Hcit Program Project Manager resume example

DUKE UNIVERSITY HEALTH SYSTEM

Director Revenue Management IT Billing Systems Manager

· Managed 10-15 direct reports to include Supervisors, IT Analysts, Senior IT Analysts, IT Project Managers, Revenue Cycle Patient Account Associates, and Financial Analysts

· Promoted and modeled champion values while promoting key organizational changes across matrixed billing and information technology units

· Implemented Acute and Ambulatory Revenue Cycle Charge Capture Systems to include provider charge capture tool, fee schedules, charge capture claim editing system, professional billing interfaces, and technical billing interfaces, unbilled billing accounts, and cash management of non-covered services

· Managed operating and capital budgets up to 2 million for digital technologies

· Managed resources for third-payer billing, commercial, and managed care plans to maximize revenue for hospital and physician claims, provider billing services, coding services, reimbursement, and implementation of HL7 functional specification documents

· Reviewed physician and hospital charge documents for accuracy, and implement TES and CCI edits to maximize billing and scrubbing of data prior to clearing house acceptance

· Deployed IT policies to correlate with CMS compliance regulations and operational business goals

· Provided semi-annual and annual evaluation of staff members, provide recognition rewards for accomplishments, and complete all standard HR processes for staff with unsatisfactory work results according to departmental policies

• Implement, manage, coordinate, and plan project teams of 10+ members simultaneously for on time and within budget projects.
• Manage Cerner Health Information Data Exchanges, SMART on FHIR cloud infrastructures, and Application Programming Interface (API) Digital web applications with integration of HL7, HL7 FHIR, CDA, CCD, SOAP\REST integration services for Acute and Ambulatory healthcare systems with Cerner Millennium, CPOE, and Third-party software solutions.
• Implement Cerner Electronic Health Record, Cerner Millennium, Portal, Scheduling, and Patient Accounting with Data Health Information Exchanges and Commonwell platforms.
• Review and utilize business intelligence tools to validate contractual obligations in salesforce for client, and ensure accurate billing of technical components for cycle billing and deferred billing are in place.
• Drive value and business objectives while improving the customer experience to onboard digital technology advancements.
• Collaborate with integration engineers to implement and troubleshoot errors while ensuring FHIR HL7, standard HL7, and security protocols are followed for integration with acute and ambulatory health systems' EHR data in the cloud infrastructure.
• Interpret and translate complex business process requirements for client with the Cerner code learning team to ensure the appropriate bindings are leveraged for engineers to query FHIR Resources which bind to SNOMED and LOINC industry standards.
• Create executive presentations, project maintenance reviews, and support trainings to project team and executive leadership teams Director, IT Projects (Ambulatory Acquisitions; Cardiology IT).

• Analyze metric data and summarize for trends and bottlenecks to report to executive leaders, Manage 16-17 HR direct and project team members to include operational managers, application analysts, IT supervisors, IT managers, network engineers, telecom engineers, system engineers, integration engineers, and desktop technicians.
• Develop program project plans, including objectives, scope, deliverables, budget, schedules, and staffing.
• Perform issue and risk assessments to develop response strategies for client integrations.
• Strategize, organize, implement, integrate, and lead large complex IT projects for enterprise program management solution deliveries for Epic, Siemens and GE Centricity systems for ambulatory and acute healthcare organizations.
• Facilitate executive presentations and training to project teams and operational teams within the physician organizations.
• Promote and drive hospital clinical and technology personnel to coordinate integration between application, interfaces, technology hardware, and network infrastructure deployments.
• Manage and monitor IT operating budget and IT capital budget for IT project acquisitions and expenditures for technology portfolio.
• Conduct root cause analysis and implement operational action plans to mitigate risk for ambulatory and acute healthcare systems for billing, interface, and electronic health record issues
• Implement standardized control processes, and define program process improvements while managing key performance indicators.