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Him Adjunct Instructor Resume

Gardena, CA

SUMMARY:

  • Analytical, highly adaptable Health Information Management professional with extensive experience developing, deploying, and analyzing systems to meet goals.Ready to leverage hands - on administrative experience with high-level HIM knowledge to provide consulting and management in a healthcare organization.
  • Skilled at safeguarding patient data to meet HIPAA regulations and Joint Commission regulations; track record as a detailed auditor and reviewer.
  • Expertise in compliance (state, federal) for reimbursement as well as in applying National Correct Coding Initiatives (NCCI), NCD, and LCD edits.
  • Technically proficient with Microsoft Office, EPIC, Citrix, GECentricity, Allscripts, MedAssets, eCW, McKesson, Cerner, Dolbey, Mysis, EncoderPro, 3M encoder and other Electronic Health Record (EHR), billing programs and software.

PROFESSIONAL EXPERIENCE:

Confidential,Bedminster,NJ

Director of Operations, Claims Editing

Responsibilities:
  • Streamlined process improvements and revenue by implementing a new forecasting KPI dashboard utilized for data analysis and productivity reporting.
  • Contributed to 50% reduction in outstanding appeals inventory within 60 days of hire by managing a comprehensive departmental restructuring process.
  • Delivered more than $1.5M in departmental revenue; a track record of the best month-to-date for the department.

Confidential,Princeton,NJ

Director, Healthcare Coding

Responsibilities:
  • Oversaw process improvements to meet targeted departmental goals and team/individual productivity/QA standards.
  • Selected to serve as the project manager and committee member overseeing execution of offshore ICD-10 training modules.

Confidential,Abington,PA

Manager, Coding Documentation and Compliance

Responsibilities:
  • Contributed to a restitution of $20,000 to $800 within first quarter by successfully challenging a third-party audit request of the Bureau of Program Integrity.
  • Supported providers through executing an educational program to increase providers’ understanding of coding regulations, proper documentation, and compliance requirements.

Confidential,Gardena,CA

HIM Adjunct Instructor

Responsibilities:
  • Provided vocational and continuing education college course instruction in the Health Information Management department; developed and delivered lesson plans, course materials, assignments, and tests to promote learning.

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