WORK EXPERIENCE:

Confidential,  Philadelphia, PA

 Test Lead 

• Hired for a short term project to provide full leadership for unit and integrated testing for various departments in readiness for go live.
• Lead the development of comprehensive unit and integrated test plans for Revenue Integrity, HIM, Case Management, Patient Accounting, Registration and Population Health.
• Utilizes Work Flow Manager, Test Tracker, and Test Builder to create, design and modify test cases.
• Works with Design Leads to finalize and approve workflows and generate eys for testing
• Coordinate with client and vendor representatives and application analysts, to track the outcomes and issues related to unit and system testing.
• Lead the integrated testing phase of a Cerner implementation including all revenue integrity and ancillary applications.
• Oversee all issue management process and coordinate with vendor and application analysts regarding changes to the test environment.
• Work with stakeholders to identify workflow and functionality gaps during the testing phase and update system tracker accordingly.
• Define project management milestone deliverables for the testing team.
• Develop comprehensive management reports and status reports related to all phases of testing.
• Coordinate and lead the development of integrated testing scripts in conjunction with vendor and application analysts.
• Coordinate test script and test plan development
• Schedule resources for testing events
• Develop/coordinate issue management process and documentation for testing events

 Project Manager

• Work with established behavioural health clients and team members to provide superior customer service in the implementation of financial services to Inpatient, Residential, Behavioural facilities nationwide for a 4 month RI project
• Oversees the implementation and roll out for;
• Fee Schedules, Nursing and Room Maintenance, Behavioural Health Registration Flow, Emergency Access, Payment Codes, Healthcare Code Sets, Bank Codes, ICD 10/CPT 4, Organization File, Destination File, Referring Physicians, Contract Variables, Allowance Codes, Payment Codes, Medication Administration, Billing Collection Letters, Rate updates
• Facility workflow
• Conduct data analysis and provide recommendations on process improvement       
• Assist with generating/refining internal and external documentation
• Act as a subject matter expert and liaison with customer for specific system areas
• Accurately estimate work effort and complete assignments on schedule
• Coordinate defect resolution with developers and retest fixes
• Provide guidance and document needs for system enhancement and modification

SME

• Determine root cause for errors that are part of Soarian Financials Encounter Billing Exception Worklist by high dollar area/department, oldest by area/. Reduced EBEW charge errors and insurance claims from $18 million to $900,000 by end of project
• Created governance around charge errors and work flow impediments
• Scheduled discovery sessions with departments, to assess current and future workflow and design workflow based on the discovery of errors on the worklist that were mapped to inefficient processes. Provides guidance and strategy around departmental and organizational inefficiencies. Created revenue cycle workflow diagrams /designs utilizing Visio and Process Modeling tools such as Biz Agi for Acute and Ambulatory departments.
• Coordinated jad sessions with Directors, Managers, CFO, CEO. Presented weekly summary and updates of activities, challenges, risks, solutions. Created historical documentation of workflow as is to be state, accompanied with detailed designs and governance structure
• Developed policies and procedures, risk management, education, and incident response.
• Ensures organizational compliance with relevant laws, legal requirements, audit requirements and the HIPAA Security Rule.
• Created unit and functional test scripts for departments to re - test system functionality and interoperable workflow efficiencies. Created a rvenue cycle tiger team to continue work post implementation.
• Defined worklists, configure worklists, maintain work reason assignment, set up qualification rules, assign users, QA assigned staff
• Established governance and workflow documentation for revenue cycle areas such as: Lab/ Cerner HIM/Surgery/ER/Patient Access/Registration/Physical Therapy/OT/Pharmacy Cath Lab/Radiology/Inpatient/Outpatient /Nursing Homes/Billing and Coding
• Identified all EBEW related processes departmentally . Re-write standard of work to align to workflow designs. Identify all workflow related touchpoints during meetings with HIM/Billing/Coding .
• Perform gap analysis, ensure policy alignment, evaluate regulatory compliance.

