Yyyyyy x. yyyyyy

Certified CMS Compliance Professional (CCMSCP)

P.O. Box 0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx abc@xyz.com

Compliance Training Policy Development Investigations & Audits

         Extensive background in directing regulatory compliance specific to healthcare environments.

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

         Highly methodical, congenial, and engaging; able to foster unified working relationships and a steadfast culture of ethics and compliance.

         Ability to communicate effectively with top-level management and prepare comprehensive executive audit summary reports.

         Proven success in personnel training & development, data analysis, risk management, policy writing, and project coordination.

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

         Excel at providing astute counsel to executive management to ensure privacy and data protection programs align with business priorities and strategy.

Phillips Consulting, Inc, 2015 to Present

Healthcare Compliance Consultant

         Spearhead full-scope consulting operations for engagements with clinical laboratories, physician group practices, hospitals, and other medical facilities.

         Investigate and assess regulatory compliance, provide temporary coverage of Compliance Officer functions, and deliver ongoing management of compliance department activities.

Lewis County Hospital District #1, Morton, Washington, 2012 to 2015

Chief Compliance Officer

         Governed all facets of compliance for critical access hospital, provider-based specialty clinic offering surgical, obstetric, wound care and podiatry services, two provider-based general practice clinics, and outpatient programs for physical, occupational, speech, respiratory and pulmonary therapy, sleep studies, laboratory, and long-term care.

         Administered compliance-related training for multiple departments, drafted and revised policies and procedures with an emphasis on HIPAA laws, and systematically audited all areas for precise documentation of services and billing.

         Held dual role as Contracts Administrator charged with tracking contracts district-wide throughout negotiation and execution phases and ensuring timely renewal processes.

Continued

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Professional Experience continued

United WestLabs Inc., Santa Ana, CA, 2009 to 2012

Compliance Director

         Directed compliance operations for laboratory outreach programs spanning 14 hospitals in California, Arizona, Nevada, New York, and Maryland.

         Analyzed and revamped compliance policies for pre-analytical operations as well as patient service center inspection and auditing procedures.

         Standardized process and guidelines for reviewing leases with sources of referrals for Stark Law / Anti-Kickback compliance.

         Conducted comprehensive assessment of company policies and procedures to ensure rigorous HIPAA compliance, and introduced new protocol for reporting disclosures.

         Proactively formalized protocol for complying with FTC Red Flags criteria regarding identity theft detection and prevention.

Unilab Corporation, Sacramento, CA, 2000 to 2004

Assistant Director of Corporate Compliance, Privacy / Security Officer

         Initially brought on board to steer expansion of Unilab s compliance program involving satellite locations throughout California, Arizona, and Nevada; traveled extensively to evaluate and verify rigorous adherence to Stark Law and Anti-Kickback Statute regulations, as well as company policies.

         Provided extensive training and support at all locations to reduce company risk and liability.

         Handpicked by General Counsel to assume role of Privacy & Security Officer and orchestrated efforts to accommodate new and changing HIPAA regulations; aligned and mobilized teams to complete mandated activities, structured company policies, and reported progress to corporate management.

         Invited to travel to Unilab locations and provide compliance training following company acquisition by Quest Diagnostics,

Laboratory Corporation of America, Burlington, NC, 1995 to 1999

Compliance Officer / Investigator

         Overhauled and streamlined company s nationwide compliance hotline to convey anonymous concerns regarding company operations directly to Corporate Compliance Department.

         Investigated majority of compliance concerns submitted by hotline and other sources and reported findings to Director of Compliance.

         Collaboratively prepared Corporate Integrity Agreement as part of settlement with federal government, and traveled to all company locations to train employees on associated compliance requirements.

         Functioned as integral member of LabCorp group charged with auditing potential acquisition targets to validate compliance with regulations.

CCMSCP, Progressive Healthcare Compliance Institute

Certified Six Sigma Greenbelt, Villanova University