Caroline Thornton, Med, Cpmsm Email & Phone Number

South Carolina, United States

Directs credentialing and privileging for new site growth and client integrations for a national radiology practice. Ensures compliance with Joint Commission, CMS, and state standards, hospital and facility medical staff bylaws, rules and regulations, and facility medical staff policies. Oversees credentialing and privileging functions for both employed and non-employed onsite Radiologists and telemedicine Radiologists.• Accountable for credentialing and privileging to assure all providers meet and maintain all Medical Staff standards for new client facilities• Directs and supports a team of privileging specialists in obtaining hospital and facility privileges for new site integrations• Develops job aids, templates, policies, and procedures to support privileging specialists and integration/operations teams in obtaining facility privileges• Supports integrations and operations of new site contracts by obtaining facility privileges to meet tight timeframes and fast approaching deadlines• Monitors productivity for new site privileging specialists to ensure timelines and deadlines for new site integrations are met• Reports privileging statuses to internal credentialing and privileging leadership and to integrations and operations teammates as well as facility stakeholders

Orangeburg, South Carolina

• Directed activities for the Medical Staff Services Department• Ensured compliance with Joint Commission, CMS, and DHEC standards, Medical Staff Bylaws, and Rules and Regulations• Oversaw Credentialing, Privileging, and CME functions• Accountable for credentialing and re-credentialing to assure all physicians meet and maintain all medical staff standards• Ensured open communication and flow of information between committees, departments, administration, hospital departments and physicians• Directed support of medical staff by providing scheduling of meetings, agendas, minutes, records, research, support and follow-up• Managed all applications and renewals for Institutional Review Board with accountability to internal processes as well as FDA regulations and guidelines• Maintained bylaws, rules and regulations of the medical staff on the level that they meet all federal and state requirements and accreditation standards• Ensured maintenance of the medical library and provides oversight of physician educational programming to meet their needs as identified through quality management, needs assessments and evaluations and the South Carolina Medical Association of Continuing Medical Education Accreditation • Kept abreast of applicable regulatory guidelines and notifies the medical staff and administration of changes to ensure continuous compliance• Wrote persuasive correspondence, speeches, and articles for publication• Effectively presented information to top management, large public groups and boards of directors• Developed and monitored department budget

Orangeburg, South Carolina

• Managed hospital commercial and government audit requests• Maintained growing database of federal, state and commercial audit requests totaling in excess of $13 million in claims• Prepared medical records for shipment upon request from external constituents• Prepared appeal letters for denied claims and tracked appeals through up to five levels of appeal• Prepared Financial Impact Reports of all audits for administration• Conducted weekly compliance audits of employee and inpatient medical records• Reviewed medical record access of employees for Compliance Committee • Attended quarterly Business Office Manager/Chief Compliance Officer state-wide meetings and provided reports to administration• Prepared Monthly Physician Volume Reports for admissions, discharges, length of stay, and surgery cases with comparison graphs for administration• Led RAC Committee meetings and provided audit updates to committee members• Performed other duties as assigned by Assistant Director and Director including, reports as requested, and assisting with Medical Records duties

• Counseled students and parents on Financial Aid Programs and assisted with completion of FAFSA on the Web and maintained student financial aid records• Reconciled all major financial aid accounts, including office budget of $20,000 and financial aid programs in excess of $9 million• Presented information at High School and community Financial Aid Nights• Managed data processing procedures and validated and controlled all requests for reporting for financial aid office• Trained and supervised four Financial Aid Advisors. Communicated performance expectations and provided timely guidance and evaluation of performance • Oversaw each of the financial aid programs administered by advisors• Served as member of College Curriculum Committee• Completed a US Department of Education Federal Financial Aid Program Review with no findings or liability to the College in June 2006• Supervised TRIO Director with three full-time and up to 10 part-time staff with over $300,000 budget and 200 students

Master’S Degree, Higher Education/Higher Education Administration

Master of Education, Higher Education and Student Affairs

Certificate, South Carolina Technical College System Presidents’ Leadership Academy

Activities and Societies: Project Title- College Bound: A Mentor Program for Adult Education Students The South Carolina Technical College.

Graduate Certificate, Higher Education Leadership

The Graduate Certificate Program requires completion of six graduate courses (18 credit hours) over a two-year period (one course per.

Bachelor Of Arts, Elementary Education And Teaching

Bachelor of Arts, Elementary Education, minor English

Master Of Education - Med, Higher Education/Higher Education Administration