SUMMARY of QUALIFICATIONS
I am a seasoned healthcare IT professional who has more than 30
years of experience in Healthcare Revenue Cycle Management
(functional, operational, & procedural) and management of
healthcare electronic documents in various environments. I bring
experience & expertise for the following knowledge areas:
- 17 years of Project management and consulting experience in EMR implementations, upgrades, software development, optimizations, maintenance and support for various healthcare software vendors.
- 10 years of Cerner Millennium experience in the
implementation and management (new, implementation,
conversion, configuration, stabilization, optimization,
maintenance, and upgrade). In addition, I have hands on and
conducted new build, validation, testing, and transition
support of Cerner Millennium EMR for revenue cycle
- 7 years of HIM department management & operations (compliance – Federal, State, Corporate, Joint Commission, & HIPAA, staff management & development, retention guidelines/policies) & applications (chart completion, deficiency management, chart tracking, EMPI, ROI, coding & abstracting, knowledge-based transcription, document scan & management)
EMR IMPLEMENTATION PROFILE
EMR Project Management
(10+ years)
ICD-10: Responsible for the transition plan, communication,
implementation, and support of multi facility across multi state
location for:
- Revenue Cycle: contracts, front-end (scheduling, registration), patient stay (care documentation, CDI, case management, coding), back-end (billing, reimbursement, claim adjudication).
- HIM: documentation analysis, ICD-10 education, workflow analysis/process improvement, monitoring.
- Information Technology: Application inventory and systems, billing systems, EHR and documentation systems, ancillary systems.
- Operations: Assessment of revenue impact, process improvement, reporting impact.
- Physicians: physician documentation, physician integration, physician performance.
- Upgrades: Cerner Millennium Lab upgrade.
- Interfaces: Interface between Cerner & EPIC.
EMR/EHR Implementation:
- Led Revenue Cycle Management project team to work with Cerner and Revenue Cycle (3M 360 CAC) vendors and project team during Athens Regional and affiliated clinics and Physician practices EMR transition and implementation from Allscripts to Cerner Millennium 2012 to ensure the new EHR system met HITECH Act/Medicare compliance.
- Assessment and redesign of workflows and processes, testing, training, reporting, bi- directional interface to/from Clinicals, revenue cycle and ambulatory, and EHR/EMR system assessment and configuration changes needed for HIM, scheduling, registration, charging, billing, claims submission, and payment collection to accommodate ICD-10 changes and compliance and incentive programs.
- Reviewed and ensured that payor and government (Medicaid/Medicare) contracts, compliance, and reporting (state/federal) are implemented and integrated on both patient clinical, ambulatory, and revenue process and workflow
- Multi-facility application conversion, implementation,
and enterprise-wide document imaging selection
Document imaging implementation, consolidation, and migration of multi-facility across multi-state location of HIM functions to regional shared service centers - Laboratory System Upgrade and interface with clinical, revenue cycle, and outpatient
- Enterprise-wide RIS/PACS replacement and implementation
- Cancer registry
- Bed/Patient tracking system, claims management
EMR Consulting/Business Analysis: (9+ years)
- Health Plan (Disease/Case and Care Management, Revenue Cycle, Health Data Services).
- Meaningful Use Certified Electronic Health Record data validation, testing, and reporting for CMS Meaningful Use Incentive Program requirements.
- Multi-facility EMR and CIS (Cerner) development and implementation with Revenue Cycle (McKesson), Physician Practice/Clinics (eClinicalWorks), and Provider Credential (Cactus) interface implementation.
- Document Imaging and EMR implementation (McKesson) with CIS (Siemens) and Revenue (Siemens) interface implementation.
- Patient Management (McKesson) Upgrade and Conversion with EMR (Cerner) (NextGen) interface implementation across multi facilities at multi-state locations.
- Ambulatory EMR (eClinicalWorks) with Public Health Lab/Reference Lab interface implementation.
- Revenue Cycle (McKesson Patient Access and Receivables) design, development, and implementation
Health Information Management Department (7+ years)
CERNER PROFILE
of Cerner Millennium EMR for clinicals, revenue cycle, & third-party integration.
EMPLOYMENT 1984 to 1998
- Information Systems Specialist, Digital Equipment, Colorado Springs, CO
EDUCATION:
Bachelor of Science Degree in Health Information Management, College of Saint Mary, 7000 Mercy Road, Omaha, Nebraska.
My initial goal was to earn a Bachelor of Science Degree in Nursing (BSN). I completed two academic years of a rigorous Nursing program including clinical rotations. However, with tenacious persuasion from my esteemed academic advisor, I changed my career goal and major to Health Information Management.
Bachelor of Science Degree in Health Information Management, College of Saint Mary, 7000 Mercy Road, Omaha, Nebraska.
My initial goal was to earn a Bachelor of Science Degree in Nursing (BSN). I completed two academic years of a rigorous Nursing program including clinical rotations. However, with tenacious persuasion from my esteemed academic advisor, I changed my career goal and major to Health Information Management.
