Jigna Patel Email & Phone Number

Spicewood, Tx, Us

Cleveland, Oh, Us

Develop, implement, and monitor policies, procedures, and practices to ensure compliance with coding policies and federal regulations. Identify training deficiencies and create and conduct coding training. Participate in internal and external audits. Distribute current information on payer regulations, CPT and ICD changes, and other updates. Supervise a staff of 3. Administer budgets.•Reduced risk by updating policies and procedures for first time since 2011.•Increased compliance understanding by introducing new training topics.•Achieved 98% coding compliance coding accuracy among coders and physicians.•Produced 95% compliance among accounts, well above industry standard of 89%.•Conducted critical HIPAA compliance training to ensure continued superior performance.•Currently spearheading preparations for ICD-10 CM and PCS (anticipated Oct. 2015).•Worked with Chief Compliance Officer and Chief Medical Officer on new policies.

Guided the implementation of the Athenahealth practice management system and the decommissioning of a legacy IDX system. Performed assessment planning, scope management, risk management, and procurement. Oversaw the complete project life cycle. •Completed the project within all assigned time and budget requirements.•Maximized quality and performance by conducting QA and control testing and training various resources on the Athenahealth system.•Enhanced quality by introducing gap analysis and creating QA test procedures.Medical Mutual of Ohio: Directed an ICD-10 readiness project to facilitate internal and external claims processing. Prepared the organization for end-to-end testing with select hospitals (Cleveland Clinic and Akron General). •Designed the ICD-10 project plan and led the implementation team.Elyria Regional Medical Center: Managed the implementation and integration of Siemens Soarian Financial system and 3M Ambulatory Revenue Management software. Led all build, configuration, testing, and deployment activities. •Created policies and procedures for the Coding department.•Integrated the Recovery Audit Program process.•Improved overall efficiency by recommending changes in the HIM system.

Carried out revenue cycle management. Reviewed and audited accounts and charts. Supervised a staff of 6. Identified unbilled discharges. •Reduced discharges not final billed from more than $70M to less than $15M.•Carried out a complete restructuring of the center's departments and job role descriptions.•Streamlined the revenue cycle and total reimbursement processes by analyzing IT applications and recommending specific changes.Community Health Systems: Led the deployment of IT systems and policies for a newly acquired hospital with several locations nationwide. Implemented the standard HIM system. Led multiple application integration and conversion initiatives. Performed assessments and testing of applications.•Implemented critical HIM and Electronic Medical Records (EMR) systems.•Completed a complex Master Patient Index conversion.

Planned and led compliance, revenue cycle management, ICD-10 readiness, business systems implementation, and process improvement projects for healthcare clients of consulting firms.

Oversaw HIPAA compliance, electronic medical records, and other projects and programs for a 300+ bed hospital. Supervised a staff of 45. Managed medical and accounts receivable coding activities. Ensured compliance with JCAHO, Medicare, state, and federal regulations. Administered the department budget. Updated policies, procedures, and HIM-related medical staff bylaws.•Planned and led the implementation of a new Electronic Medical Records system.•Improved ROI turnaround to less than 3 days.•Streamlined coding and accounts receivables to less than 3 days.•Increased compliance by conducting HIPAA training for all current and new employees.•Served as Chairperson for the Medical Records Committee and as a member of the Quality Assurance, Forms, and JCAHO Accreditation Standards committees.•Achieved a less than 1% physician deficiency rate and passed all categories for the JCAHO survey.

Directed the records center. Supervised up to 30 employees. Ensured contractual compliance. •Established a new team and opened a new location for the company.•Consistently exceeded request turnaround time and quality expectations.•Oversaw records management for a joint venture between Summa Health Systems and RMS.•Led the transition of records management to EMR and PACS tools.•Directed the digitization of documents and radiology files.•Enabled a document retrieval rate of better than 98% with shorter retrieval times.

Managed healthcare information systems and functions for this 200+ bed hospital. Carried out cost analyses for HIM transcription services. Worked with Utilization, Risk Management and Patient Accounts to lower accounts receivable and identify areas for improving patient care quality.•Implemented a cancer registry data collection and reporting program.•Improved efficiency through physician training and new documentation guidelines creation.•Served on the Medical Record Review, Medical Staff, and JCAHO committees.CAREER NOTES: Previously held position of HIM Manager at Healthsouth Rehabilitation Hospital.

Diploma, Finance & Project Management

Mba, Business Administration

Bs, Health Information Management & Systems