Livecareer-Resume
Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary
To obtain a challenging position that will allow me to utilize and increase my skills within the Health Information Management Department.
Skills
  • Electronic Medical Record (EMR) software
  • HIPAA compliance
  • Strong planning skills

 


  • Team player with positive attitude
  • Strong work ethicICD-10 Coding
  • Effectively work well with Executive Staff to accomplish Hospital Goals
Experience
Director of Health Information Management, 2014 - Current
Camp Recovery Valdosta, GA,

Direct Report:

Russ Plywaczynski
Director of Finance
XXX-XXX-2185
Full-time 40+ hours
 
  • Responsible for 12 FTE’s and 1 PRN in the Health Information Management (HIM) Department which includes Coding, Transcription, Release of Information, and Assembly and Analysis.
  • Continuous communication with Executive Leadership addressing and HIM and Hospital issues that need addressed. Responsible for Interviewing, Hiring, HIM Department Orientation, Training, Performance Evaluations, Competencies, and Disciplinary Actions and/or Discharging Employees.
  • Responsible for HIM Employee Schedules and Payroll
  • Responsible for managing productivity and quality in each area of the HIM Department
  • Responsible for Implementing an electronic Provider deficiencyProcess within the Heathland System (Electronic Health Record system)
  • Responsible for Transcription to ensure timeliness and quality of Transcribed reports for patient care.
  • Responsible to worked closely with Patient Financial Services to monitor Coding Unbilled Report, A/R days, All Denials, and issues with Patient Accounts
  • Responsible for all training, education, and charging processes that are related to the Release of Information Management.
  • Responsible for all Patient Concerns or complaints that require attention and resolution.
  • Effectively work with all other Departments, Administration, Providers, and Nursing as required or needed.
  • Effectively work with Human Resources to resolve or communicate employee issues or concerns to follow proper HR protocol Responsible for preparing charts for Coding Audits by printing, uploading charts, coding rebuttals, and reporting of results of Coding Audits that are required by WVU Medicine Corporate Office.
  • Responsible for decreasing and maintaining the Hospital Physician Delinquency Rate and monitoring of Physician Office Delinquent Charts weekly and monthly.
  • Responsible to ensure physician delinquency rate is below 5%.Responsible for Joint Commission Monthly Reporting on Physician Delinquency Responsible to Monthly Reporting on History and Physicals within 24 hours of admission and Operative Reports within 24 hours of the procedure.
  • Required to participate on various committees such as Compliance, Performance and Improvement, Chair of the Medical Record Committee/Forms Committee, The Joint Commission Readiness Committee, and Utilization Committee to ensure the hospital is meeting all CMS, Joint Commission, OFLAC State requirements.
  • Effectively participate as an Enterprise Information Management Director at WVU Medicine Corporate.
  • Responsible for continuous readiness for Joint Commission and OFLAC State Surveys
  • Responsible for yearly updates on all HIM policies and procedures that are required for the HIM Department.
  • Effectively participate on the Revenue Cycle Committee to ensure all issues with claims and throughout the hospital (registration, billing, and coding) are being addressed as needed. 
  • Responsible for yearly Capital and Operating Budget. 
  • Responsible for maintaining HIM budget and continuously trying to reduce budget.
  • Responsible for the Storage of Medical Records on and off-site to ensure the hospital is in compliance with HITECH storage requirements and current state and federal regulations.
  • Effectively provide backup on Quadex (coding backend scrubber) to ensure all backlog coding issues are addressed and processed timely.
  • Effectively troubleshoot and report all issues to promptly address electronic health record issues.
  • Effectively provide backup on Coding Work Bucket within Healthland (EHR system at St. Joseph’s Hospital) to complete coding edits timely to help A/R Days on all patient types within the coding area.
  • Effectively collaborating as an Enterprise Health Information Management Director at the WVU Medicine System level to streamline processes across the system and to ensure Epic (EHR at WVU Medicine Hospitals), M*Modal (Transcription Module), and 3M (Coding Module) Implementations on October 1, 2017 have a smooth transition throughout the WVU Medicine System within each HIM Department and the individual Hospitals. 
  • Responsible for providing information to WVU Medicine Epic Team to ensure St. Joseph’s Hospital, HIM Department Epic E H R build and implementation is a success.
  • Effectively establish training sessions for HIM Department and ensure all employees have been trained and pass required testing before October 1, 2017 Epic Go Live.
  • Effectively be a Super User for all areas of the HIM Department to provide education and training to all HIM End Users and help provide Facility wide assistance with documentation and incomplete medical records.
  • Effectively help train Physicians with the implementation of M*Modal Transcription Module on 10/01/17.
  • Responsible for ICD-10 Implementation throughout the hospital with Coding and all Providers.  This included providing ICD-10 Onsite Training for the Providers and Coders, providing ICD-10 Modules for online Training for Providers and Coders. 
  • Responsible to provide refresher course and modules before ICD-10 Implementation due to multiple delays.  
  • Responsible to ensure all Providers and Coding Staff had completed their required training before October 1, 2015.  (2014-2015)
  • Responsible to work with Case Management with the implementation of the 2 to Midnight Rule to ensure the new CMS Guidelines were being met (2014).
  • All other day to day operations in the HIM Department.
Director of Health Information Management and Facility Privacy Officer, 07/2012 - 01/2014
Raleigh General Hospital City, STATE,

