Assisted in planning, workflow engineering and deployment of Optum CAC. Responsibilities included ownership of Document Mapping Spreadsheet, participated in testing of HL7 messages from source system to CAC. Support of CAC technical issues during Go-Live. Responsible for maintenance of tables and security of systems for coding, abstracting, deficiencies, correspondence and tracking of charts. Developed work flow rules for Clinical Documentation Improvement program. Included writing rules to push encounters to various CDI team members, removal of non applicable visits from work list, prioritization of work. Designed workflows for coding and abstracting. Wrote work flow rules to push encounters to coding work queues based on encounter type, pend status and specialty. Built workflow for dual coding (ICD-10 and ICD-9) in preparation of ICD-10 Implementation. Assist with the DNFB (Discharged Not Final Billed) reports, working encounters not coded and encounters returned to HIM via Quadax for resolution.

Responsible for 15 FTEs, including direct supervision of staff and Coding Coordinator. Responsibilities included management of daily functions of the department including correspondence, analysis, abstracting, physician incomplete area, physician suspension, coding and unbilled accounts. Responsible for redesign of many workflows to improve productivity and quality of product produced. Member of the A/R Task Force which is responsible for oversight of the Revenue Cycle. Coding quality as determined by annual 3rd party audits has improved from 85% DRG Accuracy in 2009 to 95% DRG Accuracy in 2011. Departmental productivity was calculated at 149% for Fiscal Year 2011. Well versed in Joint Commission guidelines, CMS guidelines and HIPAA regulations. Implemented ER scanning at point of care, ER staff is scanning; HIS is quality checking and indexing. Re-engineered ER coding workflow to include ER charge determination and entry. Re-engineered Quadax workflow bringing the outstanding encounters from approximately $800,000 per month to under $200,000 per month. Participated in the development and implementation of exporting transcribed reports to UES.

Responsible for 38 FTEs, including direct report of two Operations Coordinators at Lake Hospital System. Responsibilities included management of daily functions of the department including correspondence, analysis, abstracting, physician incomplete area, physician suspension, coding and unbilled accounts. Implemented the 3M coding software. Responsible for maintaining the Discharged Not Final Billed at approximately 3.5 million. Member of the A/R Task Force which is responsible for oversight of the Revenue Cycle. Coordinated and planned change in transcription platform, from batch printing to concurrent printing to nursing stations. Assisted with development of several new policies and procedures related to HIPPA regulations. Proficient in the use of 3M Codefinder. Facilitator for the Medical Record Committee which includes forms control, performance improvement and clinical pertinence. Experienced in implementation of the Electronic Medical Record. Member of the LHS Implementation Team responsible for the development, programming and roll out of Siemens Soarian HIM and Common Clinicals. Organized and managed the Forms Inventory, document mapping and bar-coding of all forms prior to go live. Assisted in the development of the electronic forms to be used in Siemens Soarian Common Clinicals. Skilled in writing filing, bursting and OLC Posting rules for incoming electronic documents. Developed new workflows for scanning, QA/QC of images, and electronic deficiencies. Developed the definition of the “Legal Medical Record”.