Ernesto Mitchel

WORK HISTORY

EDUCATION

ABOUT ERNESTO MITCHEL

Results-driven healthcare compliance leader with 25+ years of experience ensuring adherence to federal/state regulations, safeguarding patient welfare, and driving operational integrity. Adept at designing and executing robust compliance frameworks, auditing systems, and risk mitigation strategies to align healthcare operations with evolving legal and ethical standards. Passionate about fostering a culture of compliance through targeted training programs, proactive risk assessments, and collaborative leadership. Proven track record in reducing non-compliance incidents, optimizing audit workflows, and enhancing cross-departmental accountability.Core Expertise* Regulatory Compliance: Monitoring Changes, Policy Development, and Implementation.* Training and Education: Staff Training and Awareness Programs.* Risk Assessment: Identifying and Mitigation Strategies.* Incident Management: Investigations and Corrective Actions.* Auditing and Monitoring.* Reporting and Documentation.* Ethical Oversight.Key Achievements* Spearheaded the design of a risk-based Audit Work Plan that reduced compliance gaps across 100+ clinical and operational policies.* Built and led a high-performing compliance division, conducting audits and investigations, resolving 95% of incidents with corrective action plans.* Collaborated with C-suite leadership to align compliance strategies with organizational goals, ensuring 100% adherence to OIG and CMS guidelines.Skills* Regulatory Compliance (CMS, HIPAA, OIG)* Policy Development & Implementation * Audit Planning & Execution * Ethics Program Leadership * Medical Billing & Coding Compliance * Staff Training & Development * Incident Investigation & Resolution* Leadership.* Problem-Solving* Attention to Detail* Analytics Skills* Communication Skills