Direct Report:

Randy Harrison
Chief Financial Officer
XXX-256-4009
Full-time 40+ hours
  • Responsible for 28 FTE's in the HIM Department which included Coding, Release of Information, Scanning & QA, and Assembly & Analysis.
  • Continuous communication with Executive Leadership addressing and HIM and Hospital issues that need addressed.
  • Responsible for Interviewing, Hiring, HIM Department Orientation, Training, Performance Evaluations, Competencies, and Disciplinary Actions and/or Discharging Employees.
  • Responsible for HIM Employee Schedules and Payroll.
  • Responsible for managing productivity in each area of the HIM Department.
  • Responsible for all Patient Concerns or complaints that require attention and resolution.
  • Responsible for all HIPAA concerns and/or complaints that require investigation, effectively working with Administrative Leadership to resolve and determine disciplinary and/or discharge for violation.  
  • Effectively work with Dictaphone and Professional Medical Transcriptionist (PMT) Vendor for Transcription services.
  • Responsible for comparing Release of Information Vendors, Implementation of new MediCopy Vendor's processes, and help hiring for 2 FTE employees for the MediCopy Vendor Release of Information services.
  • Responsible for working with HURON (CDI Vendor) to expand and revamp the Clinical Documentation Specialist (CDI) program.
  • Responsible for setting up training for Coding, CDI Staff, and Case Management.
  • Responsible for ensuring all Coding Staff were trained on HURON system to input coding queries to the Physicians.
  • Responsible for tracking all CDI Queries and Coding Queries to show Financial Impact of the CDI Program.
  • Effectively work closely with Patient Financial Services to monitor Coding Unbilled Report, A/R days, and problematic accounts.
  • Responsible for yearly Capital and Operating Budgets.
  • Responsible for HIM Budget (Reduced HIM budget by $160,000 by changing vendors and reducing supply costs within 12 months).
  • Responsible for continuous readiness for JCAHO and State Surveys.
  • Responsible for yearly updates on all HIM Policies and Procedures for the HIM department.
  • Responsible for decreasing and maintaining the Hospital Physician Delinquency Rate and monitoring of Physician Office Delinquent Charts weekly and monthly.
  • Responsible for Joint Commission Monthly Reporting on Physician Delinquency.
  • Responsible for all yearly updates on all HIPAA Policy and Procedure to ensure they were up to date throughout the hospital.
  • Responsible for New Employee Orientation for the Hospital on HIPAA training bi-weekly.
  • Responsible for all Reported HIPAA violations which included investigation, Notify and work with Department Directors to help with investigation of reported issue, meeting with all involved to either discipline or dismiss based on findings, and follow up with person or entity that reported the HIPAA Violation.
  • Responsible for yearly Breach Reporting.
  • Responsible yearly Health Care Association State Reporting.
  • Effectively to participate on the Utilization Committee Member to report Physician Delinquencies and RAC Reporting.
  • Effectively participate on Case Management/CDI Committees for Coding Documentation needs.
  • Effectively participate on RAC Committee on reducing RAC Appeals.
  • Effectively was the Chair the Forms Committee to ensure all forms were Compliant with Facility and LifePoint Corporate guidelines.
  • Required to participate on the Physician Order Entry Implementation Committee.
  • Responsible for ImageNow EHR updates to be installed timely to ensure regulatory compliance.
  • Responsible for Monthly and Quarterly Reporting to LifePoint Hospitals Corporate Office on Physician Delinquency, Coding Unbilled, Duplicate Medical Reports, HIPAA Breaches, RAC Audits.
  • Responsible to work with HIM LifePoint Hospitals on the implementation of the 2 to Midnight Rule and monitor to ensure Physician were meeting requirements of the new CMS Guidelines.
  • Onsite until December 2013 then worked remotely as a PRN HIM Director to perform necessary weekly, monthly, quarterly reporting until no longer needed.
  • All other day to day operations in the HIM Department.
Director of Health Information Management and Assistant Privacy Officer, 08/2009 - 07/2012
Plateau Medical Center City, STATE,

