1. Confidential Resume of 1140 Providence Place
DIANE A. CARR, RHIA Decatur, GA 30033
Home: 404.417.0909 • Cell: 678.427.3398 • Email: carr9315@bellsouth.net
Confidential 2/22/2016 Page 1
HEALTH INFORMATION MANAGEMENT
STATE-OF-THE-ART KNOWLEDGE AND PROGRESSIVE ACCOMPLISHMENT IN DIRECTING / COORDINATING HEALTH
INFORMATION PROJECTS TOWARD THE COMPUTER-BASED PATIENT RECORD (ELECTRONIC DOCUMENT
IMAGING). EXPERTISE IN IMPLEMENTATION OF COMPUTERIZED HEALTH INFORMATION SYSTEMS, HEALTH
INFORMATION OPERATIONS AND CLIENT SERVICES.
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PROFILE
Management Performer: Outstanding track record for successful reorganization of HIM departments, to
include document management, chart management systems, CM programs; reengineering of
departmental procedures for new MS-DRG/OPPS reimbursement structure implementation and the JC
surveys; development of effective training programs for all levels/systems.
Effective Team Builder: As Director of HIM/Privacy Officer, sustained consistent staffing levels and boosted
productivity through rising quantity and quality of services by creating quality and productivity indicators for all
functions of the department; and by launching training programs that created a sophisticated, knowledgeable,
flexible workforce with high morale and retention rates.
Articulate, Engaging Communicator: Effective communication in vendor to client interactions as well
as within the HIM environment. Skillfully translate CMS regulations at Senior Management level
personnel. Deliver effective succinct presentations to major clients. Experienced in establishing effective
priorities; formulating criteria; and executing programs that increase organization, productivity, efficiency
and profits.
Technical Proficiency: Extensive knowledge of HIM/PA/PM applications; electronic document
management (EDMS) systems: McKesson’s HPF, Streamline Health, Hyland OnBase. Proficient in client
/ server technology: Siemens, Meditech. Extensive knowledge of EHR systems: Epic, Soarian, Cerner;
proficient with EHR implementation build, graphical user interface (GUI) development. Windows 7/XP, MS
Office
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PROFESSIONAL EXPERIENCE
Harmony Health Solutions, Inc. Tampa, Florida
Interim Coding Manager, Level II Trauma Center – E. Texas 01/2015 – Present
Oversaw and managed Health System coding for 4 facilities;
Provides daily leadership to staff of 24 – 26 Coders and two Lead Coders serving 4 hospitals;
Oversees ED charge posting of Injections/Infusions and E/M leveling for facility/pro fee;
Wrote and maintains P/P for Health System coding
Led ICD-10 educational training prior to implementation; continued education through January 2016
Consistently meets Revenue Cycle pre-established metrics
Continue to maintain DNB ~ $2.5 - $5.0 MN during transition and increased workload
Provides daily Coder education and feedback to individual Coders as appropriate
Works collaboratively with CDI team; provides daily feedback on mismatches for reconciliation
Utilizes 3M 360 reporting to monitor Coder quality and productivity
Provides Quality Management support of Core Measures
Provides Coder evaluations; encourages furthering education to broaden coding skills
Harmony Health Solutions, Inc. Tampa, Florida
Interim Coding/CDI Manager, Level II Trauma Center – E. Texas 12/2013 – 01/2015
Level II Trauma center – East Texas
HIM Liaison/Coordinator & Site Admin for implementation of 3M 360 Encompass(360e), including
(CAC, CDIS, & Quality Analytics) – Go-live 8/2014
Manage staff of 30 employees, including TMF employees and Contract Coders
2. Confidential Resume of 1140 Providence Place
DIANE A. CARR, RHIA Decatur, GA 30033
Home: 404.417.0909 • Cell: 678.427.3398 • Email: carr9315@bellsouth.net
Confidential 2/22/2016 Page 2
Manage daily Coding/CDI activities, including Epic WQ assignments, scheduling, 360e
troubleshooting, Coder assistance
Chart reviews for Quality Management/Core Measures on questionable accounts for coding
accuracy
Provides leadership, education, training, and cross-training of 30 CDS and Coders
Oversee Coder/CDS ICD-10 education
Maintains DNB at ~$1.5 MN - $3.0 MN(from est. high of ~$30 mn); assignment of Epic WQs based
upon staffing/workload
Review insurance payer revisions/denials for appeal opportunities; provides Coder/CDS education
where appropriate.
