliance metrics and client / member satisfaction by creating and implementing an innovative service to deliver personalized care.
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Quality Assurance SpecialistRose International Oct 2020 - 2021Columbus, Ohio Metropolitan AreaHEDIS Project
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Office CoordinatorBethesda Butler County Trihealth Hospital Oct 2017 - Oct 2020Hamilton, OhioOffice Coordinator
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Quality Assurance ConsultantAetna, A Cvs Health Company Oct 2019 - Apr 2020Columbus, Ohio Metropolitan AreaHEDIS ConsultantAbstractorResearchMicrosoft OfficeQSHR SoftwareConduent Software -
Quality Management ConsultantAetna, A Cvs Health Company Oct 2019 - Apr 2020Columbus, Ohio Metropolitan AreaHEDIS Project AbstractorUse of Microsoft Office Suite - Outlook, IM, Excel, Word, etcUse of Epic SoftwareUse of Conduent SoftwareUse of QSHR Software
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Quality Assurance SpecialistRose International Oct 2019 - 2020Columbus, Ohio Metropolitan AreaHEDIS Project
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Office CoordinatorTrihealth Oct 2017 - 2020Hamilton, Ohio, United StatesFront office coordinator for the outpatient rehab dept of Bethesda Butler Hospital Hamilton. -
Quality Management Nurse ConsultantAetna, A Cvs Health Company Jan 2019 - May 2019Columbus, Ohio AreaNurse Consultant on the 2019 HEDIS Project
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Clinical Quality ReviewerAetna, A Cvs Health Company Jan 2019 - May 2019Columbus, Ohio - RemoteHEDIS project abstractor for 2018 chart reviewWorked remotely in Southwestern Ohio Region
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Clinical Quality Specialist, Hedis Clinical Review, National Hedis OperationsUnited Healthcare Clinical Services - Population Health Management Dec 2016 - May 2017Minneapolis, Mn 5544-9472
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Clinical Quality AnalystUnited Health Care Feb 2016 - May 2016West CoastHEDIS project 2015 Medical record review for the West Coast Region of the country.A team player using experience and team building skills through remote access to other team members working on the project.Utilization of many software programs.Following HIPPA guidelines. -
Clinical Quality SpecialistUnited Healthcare Feb 2014 - May 20149050 Centre Point Drive, West Chester, Ohio 45069*Individual Contributor to the HEDIS Project doing over-reads and validation of medical records.*Medical Chart Data Collection from assigned Providers*Data entry of all assigned medical records into software as directed by the company*Initial set-up of project by faxing providers patient lists*Make and confirm site visits to individual providers*Auditing charts for all necessary documentation to meet the individual HEDIS Standards.*Doing over-reads of audited records*Electronic filing of documents and paper filing of documents.*Shredding of unnecessary documents*Following all HIPPA regulations*Team building for timely completion of the project and training on software, QSHR, Adobe bookmarking for auditing of electronic charts with proper filing procedures for EHR.
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Executive DirectorThe Charleston Club 2008 - 2010West Chester, OhDirected start-up and launch of facility, including staffing, training, policy development and compliance.Managed changes related to conversion of the facility’s focus from the original plan to serve geriatric residents to the developmentally and physically disabled.Addressed numerous existing compliance issues and achieved approval to accept clients.Licensed by the Butler County Department of Health.Certified by the Ohio Medicaid Waiver Program.
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Director Of Quality Assurance / Regional ManagerRespiratory Care Resources 2005 - 2008Mason, OhManaged and oversaw of a team of respiratory therapists delivering equipment and services for respiratory needs clients in LTC and Home Care settings.Completed evaluations and performance reviews for team per company policies and procedures.Achieved JCAHO accreditation for Indiana and Ohio locations.Was Director of Quality Assurance over 7 states and completed any sentinel events for those territories.Omnicare owned and operated this company and is a $6.5 million distributer of pharmaceuticals/home durable medical respiratory care products for Medicare and Medicaid.Increased assisted living sales by 35% in first year and increased growth by referrals by 40%.Oversaw of implementation and training of automated billing system and medical records system in the Indiana location to reduce A/R days out and improve customer satisfaction through standardization of processes.Applied for and acquired all Federal and State licensing.
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Nurse ManagerLittle Sisters Of The Poor 2001 - 2004Cincinnati, Ohio AreaServed as HIPPA Officer and Safety Officer.Achieved two deficiency free surveys from the city and the state.Wrote and implemented policies and procedure as well as quality assurance procedures.Developed and implemented cost control issues and maintained budget.Improved quality and productivity by writing and delivering in-house continuing education to nursing staff.Monitored and developed overall auditing techniques to maintain positive nursing outcomes.
Deborah Kerinuk Skills
Medicaid
Healthcare Management
Hipaa
Nursing
Healthcare Information Technology
Hospitals
Home Care
Training
Process Improvement
Jcaho
Ncqa
Patient Safety
Provider Relations
Hmo
Software Documentation
Policy
Physicians
Inpatient
Long Term Care
Microsoft Word
Hedis
Performance Management
Safety Officer
Organization
Customer Satisfaction
Microsoft Office
Quality Management
Quality Of Care Cases
Best Practices
Accurate Data Entry
Medical Staffing
Employee Training
Microsoft Excel
Medical Record Review
Infection Control
Department Budgeting
Billing Systems
Accreditation
Medicaid Waiver Program
Performance Reviews
Durable Medical Equipment
Policy Writing
Procedure Creation
Mds Coordinator
Charge Nurse
Supervisory Experience
Palliative Care
Hospice
Emrs
Urac
Deborah Kerinuk Education Details
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D. Russell Lee Vocational School - School Of Practical NursingLicensed Practical Nurse
Frequently Asked Questions about Deborah Kerinuk
What company does Deborah Kerinuk work for?
Deborah Kerinuk works for Romack Staffing International, Ltd.
What is Deborah Kerinuk's role at the current company?
Deborah Kerinuk's current role is HEDIS Reviewer III.
What is Deborah Kerinuk's email address?
Deborah Kerinuk's email address is de****@****dit.com
What schools did Deborah Kerinuk attend?
Deborah Kerinuk attended D. Russell Lee Vocational School - School Of Practical Nursing.
What are some of Deborah Kerinuk's interests?
Deborah Kerinuk has interest in Education, Environment, Science And Technology, Human Rights, Animal Welfare, Arts And Culture, Health.
What skills is Deborah Kerinuk known for?
Deborah Kerinuk has skills like Medicaid, Healthcare Management, Hipaa, Nursing, Healthcare Information Technology, Hospitals, Home Care, Training, Process Improvement, Jcaho, Ncqa, Patient Safety.
Who are Deborah Kerinuk's colleagues?
Deborah Kerinuk's colleagues are Mary Galetti, Sunil Sangaraju.
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