PROFESSIONAL SUMMARY:

• Business Systems Analyst that Specializes in Data Validations with over 7 years of experience within the Accounting, Banking and Healthcare industries
• Highly proficient in Legacy Systems Migrations, Agile Software Development and Implementations of new systems
• Able to translate complex Business needs into high quality Requirements and Detailed Specifications by learning all systems involved (Extremely Fast Learner)
• Possesses excellent Written, Verbal and Interpersonal Communication skills
• Strong Testing, Troubleshooting, Root Cause Analysis and Planning skills
• Great Documentation, Organizational and Time Management skills

BUSINESS TOOLS AND TECHNOLOGY:

Software: Jira Confluence Sterling File Gateway Salesforce ServiceNow, HP ALM Archer GRC IBM RTC Jazz SharePoint Tableau OBIEE Microsoft Visio Microsoft Teams WebEx Quorum

EXPERIENCE:

Data Validations Specialist (Waterfall)

Confidential

Responsibilities:

• Validates and tests the Confidential Accounting data for a major system implementation
• Identifies system errors, process / workflow issues and logs Salesforce Case Support Tickets
• Performs Test Allocation runs and Revenue distributions for Journal Entries, System Values, Check Input and Reporting
• Facilitates Vendor Knowledge Transfer meetings and organizes thorough follow - up

Lead Business Systems Analyst (Agile)

Confidential, Pittsburgh, PA

Responsibilities:

• Wrote Backlog user stories for Pre-Grooming, 3 Amigos, Grooming, Sprint Planning ceremonies
• Developed project documentation such as Requirements, Use Cases and System Specifications
• Simplifies and standardizes complex concepts and processes into workflow diagrams and visual presentations
• Served as the main technical point of contact between Product Management and Development Teams for Change Management and Risk Vulnerabilities processes

Senior Business Analyst (Agile)

Confidential

Responsibilities:

• Learned official Agile Methodology and attended Agile Bootcamp
• Wrote User Stories using the formal Agile method: As a; I would like; So, that
• Wrote Acceptance Criteria using the formal Agile method: Given; When; Then
• Learned Sprints, Product Backlog, Sprint Backlog, Product Owner and Delivery Owner roles
• Learned the SCRUM process and SCRUM roles / MoSoCoW, CRUD and participated in Design Thinking sessions

IT Support Analyst

Confidential

Responsibilities:

• Provided remote technical support for Enterprise Hardware and Software applications
• Assisted with problems related to passwords, virtual computing, email, phone systems and other equipment
• Documented and completed all support calls in the form of Service Tickets
• Escalated and monitored tickets through Technology Support Levels to Issue Resolution

Business Analyst

Confidential

Responsibilities:

• Reviewed and documented Risk Vulnerabilities reports in Archer GRC
• Provided Business Analysis and Project Management processes
• Performed requirements elicitation and documented business reporting requirements
• Performed user acceptance testing and system enhancements and change management tasks
• Demonstrated strong technical proficiency with SharePoint, UAT, OBIEE, Tableau and HP ALM

Lead Instructor

Confidential

Responsibilities:

• Provided in-class instruction lectures and hands-on

Business Analyst

Confidential

Responsibilities:

• Analyzed, verified and updated Confidential client file names
• Built Excel spreadsheets from MIS SQL queries for UAT file data testing
• Submitted and coordinated various reports from Product Support ServiceNow for Change Management
• Troubleshot any file failures (both UAT and PRODUCTION) and coordinated with EFX Support
• Ensured compliance with each Confidential client’s Go Live on the New platform and decommission on the Legacy system

Medical Coding Analyst

Confidential

Responsibilities:

• Performed Risk Adjustment Data Validation (RADV) audit on health plan Medical Records
• Submitted CMS coversheets and requested Medical records to CMS
• Coded, Abstracted and Reviewed according to Medicare’s Risk Adjustment (MRA) model, Medicare Advantage Organizations, Medicaid and HEDIS (Perspective and Retrospective)
• Developed a network ICD-10 Code Mapping Database - Mapped to CPT, HCPCS Codes and RXNorm based on CMS HCC and CDPS categories for strategic Revenue Management

Senior Inpatient Coder

Confidential

Responsibilities:

• Reviewed and Abstracted West Penn Hospital Inpatient medical records
• Coded diagnosis and procedures by utilizing ICD-10 codes to ensure correct DRG Assignment
• Wrote and reviewed Medical Director coding queries

O.R. Audit Technician

Confidential

Responsibilities:

• Reviewed and verified all Procedures codes, Diagnosis codes and Materials quantities against the Charge Master Index and the O.R. Billing Sheets
• Utilized OSA Gold, O.R. Manager and Report Tree to abstract Medical Records for daily counts
• Compiled Monthly Budget and Daily Volume reports for department Directors and Senior Management

Business Analyst / Technical Writer

Confidential

Responsibilities:

• Abstracted Medical Coding specifications from CMS Confidential manuals for Confidential Software project