Responsible for weekly/monthly 360e/Epic reporting to senior leadership; also provides ad hoc
reporting
ICD-10 Readiness – Daily Coder education; dual coding, and contract Coder management
Harmony Healthcare, Inc. Tampa, Florida
Interim HIM Director, Integrated Health Network, NV 05/2012 – 09/ 2013
Provided direction/management of HIM activities for 946-bed Integrated Health Network, including
Level II Trauma center, community acute care hospital; Rehabilitation, and Skilled Nursing facilities
Managed $7.2 million budget
Managed Hybrid health record - Epic EHR & 3M Coding & Reimbursement system
Cleared 1.5-years backlogs, including Birth Certificate, Chart Analysis, & ED/CDUprocessing
Oversaw medical record clean-up of ~16,000 temporary folder backlog
Fosters good relations between Coders and Clinical Documentation Improvement Specialists
Oversaw transition from traditional dictation/transcription system to back-end speech recognition
(BESR) system
Eliminated use of ER coding vendor – cost savings
Implemented remote Outpatient coding – cost savings
Reduced DNFB from $60 mn to $3 - $5 million; consistently maintained in this range
Spearheaded HIM Steering Committee for IHN – Drafted Charter
ICD-10 preparation ongoing – Oversaw Optum online Coder education program
Launched and planned CAC system implementation; build of data dictionaries, testing, and User
Acceptance Testing (UAT)
Chairs HIM Steering sub-committee on attaining complete EHR
Developed and maintains excellent physician relations – Department and MEC participation
Member of Crimson (Physician Profiling system) Steering Committee
Restored positive IHN HIM image
Planned and launched implementation; oversaw training of Hyland OnBase Scanning/Indexing to
eliminate hybrid record
Fostered excellent communications and interpersonal relations intra- and inter-departmentally
throughout IHN
On Assignment HIM, Inc. San Diego, California
Interim Coding Manager 01/2012 – 5/2012
Responsible for establishing and maintaining hospital-wide coding policies/procedures in regional
Children’s Hospital
Assessing Coder’s readiness for ICD-10
Building team confidence in preparation for ICD-10; working with HIM Director to foster positive
attitudes and strong, inter-relationships
ICD-10 Preparation: Collaborating with HIM Director to implement Anatomy/Physiology training in
March
3. Confidential Resume of 1140 Providence Place
DIANE A. CARR, RHIA Decatur, GA 30033
Home: 404.417.0909 • Cell: 678.427.3398 • Email: carr9315@bellsouth.net
Confidential 2/22/2016 Page 3
KForce Healthcare, Inc. Tampa, Florida
Interim Director of Coding 07/2011 – 01/2012
Integral to hospital-wide ICD-10 implementation process
Assessed coding department’s ICD-10 readiness and Initiated Coding Department ICD-10 training,
including A & P, Disease Pathology, Medical Terminology
Collaborated with ICD-10 Project Manager to assess, educate, & train appropriate medical staff &
hospital staff
Centralized coding – responsible for hospital-wide coding
Maintained DNFB at required or less than 2 days revenue target
Established and maintained departmental and hospital-wide coding policies & coding standards in
regional acute care facility
Integral to Revenue Cycle committee
Reduced DNFB from average of $9 – $11 million to average of $2.5 million; consistently maintained
Re-organized departmental workflow to achieve maximum productivity
Compliance management – ongoing
3M Health Information Systems, Inc. Atlanta, Georgia
Senior Inpatient Consultant 04/2010 – 07/2011
Earned AHIMA’s ICD-10-CM/PCS Trainer Certificate – October 2010; recertified June 2011
Completed “AHIMA Academy for ICD-10 Trainers: Building Expert Trainers in Diagnosis and
Procedure Coding”
Performed DRG Assurance Program (CDIP) Assessments and Program implementations, including
comparisons/contrasts between ICD-9-CM and ICD-10-CM/PCS during MDC presentations
Performs client DRG and Coding Validations
Assists in annual CMS updating of Student Training Manual updates as appropriate
WellStar Health System Marietta, Georgia
Director, Enterprise Coding Services 04/2009 – 03/2010
Assessed coding staff for ICD-10 readiness and early training needs
Prepared ICD-10 Coder Training calendar & timeline through 04/01/14; sent Coder Educator to
AHIMA’s ICD-10 Boot Camp
Provided coding leadership and direction to 48.50 FTEs, including 2 supervisors, quality manager, &
Coder Educator
Proficiently managed DNFB – reduced from $27 (peak) million to $2.5 million (lowest level)
Facilitated implementation of 3M’s Clinical Documentation Improvement Program
Conducted quarterly Coder educational roundtables across all patient types
Developed Coding Compliance policy & Physician Clarification policy/Revised IP Coding Guidelines
Efficiently managed $2.5 million budget
