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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 ● (xxx-xxx-xxxx ● abc@xyz.com

 

HIM & CDI Manager / Director / Project Manager

Health Information Management ~ Clinical Documentation Improvement

Revenue Cycle Management ~ Utilization Management ~ Project Management

 

Profile

 

         Accomplished leader offering 20+ years in healthcare administration encompassing patient access services, HIM system administration, staff training, billing, coding, audits, and case management.

         Project-managed countless EMR implementations, ICD-10 assessments, and HIM re-organizations.

         Adept at training and mentoring, formulating policies and procedures, marshalling department reorganizations, negotiating vendor contracts, and enforcing HIPAA compliance.

         Contribute dynamic communication skills toward effectively liaising between executives and internal/external stakeholders in support of achieving corporate objectives.

         Excel in analyzing existing healthcare practices and shepherding process improvements to elevate patient satisfaction while controlling expenses.

         Technical expertise spans McKesson (HPF/HBF), QuadraMed Quantim, Epic, Meditech, 3M Encoder, Cerner, STAR Navigator, Kronos, HMS, Microsoft Office (Access, Excel, PowerPoint, Word), and Microsoft Project.

 

Professional Experience

 

Bolder PPS, 2015 to Present

Auditor / Coder (Remote)

         Provide medical coding services remotely, consistently maintaining 95%+ quality rating while coding three or more inpatient charts per hour.

         Audit new coders, transitioning coders, and new account charts to ensure strict adherence to quality.

 

Carson Tahoe Health, 2015 to 2017

HIM / CDI Manager

         Captured considerable cost savings by eliminating outsourced coding operations.

         Successfully decreased DNFB (discharged not final billed) to less than two days.

         In initial role as Interim Coding Manager, lowered unbilled from $22M to $10M in two-week period, and steered seamless ICD 10 implementation.

 

Comforce / Memorial Medical Center / LifePoint, 2014 to 2015

Interim HIM & Case Management Director

         Significantly reduced unbilled from $26M to $8M in three weeks, lowered deficiency/delinquency rates to less than 2%, and eradicated four-week records processing backlog.

         Boosted department productivity and slashed labor expenses by realigning roles and responsibilities, including eliminating four positions.

 

Coffeyville Regional Medical Center / American Consultants, 2013 to 2014

Interim HIM Director

         Overhauled department to resolve two-week records processing backlog and diminish DNFB from $16M to $2.6M at 138-bed acute care facility.

 

Alta Bates Summit Hospital, 2012

Project Manager

         Established fully-functioning, stand-alone, HIM department by standardizing policies and procedures for medical coding, billing, and management of outpatient cancer records.

 

Continued ►

 

 

Page 2 of 2

 

St. Clare's Health System, 2011

Interim HIM Director

         Reduced delinquency rate by 11% and DNFB by $14M at 800+-bed teaching health system consisting of four facilities, and concurrently assembled audit committees to increase quality control and assurance.

 

St. Elizabeth s Hospital / Healthcare Resource Group, 2010 to 2011

Interim HIM Director

         Championed efforts to slash DNFB from $21M to $6.1M and facilitate transition to outsourced transcription.

 

Lovelace Women s Hospital, Albuquerque, NM, 2009 to 2010

Director, Health Information & Patient Access, Facility Privacy Officer

         Decreased delinquency rate from 46% to 16% and propelled up-front cash collections by 206%.

         Helmed both departments utilizing <80% of expected FTEs per productivity standards.

         Project-managed timely and budget-complaint EMR and transcription conversion.

         Orchestrated efforts to dramatically lessen DNFB from $16M to $1.7M.

 

Norwegian American Hospital, 2008 to 2009

Interim HIM / Business Office Director

         Decreased DNFB from $11M to $3.2M and successfully amplified upfront cash collections by 60%.

 

Monroe Hospital, 2007

Interim Director, Revenue Cycle and Chief Privacy Officer

         Established and launched Medical Records, Utilization Review, Patient Financial Services, Patient Access and Case Management operations, and charged with devising HIPAA policies and training materials.

 

Pikeville Medical Center / Precyse Solutions, Pikeville, KY, 2005 to 2006

Assistant Director, HIM

         Enriched relationships with medical staff to reduce delinquency/deficiency rate from 43% to 17%.

 

St. Luke s Health System, Crittenton Children s Center, Kansas City, MO, 2001 to 2005

Director, HIM & Administrative Support and Privacy Officer

         Abolished backlog of 312 patient charts within first five weeks, and drastically lowered delinquency rate from 49% to only 6% in eight-month period.

         Reduced annual budget by 37% and lowered department headcount by five while increasing productivity.

         Hired, trained, and mentored transcriptionist to eliminate related outsourcing costs by $48K annually.

 

Document Imaging Specialist / Supervisor / HIPAA Site Coordinator

         Directed EMR project for three facilities from planning and development to training and implementation.

         Proactively instituted in-house billing process for Release of Information and trained associated staff.

 

Additional Projects, Roles & Assignments:

 

HIM Consultant, Healthcare Resource Group

Project Manager, Morton General Hospital

Interim HIM / Utilization Management Director, Crystal Clinic / Maxim Health

Interim Coding Director, University of Massachusetts Medical Center

Project Manager, Henry Mayo Medical Center

Interim HIM Director / Privacy Officer, Lawrence & Memorial Hospital

Area Operations Manager (17 facilities), Chart One / St. Luke s Health System

 

Education & Certifications

 

A.S., Health Information Technology, Hutchinson Community College

RHIT, American Health Information Management Association

Candidate, B.A., Healthcare Administration, NAU

 

 

Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 ● (xxx-xxx-xxxx ● abc@xyz.com

 

 

 

 

 

 

INSERT DATE

 

 

 

HIRING AGENT NAME

TITLE

COMPANY NAME

ADDRESS

CITY/STATE/ZIP CODE

 

Dear__________________:

 

I am currently seeking a challenging career opportunity in a (INSERT JOB TITLE) capacity and am submitting my resume for your review. In advance, thank you for your time and consideration.

 

As demonstrated, I offer a seasoned career in the healthcare administration arena and considerable success in the complete spectrum of patient financial services and revenue cycle operations. Along with proficiency in HIM and CDI initiatives, I m equally comfortable in performing and directing coding operations and spearheading EMR projects and transitions. My managerial skills are top-notch and I ve developed a solid reputation for streamlining department operations and driving measurable process improvements. To complement these qualifications, I offer exemplary strengths in hiring, training, mentoring, and manpower allocation.

 

As a proactive contributor to your hospital, you will find me to be a stellar leader committed to supporting you in achieving your objectives through a superior blend of financial savvy, technical acumen, and rigorous attention to quality assurance. I am confident that I could be an asset to (INSERT NAME OF ORGANIZATION), and will call you later in the week to see if we can schedule a time to meet.

 

Sincerely,

 

 

 

Yyyyyy x. yyyyyy

 

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