Experience

Kirby Bates Associates

• United States
• Staffing and Recruiting
• 1 - 100 Employee

• Interim HIM Director

  • Jan 2023 - Present

  An interim HIM Director engagement with a hospital in the Massachusetts Department of Public Health (DPH) system. Selected Accomplishments: Managed the day-to-day operations of the HIM department including Release of Information (ROI), monthly medical record audits, hospital dashboard reporting, and quality reporting. Partnered with hospital executive and medical staff leadership to update Medical Staff Rules and Regulations related to provider documentation requirements to align with… Show more An interim HIM Director engagement with a hospital in the Massachusetts Department of Public Health (DPH) system. Selected Accomplishments: Managed the day-to-day operations of the HIM department including Release of Information (ROI), monthly medical record audits, hospital dashboard reporting, and quality reporting. Partnered with hospital executive and medical staff leadership to update Medical Staff Rules and Regulations related to provider documentation requirements to align with state, federal, and accreditation guidelines. Implemented an HIM Analysis program; collected delinquent medical record data, provided follow-up education to providers and reported statistics to the Performance Improvement Committee. Updated HIM and Information Management policies and procedures associated with department and hospital operations. Participated in The Joint Commission (TJC) readiness activities and performed medical record tracers and executed appropriate resolutions. Performed charge entry of provider Evaluation & Management (E/M) codes to enable accurate billing. Served as the chair of the Information Management Committee and facilitated monthly meetings. Show less



HealthAxis Group

• United States
• Software Development
• 100 - 200 Employee

• Compliance Improvement Coordinator

  • Dec 2020 - Jul 2022

  Execute process improvement solutions to business problems, using data analysis, and optimization tools to support strategic process improvement plans. Assist in the evaluation of operational/regulatory audits by reviewing and collecting pertinent data. Based upon audit findings, document and develop best practice recommendations. Build relationships with both internal and external clients or associates, to facilitate opportunities, development of effective solutions, and follow… Show more Execute process improvement solutions to business problems, using data analysis, and optimization tools to support strategic process improvement plans. Assist in the evaluation of operational/regulatory audits by reviewing and collecting pertinent data. Based upon audit findings, document and develop best practice recommendations. Build relationships with both internal and external clients or associates, to facilitate opportunities, development of effective solutions, and follow through implementation. Develop plans, schedules, and projects to innovate existing processes. Collaborate with staff at all levels of the organization. Work with business units to develop standard operating procedures, documenting workflow and process steps. Develop tools and methods to track and report relevant key performance indicators (KPI’s). Create and use a system to track daily and project related activities. Investigate and resolve compliance related issues and/or problems and complaints. Assist with impact analysis in response to identified issues. Perform Secretary of State Foreign LLC registrations for all states in which the company does business. Serve as a core member of project teams (HITRUST, SOC, TPA Licensure), and liaison to external auditors and/or collaborators. Show less



Lakeland Regional Health-Florida

• Hospitals and Health Care
• 700 & Above Employee

• Manager, HIM Operations

  • Nov 2015 - Nov 2020

  Managed human, material, and financial resources, achieving department goals and objectives, including department-specific and organizational dashboard measures as well as corporate priorities. Serve as super user, subject matter expert, and project lead on all HIM technology system upgrades and implementations. Collaborated with department and executive leadership on initiatives improving and optimizing use of electronic medical record. Identified process improvements, working with… Show more Managed human, material, and financial resources, achieving department goals and objectives, including department-specific and organizational dashboard measures as well as corporate priorities. Serve as super user, subject matter expert, and project lead on all HIM technology system upgrades and implementations. Collaborated with department and executive leadership on initiatives improving and optimizing use of electronic medical record. Identified process improvements, working with leaders, internal and external clinical as well as non-clinical departments. Prepared and Managed operating and capital budgets. Identified opportunities for process improvements and implemented solutions effectively. Served as lead on organizations initiative to reduce paper in patient charts. Participated as core team member in Cerner Solutions upgrade and HIM optimization effort. Provided monthly reports of delinquencies to quality and executive leadership. Oversaw workflow and maintenance of patient portal (RelayHealth, Cerner). Managed correction and amendment of PHI process per 45 CFR 164.524 of HIPAA privacy rule. Oversaw release of information department staffed by Ciox. Show less



