Roberto Mártir Dávila
Summary
Accomplished Physician with extensive experience caring for patients in various capacities. Skilled in diagnosing and treating patients and prescribing correct medications to mitigate medical conditions and illnesses. Offers compassionate bedside manner and dedication to quality patient care. Compassionate professional skilled in managing medical emergencies and fostering positive relationships with patients and families. Expert in communicating medical terminology clearly and concisely to patients, families and other healthcare professionals. Highly organized and detail-oriented for accurately completing paperwork and documentation.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Law Internship for Puerto Rico License
Hospital Perea
07.2022 - 06.2023
- Completed daily rounds to check on patients and identify any reasons for concern.
- Reviewed clinical cases to gain additional understanding of disease etiology and progression.
- Built strong foundation in medical practice by contributing to different areas of patient care and administrative practice.
- Wrote detailed and professional progress notes for each patient, outlining notable events and examinations findings.
- Interviewed patients and added key details to medical histories.
- Exercised confidentiality and abided by HIPAA rules and regulations.
Clinical Documentation Improvement Executive Consultant
Hospital Perea Law Internship, Puerto Rico, MMM Holdings
10.2020 - 06.2022
- Clinical documentation improvement subject matter expert in diagnostic coding and related payment methodologies
- Ensures diagnostic coding accuracy among the Plan, MSO and IPA groups
- Regional educator and point of contact for the MSO and IPAs' administration
Physician Assistant
Dr. Edgardo Baez Ayala
04.2018 - 04.2020
- Cellular: 939-717-9840
- Initial patient encounter, clinical documentation, coding, completing annual health assessment, ICD 10, HEDIS, RAF, HCC evaluation
- Completing patient documentation with electronic record and evaluating diagnosis, best coding alternatives.
AHA, CHRA
Independent
01.2018 - Current
- Coding and documentation accuracy
- Monitored and documented client progress using data collection techniques.
- Developed and maintained clear, individualized documentation on each patient.
- Complete Annual Health Assessment with correct documentation and codification.
- Performed behavioral therapy assessments and treatments in patients' homes without direct supervision.
Coding and Documentation Specialist Consultant
Southern Medical Alliance
03.2020 - 10.2020
- Provide support and audits physician providers of medical group to improve and accuracy in coding and documentation
- Offer education and personal interventions to personally help physicians.
Physician Assistant
Primary Internal Care
05.2018 - 03.2020
- Conducted physical examinations to assess patients' health and current condition for optimal treatment.
- Managed chronic conditions by monitoring patient health and treatment plan progress to make necessary adjustments in care.
- Referred to and consulted with physicians and other healthcare providers on patient care.
- Ordered and interpreted diagnostic testing to confirm diagnosis and implement accurate treatment plans.
- Recorded patient history to accurately track conditions, progress and diagnosis for comprehensive medical records.
- Ordered and executed various tests, analyses, and diagnostic images to provide information on patient condition.
Health and Sciences Instructor
National University College
01.2017 - 01.2019
- Continually improved knowledge, skills, and performance based on feedback and self-identified professional developmental needs.
- Promoted available resources and connected individuals with services.
- Created pamphlets, videos and other health education materials to promote health awareness and preventive health practices.
- Developed and implemented health education programs to help individuals and communities improve health and well-being.
Medical Concurrent Review
MSO Puerto Rico
01.2015 - 01.2016
- Evaluated patient histories, complaints, and current symptoms.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Education
M.D. - Medicine
Universidad Iberoamericana
Santo Domingo, Dominican Republic 05.2012
Bachelor of Science -
Universidad De Puerto Rico
Mayaguez 05.2002
Skills
- Coding and clinical documentation, medical reviewer, experienced supervisor in sales at the Medicare advantage industry MCG Guide knowledge, ICD 10, Coding, RAF, Quality issues Evaluation of medical records, diagnosis, analyzes best treatment according to patient's needs, collaborate with physician for best patient management Good fluency and efficiency in communication delivery
- Hospital Reviewer, Utilization Management
- Group Management
- Computer knowledge
- Supervision
- Assessing Patient Presentation
- Primary Care
- Direct Patient Care
- Emergency Medicine
Certification
- Certified Risk Adjustment Coder (CRC)
- Helps to ensure that health plans and providers receive necessary funding to cover healthcare for high-risk patients
Timeline
Law Internship for Puerto Rico License
Hospital Perea
07.2022 - 06.2023
Clinical Documentation Improvement Executive Consultant
Hospital Perea Law Internship, Puerto Rico, MMM Holdings
10.2020 - 06.2022
Coding and Documentation Specialist Consultant
Southern Medical Alliance
03.2020 - 10.2020
Physician Assistant
Primary Internal Care
05.2018 - 03.2020
Physician Assistant
Dr. Edgardo Baez Ayala
04.2018 - 04.2020
AHA, CHRA
Independent
01.2018 - Current
Health and Sciences Instructor
National University College
01.2017 - 01.2019
Medical Concurrent Review
MSO Puerto Rico
01.2015 - 01.2016
M.D. - Medicine
Universidad Iberoamericana
Bachelor of Science -
Universidad De Puerto Rico
- Certified Risk Adjustment Coder (CRC)
- Helps to ensure that health plans and providers receive necessary funding to cover healthcare for high-risk patients
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