Direct Report:

Heather Hylton
Chief Financial Officer
XXX-469-8600
Full-time 40+ hours
  • Responsible for 8 FTE's in the HIM Department which includes Coding, Release of Information, and Assembly and Analysis.
  • Responsible for HIM Employee Schedules and Payroll.
  • Responsible for monitoring all HIM productivity.
  • Continuous communication with Executive Leadership addressing and HIM and Hospital issues that need addressed.
  • Responsible for Interviewing, Hiring, HIM Department Orientation, Training, Performance Evaluations, Competencies, and Disciplinary Actions and/or Discharging Employees.
  • Responsible for all Patient Concerns or complaints that require attention and resolution.
  • Assisted with HIPAA concerns and/or complaints that require investigation, effectively working with Administrative Leadership to resolve and determine disciplinary and/or discharge for violation.  
  • Responsible for 30 Chart Audit Monthly for Quality Reporting.
  • Responsible to work closely with M*Modal for Transcription services.
  • Responsible to work closely with Patient Financial Services to monitor Unbilled Report, A/R days, and problematic accounts.
  • Responsible to ensure physician delinquency rate was below 10%.
  • Responsible for continuous readiness for Joint Commission and OFLAC State Surveys.
  • Responsible for updates on all HIM policies and procedures and HIPAA Policies to meet requirements throughout the hospital.
  • Effectively participate on various committees such as Compliance, Performance and Improvement, Medical Record Committee/Forms Committee, and Utilization Committee to ensure the hospital is meeting all CMS, Joint Commission, and State requirements.
  • Responsible for continuous readiness for JCAHO and OFLAC State Surveys.
  • Responsible for yearly updates on policies and procedures for the HIM Department.
  • Responsible for yearly Capital and Operating Budgets.
  • Responsible for staying within the HIM Budget.
  • Responsible to be available to the Facility Privacy Officer on all HIPAA investigations and reporting.
  • Assisted in the building the ClinView (Nursing EHR online documentation) and ClinDoc (Physician EHR online documentation) Applications to ensure only identified users would have access as needed.
  • Identified all Users, obtained signatures to ensure all HIPAA user agreements were completed on all new end users, set up training sessions, and help provided training with all Physicians and end users.
  • Assisted in the Implementation of the ClinView and ClinDoc application (January-May 2012).
  • Responsible for Physician Education, Physician's Staff Education, Organized and Scheduled Training classes.
  • Responsible for all Physician Training on ClinDoc for regulatory and hospital documentation needs (05/12).
  • Champion for Recovery Audit Contractors (RAC) Committee in preparing for upcoming RAC Audits.
  • Responsible to provide back up for OP Coding and Assembly & Analysis area during vacations or vacancies.
  • Responsible for Financial Chart Audits and Closed Chart Audits for Monthly Quality Reporting.
  • Responsible for submitting required charts for Corporate Coding Audits and then providing feedback on Coding Rebuttals.
  • Responsible for reported Duplicate Medical Records merge on an as needed basis.
  • Responsible for working on monthly Duplicate Medical Records to maintain below 3% for CHS Corporate Requirements.
  • Responsible for Monthly and quarterly reporting for Community Health Systems (CHS) Corporate Health Information Management.
  • Responsible for yearly Capital and Operating Budgets.
  • Responsible for ICD-10 Implementation with the Coding Staff. This included providing ICD-10 Modules for online Training and monthly CHS Corporate Coding Meetings.
Health Information Management Coding Specialist (PRN), 08/2009 - 11/2013
Fairmont General Hospital City, STATE,

