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audit implementation manager resume example with 15 years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - - -
Links
  • www.linkedin.com/in/sharon-nichols
Professional Summary

Knowledgeable Implementation Manager with more than 15 years of experience driving critical technology planning and deployment. Researched approach to assessing installation, maintenance and troubleshooting barriers to determine corrective action. Comprehensive resource for managing implementations throughout lifecycle. Extensive oversight for documentation to streamline setup and preservation processes.

Knowledgeable Compliance Manager with over 26 years documented success in policy development, leading training programs, and managing reporting to achieve compliance. Methodical with exceptional presentation and communication skills. Strong background in staff management procedures positively impacting overall morale and productivity. Experienced working with federal and state reimbursement regulations. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Consistently saved costs while increasing profits through improving morale, reducing time waste, and increasing productivity by 30-50%.

Experienced, Multi-talented Coder and Auditor with over 24 years of experience coding, abstracting, and auditing in Acute Care, Trauma Level 1-3, Children's, Specialty, Psychiatric, and Teaching hospitals. Excellent reputation for resolving problems, improving customer satisfaction, and consistently reducing DNFB by 50-80% through driving overall operational improvements..

Skills
  • ReviewMate application development and implementation
  • Quality audit and coding management
  • Workflow Optimization
  • Departmental collaboration
  • Industry practice knowledge
  • Training, development, and mentoring
  • Project management and oversight
  • Contract Review and Recommendations
  • Multidisciplinary team collaboration
  • Hiring and recruitment
  • Profit improvements
  • Audit oversight, preparation, and response
Work History
10/2017 to 04/2020
Audit Implementation Manager Himagine Solutions Inc. City, STATE,
  • Pulled from knowledge of technical industry and technological developments to drive IT deployments.
  • Oversaw implementation lifecycle processes based on organizational needs, regulatory requirements and customer demand.
  • Researched and resolved barriers to successful system functionality, improving support and issue resolution.
  • Documented processes to streamline setup, customization and maintenance.
  • Collaborated with ReviewMate to cultivate resources and reference material for technical installation, troubleshooting and maintenance.
  • Collaborated across departments and levels of management to gain consensus on procedural documentation.
  • Monitored and created control reporting to track performance of system and process integrity, vendors, internal workflows and SLAs.
  • Prepared documents for projects in accordance with project manager, team or client specifications.
  • Compared incoming data against quality, integrity and accuracy expectations, identified faults and affected timely remedies.
  • Managed 80 strategic client implementations
  • Managed over 3000 user profiles
  • Resolved an average of 15 technical support problems daily, improved operations and provided exceptional client support.
01/2013 to 10/2017
National Compliance Manager Himagine Solutions Inc. City, STATE,
  • Collaborated with contract team to review client contracts and facilitate personnel compliance training.
  • Formulated detailed recommendations based on audit findings to support annual planning and definition of goals.
  • Structured programs, produced working documentation and implemented best practices.
  • Consulted with 80 clients on best practices and served as project manager for all process improvements and regulatory initiatives.
  • Delivered subject matter expertise for internal and external customers on compliance best practices and quality control.
  • Managed full life cycle of assigned audits in alignment with departmental procedures, delivering progress as well as closing reports to senior management and clients.
  • Prepared and presented over 500 comprehensive reports to upper management and audit team, covering issues and recommendations.
  • Delivered and tracked program training for 3000 associates and supervisors in order to safeguard continuing business relationships.
  • Liaised with 80 clients to identify and target inefficiencies in areas of risks and business controls, process gaps and workflow discrepancies.
  • Developed and delivered over 20 training programs to inform new and current employees about compliance issues.
  • Maintained current understanding of company standards and applicable legal requirements such as CMS and Commercial Payors.
  • Determined required job seeker qualifications for potential interviews by reviewing and evaluating resume and application information for over 1000 prospects.
  • Oriented 100+ newly hired employees by providing company information, facilitating on-boarding processes and establishing position-related requirements.
  • Partnered with HR team, Sales, and Recruitment to outline and define position requirements in accordance with company needs.
  • Produced and analyzed production or results from job descriptions and advertisements, prescreening protocols, interview questionnaires and post-interview assessments.
  • Developed relationships with 1000 potential job candidates to promote effective communication throughout hiring processes.
  • Improved office efficiency by effectively managing internal communications and correspondence.
  • Assisted senior management with making key decisions by developing and submitting performance and compensation reports with status updates and improvement recommendations.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • Maximized team knowledge and productivity by effectively training, monitoring and directing employees in application of best practices and regulatory protocols.
  • Planned, monitored and appraised employee work results by training managers to coach and discipline employees.
04/2005 to 01/2013
National Coding Consultant Himagine Solutions Inc. City, STATE,
  • Maintained accuracy, completeness and security for medical records and health information.
  • Managed system conversion and maintained minimal downtime during updates.
  • Researched and compiled statistical data to support cost control and care improvement initiatives.
  • Interacted and communicated easily with department personnel and public.
  • Identified new methods to optimize medical records management.
  • Utilized multiple encoder, EHR, and billing software systems to manage and confirm patient data, such as insurance, demographic and medical history information.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Trained 60 direct reports on department procedures and policies to maximize department effectiveness.
  • Communicated effectively with staff, patients and insurance companies by email and telephone.
  • Drove operational improvements which resulted in savings and improved profit margins.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Developed team communications and information for HIM and CDI/Quality Management department meetings.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Resolved coding production backlog problems, improved operations and provided exceptional client support.
  • Increased customer satisfaction by resolving time management, workflows and backlog issues.
Education
Expected in 05/2010 to to
Bachelor of Science: Business Management
University of Phoenix - Tempe, AZ,
GPA:
Expected in 1994 to to
Associate of Applied Science Degree: Health Information Technology
National Park Community College - ,
GPA:
Affiliations

American Health Information Management Association (AHIMA)

Arkansas Health Information Management Association (ARHIMA)

Certifications

RHIT, CCS, CHTS-TR

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Resume Overview

School Attended

  • University of Phoenix
  • National Park Community College

Job Titles Held:

  • Audit Implementation Manager
  • National Compliance Manager
  • National Coding Consultant

Degrees

  • Bachelor of Science
  • Associate of Applied Science Degree

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