Parallon

• United States
• Hospitals and Health Care
• 700 & Above Employee

• HIM Director/Facility Privacy Officer

  • 2013 - 2015

  Tampa/St. Petersburg, Florida Area Managed, coordinated, and performed day-to-day operations and workflow of HIM operations. Assisted regional HIM director (RHIMD), overseeing and implementing facility-related HIM service center (HSC) operational planning, service level agreements, budgets, workflow processes, and internal controls. Served as ICD-10 transition team coordinator. Performed facility unbilled activities. Implemented facility privacy program and monitored compliance with HIPAA as well as corporate… Show more Managed, coordinated, and performed day-to-day operations and workflow of HIM operations. Assisted regional HIM director (RHIMD), overseeing and implementing facility-related HIM service center (HSC) operational planning, service level agreements, budgets, workflow processes, and internal controls. Served as ICD-10 transition team coordinator. Performed facility unbilled activities. Implemented facility privacy program and monitored compliance with HIPAA as well as corporate policies and procedures. Managed delinquent record process, including monitoring, tracking, communicating, and reporting. Collaborated with medical staff and facility leadership, complying with standards and guidelines enforced through medical staff bylaws as well as rules and regulations. Oversaw communication and escalation paths, significant issues in HIM operations, status of projects, barriers, and successes. Managed physician notification processes for medical record documentation deficiency, delinquency, and physician suspension. Oversaw performance of staff for compliance with established production and quality standards. Produced monthly and quarterly statistical reports for submission to HSC and regulatory agencies. Show less



Tampa General Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• HIM Supervisor - Operations

  • 2011 - 2013

  Tampa, FL Provided organization and direction of medical record employees, assigning work assignments, making departmental decisions in absence of manager or director, performing retrieval, as well as delivering and maintaining patient medical records. Assisted in management of hospital’s transition to electronic health record (Epic). Managed day-to-day operations of HIM department. Ensured adequate coverage of job functions. Developed motivational strategies and provided training as well… Show more Provided organization and direction of medical record employees, assigning work assignments, making departmental decisions in absence of manager or director, performing retrieval, as well as delivering and maintaining patient medical records. Assisted in management of hospital’s transition to electronic health record (Epic). Managed day-to-day operations of HIM department. Ensured adequate coverage of job functions. Developed motivational strategies and provided training as well as coaching as required. Created or updated policies and procedures needed for effective operations. Monitored performance of staff for compliance with established production and quality standards. Produced monthly and quarterly statistical reports for submission to regulatory agencies. Show less



Universal Health Care

• United States
• Insurance
• 100 - 200 Employee

• Compliance Analyst

  • 2010 - 2011

  St. Petersburg, FL Investigated complaints from CMS, DOI, DFS and other regulatory agencies. Managed matters related to compliance, making recommendations for corrective action and offering policies and programs encouraging local reporting of potential problems. Oversaw marketing and sales compliance, securing CMS regulations enforcement. Led maintenance of government regulations affecting company’s state, federal, and HIPAA compliance implementation plan. Developed and presented ideas for performance… Show more Investigated complaints from CMS, DOI, DFS and other regulatory agencies. Managed matters related to compliance, making recommendations for corrective action and offering policies and programs encouraging local reporting of potential problems. Oversaw marketing and sales compliance, securing CMS regulations enforcement. Led maintenance of government regulations affecting company’s state, federal, and HIPAA compliance implementation plan. Developed and presented ideas for performance and process management improvement within department. Collaborated on coordination of matters related to compliance, recommending corrective actions. Served as source of training, assistance, and guidance to team members Created logs and reports for tracking and trending complaints as well as affected key processes. Show less



Affiliated Computer Services-Florida Healthy Kids TPA

• Quality Analysis Specialist

  • 2007 - 2009

  Tallahassee, FL Conducted audits and reviewed/analyzed data and documentation based on Service Level Agreements (SLAs), monitored and audited department operating procedures, reviewed statistics and recorded data necessary for analysis of key processes, and analyzed quality data and made recommendations to department based on findings; served as lead for QA department in Operational Readiness Review Planning & Testing; performed Workload Analysis for QA position pre-implementation (Go-Live); drafted, updated… Show more Conducted audits and reviewed/analyzed data and documentation based on Service Level Agreements (SLAs), monitored and audited department operating procedures, reviewed statistics and recorded data necessary for analysis of key processes, and analyzed quality data and made recommendations to department based on findings; served as lead for QA department in Operational Readiness Review Planning & Testing; performed Workload Analysis for QA position pre-implementation (Go-Live); drafted, updated, and revised QA Scorecard Operating Procedures for Systems/IT, compiled monthly QC sample data required by the client (FHK/Medicaid TPL); reviewed cases for accurate and timely processing (Medicaid TPL) Show less



Eastwood Medical Center

• Health Information Manager

  • 2006 - 2007

  Procured, implemented, and maintained scanning equipment and software, assigned ICD-9-CM, CPT-4 & Evaluation & Management codes to physician encounters, and generated statistical reports utilizing practice management software, managed the scanning of the entire medical record inventory into an EHR and storage software, supervised 3 - 5 employees, performed visual QC on scanned documents, and ensured project activities remained within budgetary margins