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Yyyyyy x. yyyyyy
Eager to contribute significant Healthcare background and IT expertise toward supporting a progressive facility in optimizing bottom-line performance.
Provider Relations ~ Project Management ~ Workflow Optimization ~ Problem Solving
Training ~ Medical Billing & Coding ~ EHR Software ~ System Implementations ~ Regulatory Compliance
Comprehensive understanding of the clinical environment and healthcare operations gained from 15 years of industry experience.
Exemplary strengths in orchestrating seamless implementation of high-quality deliverables for clinical healthcare projects while ensuring strict compliance with HIPAA privacy and security laws.
Excel at collaborating and communicating with multi-disciplinary healthcare team members to facilitate unified efforts and optimize safety and quality of patient care.
Substantial success in improving the overall quality and completeness of clinical documentation.
Able to straightforwardly explain or convey technical information to non-technical personnel.
Excellent skills in educating physicians and key healthcare providers in the vital need for accurate and complete clinical documentation within patients health records.
Adept at analysis and trending of statistical data for specific patient populations to pinpoint opportunities for impactful improvements.
Sharp blend of analytical, troubleshooting, organizational, training, and customer service skills.
Successfully achieved NCQA recognition 2008 PPC-PCMH Level 3.
Bon Secours Health System, Inc., 2015 to 2016
Population Health Manager
Strategically steered clinical transformation by directly interfacing with healthcare providers on all population health-related change management initiatives.
Spearheaded full-scope departmental administrative aspects including attribution tracking, patient notification communications, and quality management reporting.
Conducted daily, weekly and monthly onsite practice visits for approximately 110 providers across 30 facilities in the Tristate area.
Supported ACO through management of Medicare Shared Savings Program and other population health initiatives encompassing annual wellness visits, in-network utilization, fall risk assessments, depression screenings, diabetic eye exams, and more.
Collected, assessed, and distributed provider attribution data to identify high-risk/high-utilization patients for outreach.
Manually audited charts to reveal reporting discrepancies or determine areas needing documentation improvement.
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Administered population health training programs for providers, practice managers and staff in direct support of operational, market, quality and strategic goals.
Educated hospital staff in performance improvement activities and regulatory compliance.
Bon Secours Health System, Inc. - ConnectCare, 2012 to 2015
Epic Care Ambulatory Certified Application Coordinator
Conducted detailed assessments of workflows, content, data collection, reports, and other technical elements to define solutions which precisely aligned with end user requirements.
Implemented Epic Ambulatory EHR application within medical group practices obtained by hospital.
Played an active role in training end users, installed system updates as needed, and performed troubleshooting and testing to ensure flawless application performance.
Effectively liaised among IT hardware and software vendors to maintain contracts, pivotal to meeting corporate revenue and profit targets.
Scrutinized, validated, and redesigned workflows as needed to optimize efficiency and data integrity.
Rockland Pulmonary and Medical Associates, Rockland, New York, 1999 to 2012
EHR Project Manager / QA / Billing Specialist / Respiratory DME Department Manager / LPN
Steadily advanced through a series of promotions based on exceptional performance, loyalty, contributions and results.
Project-managed system design, implementation and configuration of Allscripts Document Management System to streamline chart access and workflow, and provided end user training.
Championed NCQA 2008 audit and Interactive Survey Submission using data from both paper charts and EHR software.
Performed billing workflow mapping for ICD-9/CPT codes according to explicit documentation requirements and quality criteria.
Governed all facets of DME services provided to members, meticulously tracking utilization of ordered items and equipment to drive quality assurance and member satisfaction.
Fostered productive communication between providers and office staff and cultivated strong business relationships with referring offices.
Collaboratively marketed and promoted medical office and sleep center to boost facility awareness and patient volume.
Navigated workflow redesigns for seasonal flu clinics, DME service department and skilled nursing facility services to simplify and enhance daily operations.
LPN, State University of New York
Epic Care Ambulatory Certified Healthcare Specialist
Epic Care Ambulatory Allscripts Document Management System Medical Manager
Athena SharePoint Microsoft Office Visio
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