 Improvement Manager 

• Hired to direct project team activities around charge capture or complex system implementations; analyzed customers ’ business requirements and application objectives; and managed all schedules, milestones, signoffs, and deliverables. Opportunities to enhance revenue collection via system and medical device integration, charge capture automation, supply chain inventory in readiness for Siemens conversion for both Acute care and Ambulatory facilities. Firstnet, Radnet, Pathnet , Cerner Lab, HIM
• Served as liaison between businesses, technology, clinical groups, gathering requirements, and overseeing definition of specifications, leading project teams, coordinating implementation, and verifying integration test results against requirements. Serve as Command Center Captain to ensure issues are resolved in a timely manner. Conducted interview sessions; Performed "as is" and "to be" gap analysis, analyzed and re-engineered work flow.
• Conducted work sessions to address high dollar non-automated procedures; billing and supply chain technical and business integration with Soarian Financials. Worked with discovery plan on supply chain -PeopleSoft to address system integration and functional limitations. Created strategy to bypass limitations to meet regulatory mandates regarding medical device integration with software and hardware vendors
• Responsible for scrutinizing charge capture and revenue cycle process via system build, sub-system links, third party payer and other electronic health record and financial applications structures. Work with the staff on reportability and definition of system rules to address organizational goals
• Met with stakeholders to address key challenges such as lack of integration with Supply Chain/ CRM system. Determine financial integrity via organizational and system policies to ensure they are aligned with regulatory requirements
• Assist with build and validation of build, test executions in readiness for go live
• Created a long term goal and strategy for client to automate procedures such as Endoscopy, Central Line Insertion, Chest Tube, PICC Lines, Small Bowel Feeding, Foley Catheter Insertion, ECHMO, CVVH, Specialty
• Responsible for the build and oversight of security roles and access for such facilities as Confidential Hospital, Confidential Hospital, Confidential Center and Confidential Hospital

Consultant 

• Responsible for providing document scoping, build and domain expertise to Cerner clients and project team for HIM and Clinical Documentation Integration solution. Worked with interface team in determining appropriate HL7 data elements for integration of clinical and lab SNOWMED and LOINC Code build for Cerner HIM/FirstNet/Pathnet/RadNet/Copath- Oversaw requirements for auto suggestion, responsible for building and designing HIM Profile/determining rules for Cerner Discern to meet organizational and regulatory goals and objectives
• Manage the development and deployment of information security policies, HIPAA standards, and procedures as it pertains to healthcare data protocols Conducted the organizations move to Risk Analysis based security
• Responsible for leading HIM work sessions. Led configuration of 3M Standard Document Grouping to include IP and OP documents, Coderyte product, Standard Category, Folder Name. Led Documentation Scoping Sessions to also include HL7, ORU/OBR 4.1- MDM TXA 2.1 edited in CV config
• Coordinate HIM /HIPAA/Security resources, jad sessions. Responsible for creating, executing and supporting testing of revenue cycle, clinical, analytical and HIM tools to include 3M encoder/Ensemble/Portal setup testing, maintenance and validation and integration with other disparate systems . Utilizes MYSQL for database querying
• Responsible for the re-design of workflows across impacted departments such as Patient Care, Lab Radiology, Registration
• Works with other Cerner modules for build test and integration to include First Net/RadNet/Pathnet /Cerner Scheduling and other disparate systems such as telemetry/blood pressure /device integration
• Works with interface team on establishing bi-directional data for clinical orders