Maxim Health Information Services Beachwood, Ohio
Interim Coding Manager 06/2008 – 03/2009
Stanford University– Engaged to provide assessment of Coding Department
St. Francis Medical Center - Engaged to manage 13 IP/OP Coders, reduce ~$9 million DNFB, and
streamline processes to increase productivity – DNFB currently at $1.8 million
Oversaw hospital-wide coding/ rejections & errors, status changes, and combined billing process
Provided Coder/CDS education/training – monthly requirement
Redesigned Physician Clarification policy/procedures; advised & educated CDS staff on appropriate
physician queries
Facilitated weekly status meetings with CDSs/Coders to facilitate JAT Clinical Documentation
Management Program
Spearheaded documentation education to Hospitalists, ARNPs, PAs, and CNS’
4. Confidential Resume of 1140 Providence Place
DIANE A. CARR, RHIA Decatur, GA 30033
Home: 404.417.0909 • Cell: 678.427.3398 • Email: carr9315@bellsouth.net
Confidential 2/22/2016 Page 4
Compliance management: develops site-specific policies/procedures consistent with Health
System’s goals & objectives; works closely with Reimbursement Director to achieve goals
Communicates coding guidelines effectively to appropriate executives/managers to maintain coding
compliance and consistency throughout organization
Interim Director/PrivacyOfficer
Muskogee Regional Medical Center/Capella Healthcare
Reduced DNFB from >$9 million to $125,000 in 3 months
Eliminated substantial backlog in assembly/analysis (over one thousand incomplete/delinquent
records
Maintained monthly coding compliance consistent with corporate goals and objectives
Maintained coding current and within 4-day bill hold
Re-organized A/A process to clean up backlog due to implementation of 2 major departmental
systems simultaneously
Re-organized transcription process to better accommodate physicians and patient care; re-
negotiated contractual TAT consistent with current best practices & national guidelines
Rockdale Medical Center, Inc. Conyers, Georgia
Director HIM Services/PrivacyOfficer 07/2004 – 06/2008
Proficient knowledge of CMS’ MS-DRG/OPPS reimbursement changes; ongoing education &
training provided to MEC, Coders, peers, and Administration
Implemented Clinical Documentation Management Program (CDMP) to strategically manage MS-
DRGs
Proficient Revenue Cycle Management – Effectively Manages Coding/DNFB within 4 bill-hold days
Consistently maintains DNFB; average DNFB is $250k or less; RMC target is $500k
Accounts Receivable days: 36 – 41
Manage Business Office coding corrections/rejections within 24 hours; ICD-9-CM/CPT/HCPCS
Business Process Redesign – Designed and managed physical move of HIM department
Perot Systems Corporation Plano, Texas
Senior Business Manager Consultant 2003 – 2005
Billable 95% on various engagements:
Engaged to assess HIM departments; Implemented recommendations
Project Management; HIM IT Liaison; Application testing; Defined interface specifications
Participated in hospital-wide system implementation
JC Preparation
Business Process Redesign; facilitated & encouraged effective communications for project success
Guided clients in new & replacement product evaluation & selection
Assisted with sales activities
HealthLink, Incorporated (Now IBM) Houston, Texas
Senior Management Consultant – PHHS, Dallas, TX 2001 – 2003
Interim Senior Associate Director & QuadraMed Project Manager of Health Information Mgmt.
ASC (formerly Superior Consultant Holdings Corporation, Inc.) Southfield, Michigan
Senior Management Consultant 1999 – 2001
Quovadx Corporation, Inc. (Formerly HCDC) Marietta, Georgia
Project Management Consultant 1998 – 1999
Streamline Health (formerly LanVision, Inc.) Cincinnati, Ohio
Client Executive 1996 – 1998
McKesson (formerly HBO & Company) Atlanta, Georgia
Account Executive 1986 – 1996
5. Confidential Resume of 1140 Providence Place
DIANE A. CARR, RHIA Decatur, GA 30033
Home: 404.417.0909 • Cell: 678.427.3398 • Email: carr9315@bellsouth.net
Confidential 2/22/2016 Page 5
EDUCATION
BACHELOR OF MEDICAL SCIENCE - EMORY University School of Medicine - Atlanta, Georgia 1980
Major: Health Record Information Management • Minor: Information Systems Technology
• HIM internship at large, Metropolitan County Hospital
PROFESSIONAL AFFILIATIONS
Member: American Health Information Management Associations
Member: Association of Clinical Documentation Improvement Specialists
Member: National Association for Healthcare Quality
Member: Healthcare Financial Management Association
President: Greater Atlanta Medical Record Association, 1984 - 1985
Chairperson: Membership Committee - Georgia Medical Record Association, 1986
Chairperson: DRG Task Force - Greater Atlanta Medical Record Association, 1986
REFERENCES & FURTHER DATA AVAILABLE UPON REQUEST