Profile

• Health Information Technology Professional with 25 years of experience in
• Information Technology. Areas of expertise include: Implementation, Support, Training, Billing and Coding, Project Management and QA of Health Information Technology solutions.

Skills

• Horizon Physician Portal, EMR HPP/CPOE , HSM, HL7, SQL Server 6.0, MS Office '07/10 Word, Excel, Access, PowerPoint , LDAP Windows 7/XP/Vista/NT, Basic UNIX, OS/2, Apache, IIS Active Directory, Windows Server 2008
• Active Directory, Quest/Remedy, Clarify, 3M Encoder
• Medical Terminology, CPT-4, ICD-9 Coding Procedures, HITECH, Meaningful Use, Medical Insurance
• Billing, HIPAA, ICD-10 Contingency Planning Systems Maintenance/Support QA Testing,
• Business Analysis, Systems Analysis, EMR, e-Prescribing, EMR template configuration
• ICD-9 to ICD-10 GEM mapping, Project Management, SNOMED-CT Mapping.

Strengths

• Technical Savvy Ability to quickly adapt and learn to leverage new tools.
• Proven ability to simultaneously manage multiple projects in a fast-paced environment.
• Team orientation with a track record or working well with others of various levels, disciplines, and departments.
• Predispositions to take ownership of initiatives, solve problems, and recommend solutions.

Professional Experience

Confidential

ICD-10/SNOMED-CT Mapping Analyst

• Assign or review SNOMED mappings for interface terminology in
• accordance with production and release schedule.
• Utilize Cliniclue and RXNorm software to map medical Names/ Phrases to the ICD10CM Mapping string and SNOMED-CT codes.
• Serve as internal resource for SNOMED mappings and related information.
• Map to specific extensions of SNOMED e.g. SNOMED CT-US Extension.
• Perform quality assurance on SNOMED mappings.
• Contribute to terminology and mapping editorial policies.

Confidential

ICD-9 to ICD-10 Mapping Analyst

• Responsible for working on the ICD-9 to ICD-10 conversion project for a major US Hospital.
• Mapping and translation of ICD-9 to ICD-10 codes for database and reporting needs.
• Worked with a project team to ensure mapping of codes were completed on schedule.
• Project put on hold due to change in implementation timeline for ICD-10.

Confidential

Implementation Consultant Independent Contract -

• Troubleshoot point of care issues for end users.
• Liaison between Clinical Staff and System Analyst.
• Collaborate with Clinical Leadership team to show that the system is being utilized effectively.
• GO LIVE support for EMR Implementation HEO/CPOE .

Confidential

Instructor/Adjunct Instructor - Health Information Management Technology

• Maintains and develop course materials/assignments for each module.
• Plans course instruction based on approved syllabus/course outline provided to ensure course content and learning objectives are met.
• Utilizes a variety of teaching techniques to accommodate the learning styles of a diverse on-line student enrollment.
• Actively maintains student retention by keeping accurate daily attendance records, calling absent students, and recording absentee information in roster after each class meeting.
• Responsible for teaching courses in: ICD-9, ICD-10 Impatient Coding , Coding 3 Outpatient Coding , Computers and Healthcare EMRs for both Physician Practices and Hospitals and Revenue Cycle Management Courses.

Confidential

Implementation Consultant Independent

• Troubleshoot point of care issues for end users.
• Liaison between Clinical Staff and System Analyst.
• Collaborate with Clinical Leadership team to show that the system is being utilized effectively.
• GO LIVE support for EMR Implementation HPF

Confidential

EMR Implementation/Build/Support Analyst Contract

• Provide remote consulting support for the implementation of Practice Partner Electronic Medical Record EMR and Medical Billing Software PMS for healthcare facilities with multiple clinic locations with an average of 25-50 providers.
• Provide expert subject matter knowledge on EMR software, clinical operations and work flow.
• Develop EMR templates, iforms, documents, and work flow analysis.
• Analyzes problems with application software to identify problem area s and recommend corrective action.
• Configure EHR and related systems and integrations, including parameter settings, business rules, and tables.
• Support client reporting and handle special Meaningful Use reporting requests received from providers.
• Participate in the development of processes and procedures to facilitate enhancements and work-flow with internal users.
• Perform new server installs and configure server roles via Windows Server 2008 -Server Manager.
• Perform rebuild and fix on database tables and search database tables using SQL commands.

Confidential

Remote Clinical Coder Seasonal

• Abstracted pertinent information from patient medical records.
• Assigned appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments.
• Assigned Outcomes exception codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
• Remained current on medical coding guidelines and reimbursement reporting requirements.
• Complied with HIPAA laws and regulations

Confidential

Revenue Cycle Management/Billing Specialist/Medical Coder/Consultant

• Responsible for billing and collecting for all third party insurance payers adjustment functions, adjudicating, identifying, analyzing, reducing and resolving various revenue enhancement, and credit balance issues associated with approximately 400 million of hospital accounts receivable and insuring monthly cash flow of approximately 130 million for the previously mentioned service lines.
• Responsibilities further included the management of a portfolio of accounts consisting of 2000 Hospital accounts per Revenue Cycle Service Line Specialist collector and/or the processing of 6,000 Hospital claims per month per Revenue Cycle Service Line Specialist biller , with respect to the successful adjudication of approximately 500 Thousand claims on a monthly basis.
• Filed electronic and paper claims for private insurance, Medicare and Medicaid.
• Posted claims and update patient records, completing new patient
• record setup, reviewing and following-up on EOBs and posting
• Payments received from insurance companies, Medicare and Medicaid.
• Performed research on and captured revenue from denied claims. Followed-up on all unpaid claims.
• Performed patient follow-up and sent out patient billing statements.
• Provided E M code and ICD-9 coding based on procedures completed and diagnosis identified on Encounter forms.

Confidential

Technical Analyst IV

• Promoted to various roles and levels of responsibilities within the company due to continuously exceeding expectations to include Level 2 3 Systems Support, Quality Assurance/Tester, Project Management and Team Lead.
• Key contributor on a team of IT Engineers and developers responsible for providing systems and application support and consulting on a world-wide scale of B2B, E-Commerce, and web-based applications.
• Effectively managed small to medium-sized projects and implemented Disaster Recovery Plans.
• Coordinated and executed QA Testing: Systems Integration Testing, End User Acceptance Testing and Regression testing. Wrote SIT System Integration Testing test cases and test scripts.
• Provided technical consulting, management and business application knowledge for new releases, software patches, and other changes.
• Analyzed business needs, identified problems, and proposed solutions to the Business Team.
• Developed business requirements and new business processes based on meetings with the Business team and client.