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Yyyyyy x. yyyyyy

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

Relocating to San Diego, CA

Healthcare Administration Professional

Health Information Management ~ Policy & Procedural Compliance ~ Program Administration

Risk Assessments ~ Investigations ~ Audits ~ Customer Service ~ HIPAA Privacy / Confidentiality

 

Profile

 

         Extremely well-versed in healthcare terminology gained from 18+ years in Healthcare Compliance and Health Information Management (HIM).

                     Advanced knowledge of Medicare, Medicaid, OIG, Joint Commission, CMS and HIPAA regulations.

         Leverage sharp attention to detail to constantly monitor adherence to policies and procedures related to the privacy and security of personal health information and personal identifiable information.

         Highly congenial and able to foster unified working relationships and a culture of ethics and compliance.

         Able to interact with all levels of management and prepare comprehensive executive audit summary reports and other related documentation.

         Strong analytical, problem solving, follow-up, prioritization, and presentation skills.

         Innovative, insightful, and able to analyze and translate policy into practical business processes.

         Selected as Employee of the Year at Alaska Native Tribal Health Consortium in 2009.

         Interviewed and featured in December 2013 issue of HCCA Compliance Today ( A Discussion on Celebrating Corporate Compliance & Ethics Week. )

Professional Experience

 

Alaska Native Tribal Health Consortium, (ANTHC), Anchorage, AK 1997 to Present

Senior Compliance Specialist / Privacy Officer (2008 to Present)

         Partnered with Chief Ethics and Compliance Officer to administer compliance program, conduct risk assessments, enforce ethical and compliant behavior, and perform in-depth audits of EMR software.

         Elevate staff compliance by devising, structuring, and delivering related training and educational materials.

         Conduct regular investigations, document findings and recommendations, and interview clinical and non-clinical staff periodically to assess and maximize conformance to regulatory guidelines.

         Proficiently steer all aspects of privacy by swiftly responding to concerns and inquiries, and diligently monitoring compliance hotline.

         Report to Joint Operating Board on matters specific to privacy, and cultivate productive relationships with key stakeholders to accomplish organizational goals.

 

Associate Compliance Specialist (2005 to 2008)

         Partnered with Compliance Officer to collect and analyze meaningful program data, reveal trends, and promote awareness of ethical and compliant behavior organization-wide.

 

Continued

 

 

Yyyyyy x. yyyyyy Page 2 of 2

 

Professional Experience continued

 

         Collaboratively formulated and implemented risk assessments for all divisions and departments to determine appropriate course of action for achieving and sustaining 100% compliance.

         Recommended continuous improvement strategies and approaches for program and extensively contributed to revising, updating, and creating associated policies and procedures.

 

Senior Office Specialist Compliance (2003 to 2005)

         Spearheaded full-scope office operations including records maintenance, budgetary control, file management, answering incoming calls, scheduling appointments and meetings, and maintaining up-to-date webpage.

         Orchestrated travel logistics for management staff as required and accurately recorded minutes of all department meetings.

 

Supervisor, HIM Release of Information (1997 to 2003)

         Responded to internal and external requests for release of information contained in patients medical records, exhibiting constant and stringent adherence to legal regulations and hospital policies.

         Teamed with hospital management to protect the rights of each patient to inspect, amend and restrict access to protected health information.

         Championed cohesive efforts among medical staff, management, and Ethics, Compliance and Risk Management department to ensure continual observance of standards for patient privacy and confidentiality.

         Relied upon to effectively represent employer in court proceedings by expertly presenting health records.

Professional Development

 

Graduate, Healthcare Privacy Academy, 2012

 

Graduate, Healthcare Compliance Academy, 2009

 

Attendee, Alaska Regional Healthcare Compliance Association Conference, 2006 to Present

 

Affiliations & Activities

 

Member, Health Care Compliance Association (HCCA)

 

Planning Committee Member, HCCA Alaska Regional Conference, 2007 to Present

 

Technology

 

EHR / EMR software, Microsoft Office (Excel, Word, PowerPoint), Adobe

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