Sasha Goodwin, Mfa, Rhia, Cpc-A Email and Phone Number
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Business process leader leveraging 20+ years of experience driving productive organizational change by streamlining operations through business analysis, workflow documentation, IT system implementation, data quality assurance, and regulatory compliance. KEY ACHIEVEMENTS: ☑ Change Leadership - Ensured business transformation success; provided end user training, coaching, and critical troubleshooting measures to 500 clinical and registration staff to build provider profiles using Medicaid billing systems. ☑ Performance Improvements - Thoroughly analyzed business process and workflows; introduced and developed extensive instructional materials and facilitated 30+ workshops to efficiently reduce patient identity errors by 25% and implement processes to minimize patient risk. ☑ Program Transformation Management - Successfully configured Medicare products using QXNT claims processing application to reduce time spent on annual contract and benefit changes by 80%. CORE COMPETENCIES & SKILLS ☑ Health Information Mgmt☑ Electronic Health Records☑ Business Administration☑ Documentation Methods☑ Workflow Analysis☑ Business Process Evaluation☑ Business Requirements☑ Project Management ☑ Research☑ Testing ☑ Data Governance☑ Data Modeling☑ Reporting Solutions☑ Quality Assurance☑ Training☑ Needs Analysis☑ Curriculum Design☑ Content Development☑ User System Support☑ Case Management ☑ Program Policies & ProceduresTECHNICAL EXPERTISE: ☑ Ambulatory Electronic Medical Record (EMR) Next Gen☑ Cerner Millennium☑ Epic HIM☑ Microsoft Office Suite
Highmark Health
View- Website:
- highmarkhealth.org
- Employees:
- 15286
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Senior Business System Analyst - RemoteHighmark HealthAuburn, Me, Us
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Senior Business Systems Analyst - RemoteHighmark Health Apr 2021 - PresentPittsburgh, Pennsylvania, UsAnalyzing Medicaid and Medicare directives to translate policy into automated claim processing solutions. Configuration of benefits and pricing. Troubleshooting claim issues. Gathering requirements for HealthEdge member benefits configuration. HealthEdge Health Rules Payor configuration. Burgess and Altruista/Guiding Care configuration.
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Healthcare Claim Systems ConsultantEvergreen Healthcare Advisors, Inc. Sep 2020 - Apr 2021Evergreen, Co, UsContract-to-hire at Highmark Health. HRP configuration. Legacy system maintenance. Resolving complex business issues to achieve agreement across departments. -
Senior It Business AnalystAim Consulting Group Aug 2019 - Feb 2020Bellevue, Washington, UsVeeva Vault RIM implementation. Business analysis of current and future states. Leading system functionality and optimization discussions with vendor. Development of testing scripts and testing. -
Business Systems Analyst - Compliance & Privacy CoordinatorKaiser Permanente Sep 2015 - Aug 2019Oakland, California, UsEnsured adherence to corporate policies and data quality within the compliance, privacy and ethics information systems. Reviewed monthly reporting and performed annual compliance program reports. Investigated billing alignment with regulatory guidelines to ensure compliance with CMS and OIG work plans.Key Achievements:✔ Conducted 36+ data quality checks; performs ongoing system testing. ✔ Successfully standardized data compliance of 150 data definitions. ✔ Delivered 40+ reports to track compliance and decision support for executives. ✔ Demonstrated strong teamwork skills by coordinating training for 300+ employees to create and revise policies through Lucidoc application.✔ Acquired Professional Coder Certification (CPC-A) in Spring 2018. -
Business Analyst And Trainer – Data Integrity And Workflow AnalystSwedish Medical Center May 2011 - Sep 2015Seattle, Wa, UsServed as the project lead to redesign workflow and train clinicians to detect and mitigate identity and subsequent documentation errors in a high-volume hospital database of confidential records. Resolved patient identity errors and ensured accurate information for regulatory audits. Key Achievements:✔ Streamlined operations by investigating and resolving 250+ identity errors witin electronic health records. ✔ Facilitated and implemented 38+ enterprise-wide processes and workflows in the Emergency Department and clinic. ✔ Identified operational errors in Epic from the Anesthesia and Radiology Data Systems; implemented workflows and resolved issues across 4 systems. ✔ Successfully trained 100+ ambulatory nurses to detect and resolve incorrect patient record selection. -
Business Systems ConsultantFlextech, Inc. Aug 2010 - May 2011Provided strategic direction and resolution of complex business problems with automated systems. Provided technical expertise by identifying, evaluating, and developing systems and procedures in planning for and testing system changes. Trained providers and their staff to submit Medicaid claims to Molina.Key Achievements:✔ Led training and outreach program for 500 providers for the Molina Idaho Medicaid QNXT 4.6 claim processing system implementation. ✔ Created system solutions for 33+ complex healthcare organizations across Idaho, USA. ✔ Provided key knowledge to Medicaid providers and vendors to facilitate claim submission and use of web-based portal systems.
