Huma Ishaque Email & Phone Number

Dallas, Texas, US

Dallas, Texas, US

• Led efforts to reduce compliance risk through developing and managing revenue cycle compliance program for hospital revenue cycle management
• Developed and led completion of organization’s revenue cycle compliance annual work plan
• Monitored, analyzes, interprets, and communicates regulatory changes related to coding, billing, and collections
• Led and oversaw efforts to respond to new or changing regulations, including but not limited to communicating regulations to leadership and affected departments, assembling and chairing project teams
• Supported the process for investigating and addressing internal/external complaints and inquiries regarding regulatory requirements
• Ensured compliance with existing rules, new rules, regulations, and revisions, as set forth by the Center for Medicare and Medicaid Services (CMS), as well as other federal and state laws and regulations that govern.

Menlo Park, California, US

• Performed HIPAA Gap Audit and multiple Compliance Program Assessments.
• Direct supervision of consultants, serving as both a role model and trainer in helping them to develop technical and professional competency.
• Planning, scoping, developing, and leading projects, including developing work plans that comply with Protiviti policies and methodologies.
• Leading interviews with process owners to understand current state systems, processes, and/or controls and assessing risk with minimal oversight and supervision.
• Evaluating design and operating effectiveness of in-scope audit areas, including efficiency, effectiveness, and mitigating controls, and procedures to remediate gaps.
• Preparing audit reports on findings and recommendations to senior management.

Dallas, Texas, US

• Assisted in reviewing compliance incidents and complaints regarding BSWH policies and procedures. Coordinated investigations through completion and appropriate reporting. Followed through to determine implementation of.
• Worked under the direction of the Director to perform ongoing activities related to the development, implementation, maintenance of and adherence to BSWH policies and procedures in compliance with federal, state, and.
• Maintained the documentation for incident reviews, resolutions, and appropriate corrective actions.
• Conducted audits and analytical assessments to determine compliance with BSWH policies and procedures, and federal and state laws. Formulated recommendations based on audit findings. Provided written audit and.
• Monitored audit data and trends to determine deficiencies and needs based on findings. Assessed education and training needs based on audit trends.
• Managed and developed education and training materials as appropriate; assures that lessons are completed in a timely manner.

Dallas, Texas, US

Served as a compliance resource to BHCS departments and entities on basic compliance matters. Assisted in reviewing compliance incidents and complaints regarding BHCS policies and procedures. Coordinated investigations through completion and appropriate reporting. Followed through to determine implementation of effective corrective actions. Assisted in.

Euless, TX, US

• Oversaw and coordinated National Committee for Quality Assurance (NCQA) initial certification and recertification activities for CVO including maintenance and updatls to current policies and procedures. Lead and.
• Reviewed all documentation to assure compliance with certification standards.
• Developed work plan to monitor and maintain NCQA certification readiness.
• Developed and lead teams to drive and maintain changes necessary to meet certification and recertification requirements while maintain good business relationships with key NCQA and FCVS staff.
• Performed Data Analysis of identify trends and predict needs of the departments.
• Assisted with other quality assurance initiatives, special inquiries, projects, reports and/or research as required.

Dallas, Texas, US

• Supported the Director of Health Information Management in managing daily operations.
• Supported the Director of HIM in clinical documentation, employee improvement and process improvement activities.
• Planned and organized operational functions including staffing and staff development, purchasing, budgeting, regulatory compliance and customer service management as needed.
• Provided cross training, developmental leadership skills and lean training to staff as assigned.
• Designed, developed, and edited reports and associated narratives/analyses as required.
• Established provider reporting and communication for ongoing data analysis.

Indianapolis, Indiana, US

Perform and assist in the execution of prior authorization reviews to ensure reliability and integrity of information, compliance with policies and regulations while efficiently using all the resources. Contributed in the definition of operational guidelines and objectives of Well Point Health Insurance company. Ensure competency in work papers that the.

Deerfield, IL, US

• Built relationships with customers and pharmacists within assigned territory; provided current information pertaining to pharmaceutical products.
• Developed organizational guidelines and implemented new projects to create a simple yet efficient work flow to boost productivity with-in the retail setting.
• Successfully increased sales and productivity with-in the retail environment through excellent communication skills and constructing long term personal relationships with customers.
• Reduced human error rates by 3% on a monthly basis through research and education of issues.
• Utilized strong health insurance knowledge with the ability to work in a fast paced environment to increase sales, accuracy and processes records of medication and equipment dispensed to customers in a timely manner.
• Adhere to regulatory and company compliance (OSHA, State Board of Pharmacy, etc.)

Health Administration, Health Information Management

Bachelor'S Degree, Biology

Associates Of Science, Science