Health Information Manager Resume Example North Central Health Care

HEALTH INFORMATION MANAGER

Professional Summary

Talented Medical Records Manager seeking senior role with advanced responsibilities in leadership, training and records management. Organized and resourceful with strong planning and time management abilities. Looking to improve department productivity through effective process improvements.

Licenses

Certified Professional Coder (CPC)

Skill Highlights

HIPAA Compliance
Evaluation & Management Audits (95 & 97)
Coaching/Training
Customer Service

Time Management
CPT, ICD-9-CM and ICD-10-CM Coding
Medical Transcription
Computer Proficiency

Professional Experience

Health Information Manager
February 2012 to CurrentNorth Central Health Care － Wausau, WI

Management duties including budget control, leadership, and supervising staff of 6
Implementation of new Electronic Health Record (EHR) and ICD-10 upgrade
Create training materials for new EHR system and provide training as needed
Meet with new clinical staff to review coding requirements and provide training
Review State Regulations and write agency Policies and Procedures
Inpatient Behavioral Health and Crisis Diagnosis Coding and Entry
HIPAA Privacy Officer and HIPAA Committee Chair
Committee member on Joint Commission Readiness and Medical Staff Committees.

Corporate Compliance Code
February 2010 to February 2012North Central Health Care － Wausau, WI

Perform Inpatient Behavioral Health chart audits to ensure consistency, accuracy and completion of documentation within and services billed
Investigate the cause of chart errors, report on the findings and educate staff accordingly to prevent future errors
Perform billing audits to ensure proper coding of services submitted for reimbursement
Create spreadsheets to report audit findings on a monthly, quarterly and yearly basis
Plan, organize and provide training to clinical staff on CPT coding and help to prepare for the implementation of ICD-10-CM
Collaborate with Health Information staff to ensure organization of client charts
Active participant: HIPAA Committee, Inpatient Administration Task Force, Outpatient Registration LEAN Processing Committee and the Electronic Health Record Task Force
Meet with newly hired employees and provide orientation on HIPAA-Privacy rules and Corporate Compliance guidelines within the facility
Perform chart audits to ensure state and federal regulations are met for each of the many services provided to the community
Perform Evaluation & Management audits to ensure proper coding of services billed
Document and report audit variances on a monthly, quarterly and yearly basis
Update audit tools used to create more effective means of completing audits due to the various types of services reviewed each month
Update spreadsheets used for monthly, quarterly and annual reports to create uniformity among the various types of services audited
Create efficiency by using available computer software to merge documents and spreadsheets in order to prepare tools for audit

Audit/Coding Specialist
January 2006 to February 2010Aspirus Clinics － Wausau, WI

Provide ongoing assistance to all staff for any code application related inquiry
Report significant coding/reimbursement issues for resolution through contract negotiations
Solve claim errors related to improper coding and provide feedback for correction/follow-up
Analyze third-party reimbursement levels relative to appropriateness of procedures and/or diagnosis codes used
Perform and compile results of audits and provide additional training as needed
Create manuals and tools for job duties to ensure proper and effective cross training

Additional Positions and Experience
July 2000 to January 2006North Central Health Care － Wausau, WI

Corporate Compliance Specialist (Sept 2005-Jan 2006)
Payroll Assistant (
Employee Health Assistant (
Medical Transcriptionist (
Client Registration Specialist (Mar 2001-May 2001)
Nursing Home Billing and Accounts Specialist (July 2000-Sept 2005)

Create and update the training manuals for all positions held.

Education and Training

ICD-10-CM Proficiency Certificate / American Academy of Professional Coders Dec : 2015

Certified Professional Coder /American Acadamy of Professional Coders Nov 2007 Certificate of Medical Transcription/At-Home Professions Apr : 2003

BS : May 1988University of Illinois/Champaign － Urbana, IL

Skills

agency, Behavioral Health, Billing, budget, charts, Coaching, Computer Experience, contract negotiations, CPT coding, CPT, client, clients, Customer Service, Dec, Diagnosis, documentation, EMR Software, Email, Novell Groupwise, ICD-10, ICD-9, leadership, Lotus 1-2-3, Medical Billing, Medical Transcription, Access, Excel, Microsoft Office, Office, Microsoft Office '97, 97, Outlook Express, Powerpoint, Windows 98, Windows XP, Word, Policies, Coding, speaking, Quickbooks Pro, reporting, spreadsheets, Supervisor, supervising, phone, Time Management, Trainer, training materials, training manuals, upgrade, Vision, annual reports

Resume Overview

Companies Worked For:

North Central Health Care
Aspirus Clinics

School Attended

University of Illinois/Champaign

Job Titles Held:

Health Information Manager
Corporate Compliance Code
Audit/Coding Specialist
Additional Positions and Experience

Degrees

ICD-10-CM Proficiency Certificate / American Academy of Professional Coders Dec : 2015
Certified Professional Coder /American Acadamy of Professional Coders Nov 2007 Certificate of Medical Transcription/At-Home Professions Apr : 2003
BS : May 1988

Health Information Manager Resume Example

Resume Score: 90%

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