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Healthcare Coding Configuration AnalystAdaptis Nov 2006 - Feb 2010Seattle, Washington, UsManaged and coordinated design, development, implementation and enhancement of critical applications across diverse platforms. Partnered with the Escalation Team to identify, evaluate and analyze workflows to create effective solutions. Other tasks included analyzing business requirements, creating documentation, and leading implementation of QNXT system for claim processing issues within agreed timelines. Key Achievements:✔ Implemented IT system controls to configure claims processing software and developed 400+ test cases for government and commercial products for WA and OR. ✔ Proactively contributed to 75+ contracts, benefits, and group configuration projects.✔ Successfully maintained client relationships by developing new procedures and training curriculum for 50 claim analysts.
Sasha Goodwin, Mfa, Rhia, Cpc-A Skills
Sasha Goodwin, Mfa, Rhia, Cpc-A Education Details
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University Of WashingtonHealth Informatics -
Pacific UniversityCreative Writing
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Ithaca CollegeBa
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AapcMedical Coding
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Ithaca CollegeCreative Writing
Frequently Asked Questions about Sasha Goodwin, Mfa, Rhia, Cpc-A
What company does Sasha Goodwin, Mfa, Rhia, Cpc-A work for?
Sasha Goodwin, Mfa, Rhia, Cpc-A works for Highmark Health
What is Sasha Goodwin, Mfa, Rhia, Cpc-A's role at the current company?
Sasha Goodwin, Mfa, Rhia, Cpc-A's current role is Senior Business System Analyst - Remote.
What is Sasha Goodwin, Mfa, Rhia, Cpc-A's email address?
Sasha Goodwin, Mfa, Rhia, Cpc-A's email address is sa****@****ail.com
What is Sasha Goodwin, Mfa, Rhia, Cpc-A's direct phone number?
Sasha Goodwin, Mfa, Rhia, Cpc-A's direct phone number is +120640*****
What schools did Sasha Goodwin, Mfa, Rhia, Cpc-A attend?
Sasha Goodwin, Mfa, Rhia, Cpc-A attended University Of Washington, Pacific University, Ithaca College, Aapc, Ithaca College.
What are some of Sasha Goodwin, Mfa, Rhia, Cpc-A's interests?
Sasha Goodwin, Mfa, Rhia, Cpc-A has interest in Social Services, Children, Education, Environment, Poverty Alleviation, Poetry, Human Rights, Nature, The Visual Arts, Arts And Culture.
What skills is Sasha Goodwin, Mfa, Rhia, Cpc-A known for?
Sasha Goodwin, Mfa, Rhia, Cpc-A has skills like Informatics, Troubleshooting, Business Process Improvement, Documentations, Research, Quality Control, Customer Service, Editing, Policy Analysis, System Design, Hipaa, Healthcare Information Technology.
Who are Sasha Goodwin, Mfa, Rhia, Cpc-A's colleagues?
Sasha Goodwin, Mfa, Rhia, Cpc-A's colleagues are Tom Wotherspoon, John Moorehead, Dayanandh J, Maria Cortez Montoya, Lindsay Dalby, Loyd G., Miles Urban.
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