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Skills

  • Claim denial management
  • Database finalization
  • Project management
  • Operational planning
  • Training and mentoring
  • Data oversight
  • Clinical Documentation Workflow Development
  • Proficient in HubSpot
  • Training and development
  • Process equipment

Work Experiences

  • Led educational and training sessions for a variety of stakeholders, including doctors, nurses, and administrative staff.
  • Contributed to a 84% improvement in job satisfaction.
  • Implemented new coding and billing procedures that reduced the number of insurance carrier denied claims.
  • Achieved a 25% reduction in claim denials.
  • Boosted overall documentation accuracy by 39%.
  • Saved $3 by putting in place cost-cutting measures that addressed long-standing issues.
  • Developed a robust internal audit process, identifying and rectifying 3 discrepancies across medical billing codes, recovering $9 in lost revenue.
  • Developed a robust internal audit process.
  • Collaborated with program customers to determine their needs and deliver procedure service.
  • Delegated responsibilities efficiently among a team of 16.

Summaries

  • Achieved a 14% reduction in turnaround time.
  • Achieved zero data breaches over 7 years.
  • Achieved Excellence Award.
  • Collaborative Health Information Management Director with extensive experience developing and enforcing data governance policies in alignment with HIPAA and Texas privacy laws.
  • Looking for a challenging position with a well-established company.
  • Health Information Management Director with extensive experience in developing and maintaining secure, accurate, and efficient data collection systems.
  • A polished individual who can provide the oversight required to improve processes and increase workflows.
  • Adept at introducing process improvement strategies, continuously improving coding accuracy and ensuring compliance with industry standards.
  • Professional who collaborates with other departments to reduce risk and effectively resolve issues.
  • Bilingual Health Information Management Director with extensive experience in electronic health record software, as well as new employee recruitment and onboarding.

Accomplishments

  • Designed and implemented a robust data integrity plan, improving record accuracy by 51% within the first 5 months.
  • Instrumental in implementing an advanced auditing system that identified 18 critical compliance risks, resolving them within 9 days.
  • Led a successful system migration for framework, ensuring compliance with all regulatory requirements and uninterrupted access to critical data.
  • Collaborated with cross-functional teams to create policies and procedures that reduced overall operational risk by 25%.
  • Collaborated with IT, legal, and medical staff to enhance security protocols, reducing data breaches by 32% over 2015.
  • Managed budgets totaling $9 annually, consistently coming in under budget by 47% through cost controls and efficient resource allocation.
  • Hands-on management of vendor partnerships maintained critical system uptime at 33% over the course of 2022 without data interruption.
  • Improved patient data accuracy rate by 50% by introducing quality checks and automated validation processes.
  • Led a cross-functional team of 4 professionals in the management of electronic health record (EHR) systems, maintaining data integrity and patient privacy.
  • Directed a thorough review of health information procedures, cutting administrative overhead expenses by 26%.

Affiliations

  • American Medical Informatics Association (AMIA)
  • Association of Information Technology Professionals
  • Project Management Institute (PMI) – Healthcare Chapter
  • American Academy of Health Information Technologists (AAHIT)
  • American Medical Informatics Association
  • Society of Human Resource Management
  • American Society for Health Informatics Managers (ASHIM)
  • National Association for Healthcare Quality (NAHQ)
  • Certification Commission for Healthcare Information Technology (CCHIT)
  • American Marketing Association

Certifications

  • Project Management Professional (PMP)
  • Epic HIM Certification Workday
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Healthcare Data Governance Certification (HDG)
  • Apple Certified Associate (ACA)
  • Certified Outpatient Coder (COC)
  • Certified Business Analysis Professional (CBAP)
  • Certified Compliance & Ethics Professional (CCEP)
  • Certified Health Data Analyst (CHDA)
  • Microsoft Certified Systems Engineer (MCSE)

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