Direct Report:

Carol Talkington
Director of Health Information Management
XXX-367-7568
Remote PRN (10-24 hours as needed) 
  • Responsible for working Quadex (coding backend scrubber) for coding edits/errors to reduce AR Days for coding and billing purposes.
  • Also, Coded Outpatients as needed for backlog purposes.
  • Worked 20 to 30 hours per week remotely on outpatient patient types.
  • Worked on outpatient claims with Quadex application for Coding Area of the HIM Department.
Supervisor of Health Information Management Department, 08/2006 - 08/2009
Fairmont General Hospital City, STATE,

Direct Report:

Carol Talkington
Director of Health Information Management
XXX-367-7568

Full-time 40+ hours 

  • Responsible for 30 FTE's in the HIM Department which included Coding (2 home-based), Transcription (all Home-based), Release of Information, Clerical and Cancer Registry.
  • Responsible for all employee schedules and payroll.
  • Responsible for All Employee performance evaluations along with the HIM Director.
  • Responsible for all Patient Concerns or complaints that require attention and resolution.
  • Continuous communication with Executive Leadership addressing and HIM and Hospital issues that need addressed.
  • Responsible for timeliness and quality of Transcribed Report for patient care.
  • Responsible for Productivity and Quality Audits in each area.
  • Responsible for ordering supplies and to stay within or reduce HIM budget.
  • Responsible for all HIM Policy and Procedures yearly updates.
  • Responsible for all Forms throughout the hospital along with the HIM Director to have IT Format and then implement throughout the hospital.
  • Responsible for HIPAA violations within the HIM Department as reported from IT Department monthly.
  • Assisted with all HIPAA concerns and/or complaints that require investigation, effectively working with Administrative Leadership to resolve and determine disciplinary and/or discharge for violation.
  • Responsible to investigation and follow up with IT whether it was an actual violation or part of their daily functions.
  • Assisted with Implementation of MedHost (Electronic ED system 08/07).
  • Assisted with Implementation of The Shams Group for the EHR system (Electronic Health Record (10/07)).
  • Assisted with physician training for new delinquency and electronic signature processes.
  • Required to work closely with Patient Financial Services to monitor DNFB (Discharged Not Final Billed) report, A/R days, Quadex and problematic accounts to ensure timeliness of billing.
  • Responsible to ensure physician delinquency rate was below 15%.
  • Responsible for providing MNO (medical necessity updates for outpatient testing) to coding, registration, centralized scheduling, ED and Physician Offices.
  • Effectively participate on Charge Master Team, Quality Committee, Utilization Review Committees, and various other teams as needed.
  • Assisted with employee interviewing, orientation and performance evaluations.
  • Assisted with continuous readiness for Joint Commission.
  • Assisted and yearly updates to policies and procedures in the HIM department.
  • Responsible for Patient medical record complaints or concerns.
  • Assisted with scheduling yearly medical record purge with EDCO vendor.
  • Once charts were placed on disc by EDCO we were responsible to work with the IT Department to have them uploaded into EHR system for patient care purposes.
  • Effectively participate on the Recovery Audit Contractors (RAC) Committee for the upcoming audits for implementation purposes.
  • All other day to day operations in the department and in the absence of the HIM Director.
HIM Emergency Department Scanning and Emergency Department Coder, 11/2004 - 08/2005
Fairmont General Hospital City, STATE,

