Tanya Plambeck-Nelson has over 20 years of experience in healthcare, insurance, and compliance. She currently serves as the Supervisor and Privacy Officer of the Health Information Management department at Myrtue Medical Center in Harlan, Iowa, where she leads a team of 11 employees. Previously, she worked at Physicians Mutual Insurance Company for 13 years in various compliance and advertising roles. She holds a Bachelor's Degree in Political Science and an Associate's Degree in General Studies with an emphasis in Paralegal Studies.
1. Tanya Plambeck-Nelson, CPC
3599 York Road, Shelby, IA 51570 wnt2553@yahoo.com cell: 402.980.0175
Professional Summary
Skilled and dedicated professional with over 20 years experience leading, organizing and developing teams
to implement initiatives in support of company goals. My knowledge of the healthcare and insurance
industry includes the interpretation and application of regulations pertaining to contractual language and
advertising guidelines on the state and federal level, documentation standards, quality improvement,
compliance standards, professional ethics, correct coding initiatives, HIPAA Privacy; distribution operations
including agency, brokerage, digital and direct mail. I am a Certified Professional Coder and a Notary Public
for the State of Iowa.
Experience
Myrtue Medical Center Harlan, Iowa 2010 to present
Health Information Management, Supervisor and Privacy Officer
Lead, mentor and coach a staff of 11 team members in the hospital and behavioral health units
consisting of professional coders, transcriptionists and office professionals. Manage performance
through annual appraisals and successfulindividual and team-building initiatives.
Chair the Revenue Cycle and Coder/Biller teams. Active and contributing member of Compliance
Group, Safety Committee and Quality Improvement teams to identify, develop and initiate facility
improvement of multiple efficiencies.
Point-of-contact for patients, providers, staff and vendors on HIPAA Privacy reporting. Conduct
security and privacy audits of internal staff; research,document, report and present findings to CEO
and Administrative team. Define, recommend and initiate disciplinary action. Active risk mitigation.
Create and deliver HIM and HIPAA initiatives to Board of Directors, Administrative team, Medical
Executive committee and Department Directors. Collaborate with team representatives to implement
new processes within each department.
Develop, organize and implement facility-wide training programs on regulatory impact on HIM
process and technology, coding initiatives, HIPAA Privacy and other programs of impact.
Coach coder team on coding requirements; handle facility appeals and denials of claims; review and
process all flagged accounts for CCI edits; review coding/denial issues with medical staff.
Initiate, establish and maintain solid working relationships with medical providers, hospital
personnel and contracted staff to train, educate and oversee health information meets regulatory
requirements. Present findings at Medical Staff and Operating Committee.
Discovered $12,000 vendor contract error within two months of hire and negotiated reimbursement;
renegotiated vendor contracts for overall savings of 22%; reduced overall department expenses by
4% with no reduction of staff.
Myrtue Medical Center (MMC) has been recognized by Becker’s Hospital Review as one of 50 top
critical access hospitals; National Rural Hospital Association as a Top 20 overall CAH facility and
for the past four years as a Top 100 Critical AccessHospital by iVantage Health Analytics for
competitive strength, population risk, quality, patient perspectives, and financial stability. MMC
adheres to the Studer Group®
culture of excellence and leadership development.
Physicians Mutual Insurance Company Omaha, Nebraska 1997 to 2010
Compliance Manager, Advertising 2004 to 2010
Highly-focused and results-oriented in supporting complex, deadline-driven operations; ability to
identify goals, establish priorities, and resolve issues in initial stages of advertising development.
Exhibited proven track record of accurate advertising and information management within
demanding timeframes; consistently maintained a 96% advertising form approval rating.
Consulted with customers to delineate and analyze complex situations while developing solutions
that strengthened customer relations.
2. Tanya Plambeck-Nelson, CPC wnt2553@yahoo.com cell: 402.980.0175
Directed, organized and led a Compliance Analyst team of five. Performed staff evaluations while
promoting a team environment through team-building initiatives.
Applied state,federal, FCC, NAIC regulatory requirements to all advertising materials. Collaborated
with distribution channels to ensure initial advertising accurately represented advertising goals and
contractual language.
Developed and maintained solid relationships and strong teamwork collaboration with internal
customers and divisions, as well as outside clients, by developing vertical and horizontal
communication avenues to ensure cooperative work efforts were established.
Demonstrated comprehensive support for multiple distribution areas including Direct Marketing,
Agency, Telesales, Web and Corporate through accurate communication of customer needs.
Displayed relationship-development expertise that complemented the ability to build solid working
relationships and drive company goals.
Developed, implemented and maintained quality control measures to ensure accuracy of promotional
materials to state and federalcompliance and company guidelines.
Developed processes to reduce redundancy, improve accuracy and efficiency, and achieve
organizational objectives.
Compliance Liaison 2003 to 2004
Worked independently to define, coordinate, and prioritize department workflow using effective
decision-making to meet established timelines and time-sensitive marketing campaigns.
Negotiated successfuloutcome of multiple conflicting deadlines across strategic lines while ensuring
overall company goals were maintained.
Researched and analyzed new regulations for industry and state regulation changes; determined the
effect of each on the company and its marketing areas,including the effect on sales concepts and
advertising; communicated and counseled required changes to impacted areas.
Analyzed state,federal, FCC, and NAIC advertising regulations including contractual language and
company standards, to ensure proper promotional content for company advertising materials.
Compliance Coordinator 2002 to 2003
Compliance Analyst 2000 to 2002
Proofreader 1999 to 2000
Outbound Tele-Service Representative 1997 to 1999
Education
Bellevue University,Bellevue, NE Cum Laude
Bachelor of Science Degree – Political Science
Minor in Communications
Iowa Western Community College,Council Bluffs, IA Highest Honors
Associate of Arts Degree – GeneralStudies
Emphasis in ParalegalStudies
Iowa Western Community College,Council Bluffs, IA
Professional Medical Coding
CPC Certification of Professional Medical Coders – AAPC certified
Additional Areas of Leadership and Recognition
National Member of AAPC Employee of the Month – April 2015
Iowa Chapter Member of AHIMA and HIMSS National Hospital Week Committee – Chair
ICD-10 Conversion Steering Committee – Chair Mentor Cyclone Way High School Student Program
Planning Chief for Disaster Recovery
Relay For Life Cancer Awareness & Fundraising – Chair
Employee Rewards and Recognition Team – Chair