Health Information Technology Research Administrator/Researcher Resume

PROFESSIONAL EXPERIENCE

Confidential

Health Information Technology Research Administrator/Researcher

Responsibilities:

Coordinate with federal, academic, and commercial partners on the latest in Health Information Technology (HIT).
Conduct ongoing technology assessment of health information systems and products to identify and meet patient needs, Clinical System's programs, and potential external collaborations.
Evaluate informatics technologies for potential application within the Military Health System (MHS).
Attend technical, scientific, and administrative meetings and coordinate communication.
Document requirements for potential product solutions, to be expressed as use cases, business process models, technical specifications and other deliverables as required
Prepare scientific documentation to support research results.
Provide subject matter expertise and assist with the proposal preparation for intramural research projects from the pre - proposal stage to full proposal submission to craft proposals of value to military medicine.
Facilitate strategic healthcare collaboration through high levels of government, academia and industry to further MHS healthcare initiatives.
Conduct market analysis to evaluate available and emerging advanced healthcare technologies.
Coordinate with senior MHS representatives to identify advanced Healthcare Information Technology needs and requirements.
Convene or join specialized medical and professional meetings on topics of importance to the DoD; communicate and obtain critical peer review of new findings and concepts for verification, validation, and accreditation of new technologies and policies for military medical applications.
Attend cross-government agency and high-level meetings involving public/private consortiums involved with HIT.

Confidential

Technical Director/Program Manager

Responsibilities:

Serves as primary consultant in Health Information Management to Data Systems Group and the Division of State Systems.
Technical Lead for the States and Territories Medicaid Program ICD-10 Implementation.
Represent Data System Group on CMS eHealth, Administrative Simplification Steering Committee.
Provides technical advice and assistance to senior managers and DSG/DSS staffs to ensure objectives of the Division State System are met.
Serves as Technical advisor to the CMS eHealth, Administrative Simplification Steering Committee subgroup on policy remediation.
Provides Technical Assistance to states on ICD-10, Operating Rules, Administrative Simplification and HIPAA Transactions and Code Sets mandates.

Confidential

Technical Director/Program Manager

Responsibilities:

Served as the primary consultant in Health Information Management to Medicaid Integrity Group and the Division of Fraud Research and Detection, and their contractors.
Performed quality assurance on proposed Medicaid fraud and abuse algorithms for compliance with CMS coding and billing policies.
Served as MIG/DFRD point of contact for medical coding policies and ICD-9-CM and ICD-10-CM PCS.
Provided technical advice and assistance to senior managers and MIG/DFRD staffs to ensure objectives of the Medicaid Integrity Group are met.
Served on CMS /MIG Committees and workgroups. Developed algorithms for Medicaid fraud detection program.
Reviewed algorithms developed by contractors for compliance with CMS policies and billing and coding standards.

Senior Specialist Health Record Administrator

Confidential

Responsibilities:

Served as Risk Management Programs Specialist responsible for tort claims processing.
Served as IHS Medical Record Consultant for headquarters operations.
Represented IHS and PHS at the Federal Interagency Committee on Medical Record.
Represented IHS at the HHS Privacy Council Committee on HIPAA implementation.
Represented IHS on the DHHS Quality Review Council.

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