Risk Assessment/Audit Highlights• Conducted independent and integrated audits to identify and track revenue opportunities and cost savings• Performed clinical audits with a focus on risk assessment processes in high risk areas• Executed operational audits and risk assessments of sepsis prevention, medication reconciliation, entrapment, and coding audits of emergency department, radiation oncology, neurosurgery, and anesthesiaCommunications Highlights• Authored internal documents concerning emerging risk issues in the areas of bundled payments, suicide prevention screening• Prepared reports of audit findings and action plans; met with clients to establish action plans and responsible parties with follow up deliverables

Compliance Highlights• Restructured physician compliance program ensuring sufficient lead time for executive review• Improved executive report; developed template to increase understanding of data• Developed excellent rapport with providers and stakeholders across the enterprise as evidenced by feedback forms• Chaired HIM/Coding Work Group for ICD-10 Project; actively participated in Education/Communication Work Group and Clinical Documentation Improvement (CDI) Work Group• Provided oversight to ensure success of newly established internal coding pool and of CDI program• Created 4 computer-based physician documentation modules with AMA Category 1 CME credits available on the Center For Learning• Responsible for management of confidential hotline and reported summary of results to the Compliance Committee• Improved risk assessment process

Financial Highlights• Streamlined processes that resulted in 100% increase in professional fee revenue in first 6 months in position. Enhanced reconciliation processes between facility and professional revenue capture• Collaborated with Operations Center for efficiencies resulting in 50% reduction in denials for duplicate charges• Established professional fees for all provider services across the enterprise consisting of 5 hospitals and an outpatient infusion clinic• Successfully solicited contributions from external vendors to Assistance in Healthcare, (non-profit organization operated by Cancer Treatment Centers of America) that assists Philadelphia area residents who have cancer and are experiencing financial difficultiesOperational Highlights• Coordinated documentation and billing process for Sleep Medicine at Eastern Regional Medical Center (hospital located in Philadelphia). Maintained ongoing communications and process enhancements with Compliance and Cardiopulmonary Departments• Created and implemented a coding extern program under guidelines of American Academy of Professional Coders (AAPC)• Designed and presented provider education to provider groups and individual providersTalent-Related Highlights• Grew department from 2.5 stakeholders to 7 stakeholders in under 2 years• Completed two A3 projects (Lean Six Sigma) within 4 months of hire and sponsored all stakeholders in Physician Coding Department for A3 projects resulting in 100% of department trained in Lean Six Sigma practices• Earned Six Sigma Green Belt certification for Reducing Avoidable DenialsStrategic Highlights• Researched coding and process for all new service lines, such as IntraOperative Radiation Therapy (IORT) and Theraspheres• Implemented and led bi-weekly enterprise-wide coding calls encouraging best practices and shared knowledge• Member of 12 committees and teams to enhance services at Eastern Regional Medical Center and enterprise-wide

Compliance Highlights• Developed Compliance Plans and conducted compliance training• Responsible for presentations involving Risk Management, Compliance, and HIPAA• Implemented and managed client hotline Financial Highlights• Managed projects with revenue up to $50,000• Directed all LTCH audits and physician audits• Managed engagements for the analysis of CMI and acuity levels in Nursing FacilitiesOperational Highlights• Served as mentor to CFO and business office staff• Conducted operations analysis of Medical Records Departments

• Responsible for $1.7 million in physician accounts serving as business partner with physician groups. • Oversaw Operations Team and developed action plans for accurate accounts receivable management, charge entry, and payment posting• Interfaced with insurance payers on behalf of clients and negotiated contracts with payers

• Participated in audit of large teaching hospital that resulted in reduction of repayment from $500 million to $150 million• Participated in forensic audit in criminal liability case where the efforts of my team resulted in the dropping of criminal charges for Medicare fraud• Assisted providers through the Corporate Integrity Agreement (CIA) process

• Led audits and other financial service engagements primarily for healthcare facilities • Supervised semi-senior and junior accountants• Valued physician practices for acquisition by health groups• Appointed as Acting-Controller of several healthcare organizations