Lead PMO / Business Vaccine Analyst

• Worked with Department of Health and Human Services - NCIRD Advanced Business Intelligence Platform (NABIP), $7.2 million project to implement SAP High Performance Analytic Appliance (HANA) an in-memory processing tool which provides advance analytic reporting capabilities; updated the current infrastructure in support of the SAP HANA requirements on the clinical research of vaccines. Provided program /project management involving initiating projects through EPLC methodology to include critical partner and stage gate reviews; Managed full lifecycle development projects and provided integrated team status reports, budgets, and schedules. as the lead PMO for the Center for Disease Control's (National Center for Respiratory Disease) Department of Health and Human Services- Vaccination Business Project. Managed the various work streams to include: Project Technical Team, Project Management Technical Team, PMO, Data Governance and Organizational Change Management for the deployment of SAP HANA /CRM database - a real time analytic platform for 4,400 users with McKesson as the Vaccine Distributor
• Serve as company information security officer to ensure alignment of company policies and procedures with state and federal information security policies and regulations including HIPAA, HITECH, Clinical/Medical Information Systems (CJIS) Security Policy and Administrative Code /CDA Architecture Led effort to develop and document controls to obtain CDC Service Organization Control (SOC) 2 which is based on the Trust Principals of Security, Availability, Processing Integrity, Confidentiality and Privacy. Provide Security Training and awareness Established Breach Notification Process Enhanced ongoing security monitoring of events and incidents Enhanced Threat Monitoring and Vulnerability and Penetration Scanning
• Led and managed the designs of use cases to include research data on HPV, Legionella, TIPS, C-Sells in support of Population Health Analytics. Utilized CDC's EPLC methodology combined with SAP methodology to include: Project Prep, Lean Blueprint, Realization, Final Preparation, Go Live and Operate.
• Worked with clinical research communities in HHS, in establishing and determining the correct data standards for the exchange of information and interoperability . Ensure the clinical data elements obtained for the sole purpose of a clinical investigation pertaining to vaccines and use cases are entered directly into the SAP Analytics or interfaced to HHS personnel
• Ensure clinical research data elements originates in appropriate database. For example, data elements originating in an EHR (e.g., demographics, vital signs, past medical history, past surgical history, social history, medications, adverse reactions
• Responsible for the creation and maintenance of the Business Scenario Design, Fit Gap Analysis, Security Risk Assessment, Authority to Operate, Contingency Disaster Recovery Plan, Test Plan and User Acceptance/Clinical Research Standard and Protocols/HER Standards and Protocols

Sr Implementation Consultant

• Headed the build, implementation and deployment of the 3M 360 Encompass Application via Cerner HIM Provision integration with 3M- Consisted of standing up a 3M Centralized Common Technology Platform, overseeing the integration development work needed between HMS and 3M vendors, and deploying to CHS hospitals. Played in multi faceted role both as an Implementation Consultant and Project Manager. Primary duties included the build and oversight of 3M 360 Encompass in readiness for McKesson to Cerner Millennium - FirstNet/Path net/ RadNet/PharmNet - conversions for 142 locations and integration as well as other systems to include Meditech/HMS/Blue ware/eClinical Works/Allscripts in preparation for ICD 10 integration
• Provided corporate leadership and oversight for CHS facilities nationwide to provide Patient Financial services, HIM, Clinical, Research and Ancillary Departments in preparation for the implementation of ICD 10 coding and billing.
• Responsible for the oversight for both implementation and deployment of 142 facilities major conversion from McKesson to Cerner across all CHS facilities.
• Gathered HL7 interface requirements form all facilities for CAC Computer Assisted Coding / Document Scoping /to include MDM/ORU/Special MSH/HL7 /LOINC handling for interface build between Cerner Modules to include Cerner Lab, HIM, Clinicals and facilities. Assessed business processes and workflows, as is and to be processes. For Clinical Document Integration. Provided build and oversight on 3M auto suggested coding/ Code Ryte IP and OP.
• Lead work sessions, created test scripts, responsible for training schedule among 6 divisions - 142 facilities.
• Ensured data integrity ,validation for clinical research departments.

Siemens /Soarian Implementation Consultant

Responsibilities:

• Primary role is to build, design and implement Siemens enterprise software solution following the Soarian Implementation Methodology for Soarian Financials (SF) Physician Revenue Management. Integration from SF to Soarian Clinicals, Cerner Millennium, Ambulatory EMR, Soarian Scheduling and external GL systems for the build and deployment of Soarian Financials, Soarian Bed Enterprise, Soarian PRM. Soarian Clinical, EDM. Responsible for the build and design of ALL Soarian applications. Guides the monitoring of the effectiveness of course materials, reviews feedback, and modifies/revises course materials. Develops technical training materials from the needs analyses and course objectives to study aids. Partners with marketing and product experts.
• Provided build, design, configuration and conversions for Soarian products. Utilized AIM and SIM methodology. Utilized Object Breakdown Structure and Model Object Flow Diagrams
• Worked with various hospitals and provider specialties to also include clinical research/ monitoring and surveillance for some of New York’s Hospitals, to include diabetes, hypertension, and immune diseases.
• Worked with multiple systems to obtain, extract and integrate information on research population
• Maintains comprehensive knowledge on the application, build, installation, testing and operation of all assigned products, tools and services. Identifies, evaluates and creates training programs and materials from external vendors.
• Assists with the training of physician, nursing and ancillary staff as needed