Selected to lead Avandé operations through a period of growth and transition through improving current product offerings while evaluating and implementing new product offerings.

Brought in to build and implement the corporate compliance program, document and improve operational processes, and identify and define system enhancements. Expected to be bring a wide breadth of experiences to the table to prepare Avande for growth.

Provide services in healthcare revenue cycle auditing, physician education, project management, and agile software product development for healthcare technology, revenue cycle management, and compliance companies. Clients include Pius Group, Greenville Health System, Medac Inc, S&A Medical Technology, LLC, and Arietis, LLC.

Directed all compliance activities, physician education, clinical documentation improvement, and false claim and HIPAA risk mitigation. Appointed as innovation leader for uplift of critical business systems offering solutions to regulatory, operational, and financial risks. Managed five direct reports with 15 total employees.- Directed compliance program for 11,000 providers and 900 billing staff.- Streamlined depleted and unfocused department, reducing payroll budget by 40%.- Implemented data-driven risk analysis, identifying multiple risks that had previously gone undetected.- Led company through ICD-10 conversion, claim success rate of 99.9% in first 30 days.- Achieved SOC II Type II certification and HIPAA Risk Assessment.- Directed multiple paper-to-EHR and EHR-to-EHR transitions.- Served as Agile Coach for the organization and Product Owner for multiple business-critical projects.- Directed compliance program for 11,000 providers and 900 billing staff.- Implemented web presence for process automation, training, and incident monitoring.

Served eastern region of US, representing 3,000 providers. Worked remotely with frequent travel to practice locations for provider education, clinical documentation improvement, and to ensure regulatory compliance for operational matters within the practice.- Product Owner for design and implementation of a mobile quality data capture tool.- Introduced new project status reporting tool for better project visibility to leadership.- Improved billing compliance consistency via multiple projects for operational improvement and system configuration.

Developed structure and practices for new Project Management Office, implemented multiple concurrent projects including client onboarding, product release, and new business channel development. Worked remotely with regular travel to corporate office and client sites.- Directed aggressive implementation of Medicare Recovery Audit Contractor (RAC) subcontract (hired and onboarded 50 inpatient nurse auditors in 90 days).- Led project to integrate the Optum Claims Editing product (ICES) into inVentiv’s proprietary claims surveillance engine.- Business Owner for complete system re-design, including integration of a claims surveillance engine, claims processing application, pre-certification tools, and multiple care management applications.- Developed processes and tools for a new Project Management Office.- Fully implemented several fast-paced overlapping projects.- Owner of business-critical projects and new lines of business.

Served in several roles during company purchase and leadership transition. Responsible for all client-facing interactions for Cost Containment division and Account Management team, representing 60% of revenue. Managed five direct reports with 24 total employees. - Maintained employee engagement and client service levels through multiple management transitions.- Pitched several efficiency and automation projects to new leadership (was eventually named Project Manager and Product Owner over these projects).

Developed and staffed anesthesia and pain management claims surveillance units, identified outdated systems and processes leading to lost work, missed revenue opportunities, and time delays, designed and implemented new applications to improve efficiency and revenue generation. Managed three direct reports.- Developed new claim surveillance rules, saving $6.3M in first 30 months.- Achieved 40% decrease in entry time and 20% increase in WIP tracking with automated claims processing tool. - Implemented daily claim update requirements for all physicians/staff. Improved claim tracking from 78% to 100% in first 30 days, reducing lost revenue due to missing work.

- Developed, implemented, and staffed a Quality Control program reviewing 12,500 cases per month. - Set up web conferencing system to reduce travel and generate income- Played an integral role in development and maintenance of a carrier guidelines database for Medicare, Medicaid, BCBS, and other carriers in 30 states- Educated insurance carriers when their policies were not consistent with national standards- Conducted new employee and ongoing training sessions on various aspects of anesthesia billing and physician documentation (Average class size: 20 people)- Conducted monthly and special project coding and compliance audits for accounts representing over 100,000 cases per month