Present Executive Director Information And Quality, Compliance Officer, Risk Manager, Privacy Officer Resume Example Greater Lawrence Family Health Center

PRESENT EXECUTIVE DIRECTOR INFORMATION AND QUALITY COMPLIANCE OFFICER RISK MANAGER PRIVACY OFFICER

Professional Summary

Dedicated and motivated certified Health Information professional with over twenty years of experience in managing HIM, quality, risk and compliance departments. Great emphasis on managing information to assist with improving patient care and organization performance. Exceptional organizational skills with demonstrated knowledge of regulatory requirements and compliance standards. Subject matter expert with detailed technical expertise in health information management.

Skills

Revenue Cycle Management HFAP/CMS Standards Interpretation
Budgeting
Cash flow
Electronic Health Record Conversion
Quality assurance
Leadership
Staff training

Personnel management
Policies/Procedure Development
Procurement
Coding
Quality Improvement
Risk Management
Strategic

Work History

Present Executive Director Information and Quality, Compliance Officer, Risk Manager, Privacy Officer, 04/2001
Greater Lawrence Family Health Center – Methuen , MA

Managerial responsibilities include developing, establishing and reviewing all policies and procedures related to hospital organization, provision of care, health information services (including release of information, clinical and coding document improvement, records management and transcription services),quality, risk management, credentialing and compliance.
Coordinating all survey activities including those for State licensure, Medicare Conditions of Participation, HealthCare Facilities Accreditation Program (HFAP), Meaningful Use Audits, and payer specific surveys.
Ensuring that the hospital is in compliance with all regulations set forth by Medicare, OK State Dept.
Of Health, and HFAP.
Monitors Health Information Management performance, participate in establishing and implementing strategic facility, department goals, controlling program activities cost, budgeting, procurement, property management, and improve processes as necessary.
Directing and management of Health Information Services, Quality, Risk Management, Medical Staff Services, Care Coordination, and Compliance.
Development and oversight of hospital Charge Master to ensure compliant coding and billing practices.
Development and oversight of the hospital Standards of Conduct and compliance program.
Ensures records are completed accurately and timely for patient care, measure outcomes, research and facilitate performance improvement processes.

Health Information Management Director, 04/2000 to 04/2001
Greater Lawrence Family Health Center – Lawrence , MA

Managerial responsibilities include managing a staff of over 40 employees, reengineering all processes within the department, performing detailed review of policies and procedures, and implementing new processes and procedures to ensure optimal cash flow and work task efficiency, as well as, effectively managing all capital, personnel, and technical resources within the department.
Major Accomplishments:
Successfully completed an American Osteopathic Association accreditation survey within the first two months of employment.
Reduced the accounts receivable by over $1.5 million.
Successfully coordinated the acquisition of, and assumed the responsibility for, all Children's Medical Center and Doctors Hospital healthcare records.

Health Information Management Director, 01/1993 to 04/2000
OKMULGEE MEMORIAL HOSPITAL – City , STATE

Managerial responsibilities included performing detailed review of policies and procedures, formulating capital and departmental budgets and assuring financial controls within the approved budgets; Coordinating all TJC survey activities and maintaining compliance with standards, Initiating effective personnel management procedures while ensuring that all personnel requirements are met.
Coordinating and facilitating the creation of various committees to improve the quality of services provided within the institution, with emphasis in TJC and Medicare standards.
Major Accomplishments: • Conversion to a unit record within health information services.
Instituted a hospital-wide, computerized Master Patient Index system.
Successful implementation of an Improving Organization Performance Program.
Development of a proactive Risk Management Program.

Field Management Representative, 06/1992 to 12/1992
THE SMART CORPORATION – City , STATE

Supervision of 30 employees assigned to copy and release requested medical information in various healthcare settings.
Assured the needs and expectations of the clients were met and exceeded.
Ensures the facility is in compliance with applicable standards, by completing HIM audits, developing data reports, and statistical information, for timely and accurate reporting.
Responsible for staffing, staff training and coordinating the implementation of a fully integrated quality assurance program for the representatives.

Education

Bachelor of Science: Ada, OK Health Information Management, 05/1992
East Central University

Affiliations

American Health Information Management Association

Oklahoma Health Information Management Association

Certifications

Registered Health Information Administrator (RHIA) 10/1992

Resume Overview

School Attended

East Central University

Job Titles Held:

Present Executive Director Information and Quality, Compliance Officer, Risk Manager, Privacy Officer
Health Information Management Director
Field Management Representative

Degrees

Bachelor of Science : Ada, OK Health Information Management , 05/1992

Present Executive Director Information and Quality, Compliance Officer, Risk Manager, Privacy Officer Resume Example

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