Direct Report:

Carol Talkington
Director of Health Information Management
XXX-367-7568
Full-time 40+ hours
  • Responsible for Scanning all ED and Clinical Accounts for EHR purposes from Responsible for Coding and Charging for all ED accounts from 9/05 to 9/06.
  • Responsible for Charging for all Procedures performed in the ED.
  • Responsible for Analyzing all ED for Physician Completion.
  • Responsible for Tracking Start and Stop times not documented by ED Nursing Staff to ED Director and HIM Director weekly.
  • Continuous communication with Executive Leadership addressing HIM and Hospital issues that need addressed.
  • Responsible for Coding and Issues addressed timely on the Unbilled for all ED Accounts.
  • Required to work closely with Billing Department to ensure all edits/issues were resolved inn Quadex (coding backend scrubber) and in Meditech Systems (EHR Hybrid System).
Education
Bachelor of Science: Allied Health Administration, Expected in 2008
-
Fairmont State University - 1201 Locust Ave, Fairmont, WV 26554
GPA:
08/05 to 05/08
WV Bachelor of Science Degree in Allied Health Administration Cum Laude
Fairmont State University
1201 Locust Ave Fairmont, WV 26544
XXX-367-4000
Cum Laude
2002 to 2005
Associate Degree of Applied Science in Health Information Technology
Fairmont State University
1201 Locust Ave Fairmont, WV 26544
XXX-367-4000
Claire (Registered Health Information Technology) in 07/05
Currently studying for RHIA (Registered Health Information Administration) Certification by the end of 2017.
 
08/83 to 06/87 Lincoln High School
100 Toth Drive
Shinnston, WV High School Diploma
XXX-326-7400
Associate of Applied Science: Health Information Technology, Expected in 2005
-
Fairmont State University - 1201 Locust Ave, Fairmont, WV 26554
GPA:
Activities and Honors
AHIMA (American Health Information Management Association) Member since 2005
American Health Information Management Association (AHIMA)
233 N. Michigan Avenue
21st Floor Chicago, IL 60601-5809​
Customer Relations: (800) 335-5535 
Main Number: (312) 233-1100
AHIMA.ORG
WVHIMA (West Virginia Health Information Management Association) Secretary of WVHIMA 2016-2017
WVHIMA.ORG
 

Skills
Coding, Release of Information Services, Transcription services, AR, Budgets, Charts Assembly & Analysis, Chart Deficiency, Clerical Scanning process, HIPAA Guidelines, Forms Control, Employee Hiring, ICD-10, Regulatory Compliance, Meditech EHR System, HMS EHR System, Healthland EHR System, M*Modal Module, 3M Coding System, Kronos Payroll System, Policies and Procedure, Customer Service, Quality Initiatives, and Chart Audits.

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Resume Overview

School Attended

  • Fairmont State University
  • Fairmont State University

Job Titles Held:

  • Director of Health Information Management
  • Director of Health Information Management and Facility Privacy Officer
  • Director of Health Information Management and Assistant Privacy Officer
  • Health Information Management Coding Specialist (PRN)
  • Supervisor of Health Information Management Department
  • HIM Emergency Department Scanning and Emergency Department Coder

Degrees

  • Bachelor of Science
  • Associate of Applied Science

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