Dena Wallwork has over 25 years of experience in healthcare, including positions as an HIM Director, Compliance Analyst, Transcription Supervisor, and Coder. She holds an Associate's Degree in Health Information Management and is a Certified Healthcare Auditor. The document provides a detailed resume highlighting her extensive technical skills and work history managing health information and ensuring compliance and coding accuracy across multiple healthcare organizations.
This document is a resume for Saxton Phillips, who has extensive experience and training in electronic medical records and health information management. Phillips received an Associate's degree in Electronic Medical Records and has worked in both volunteer and paid roles managing medical records and providing administrative support to medical clinics. Phillips is proficient in various medical software programs and aims to begin a new career in the healthcare industry utilizing skills in areas such as medical coding, billing, and data analysis.
This document provides an overview of Tony Fanelli's career in health information technology leadership. It summarizes his 20+ years of experience in various roles within healthcare organizations, implementing electronic medical record systems. It also outlines some common issues and needs expressed by key stakeholders in healthcare such as primary care physicians, administrators, and C-suite executives regarding EMR systems like ensuring data quality, interoperability, and support for value-based care initiatives.
The document discusses the state of healthcare in the United States, National Imaging Associates (NIA) and their RadMD enterprise portal. It describes how the US healthcare system is large, costly and fragmented. NIA created RadMD to connect physicians, improve information sharing and manage diagnostic imaging costs/quality. RadMD integrates clinical data and transaction processing to facilitate the healthcare process for providers, payers and patients.
This document provides a summary of a medical billing and coding professional's qualifications. It includes 3 sentences summarizing her objective, education, and current role as a medical risk adjustment field auditor reviewing medical records to ensure accurate risk adjustment coding.
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
This document describes a medical software solution that aims to organize, simplify, and automate complex processes and workflows in healthcare organizations. It integrates and optimizes processes across departments, decreases costs and improves efficiency. The software provides analytics, detailed reports, increased transparency, and customizable dashboards. It has an intuitive interface, allows for task automation, and retrieves data from other applications. The software was recognized as one of the top vertical market solutions in Europe in 2012. It contains various modules that can operate independently or together to cover different medical activities like appointments, patient records, imaging, and billing. The document discusses the benefits the software provides like reducing costs, improving safety and accessibility of patient information, and streamlining operations.
This document provides a summary of Jamie Swartz's professional experience and qualifications. She has over 14 years of experience in healthcare, with 12 years specifically in Medicaid managed care. Her experience includes quality improvement, process improvement, project management, regulatory reporting, data systems and analysis. She is currently the Director of Business Project Management at Aetna Better Health of Pennsylvania, where she oversees various operational areas including systems, reporting, audits and projects. Prior to this role, she held several leadership positions at Aetna Medicaid plans in Delaware, focusing on quality improvement, data analytics, and developing tools and processes to improve performance.
Jeannette S. Fonseca Rodríguez is seeking a position where she can apply her experience in customer service, human resources, and healthcare. She has over 4 years of experience working in appeals and grievance departments, quality control, and as a case coordinator. Her skills include excellent communication, knowledge of computer programs like Microsoft Office, and being bilingual in Spanish. She is currently working towards an Associate's Degree in Pharmacy Technician from National University College.
This document is a resume for Saxton Phillips, who has extensive experience and training in electronic medical records and health information management. Phillips received an Associate's degree in Electronic Medical Records and has worked in both volunteer and paid roles managing medical records and providing administrative support to medical clinics. Phillips is proficient in various medical software programs and aims to begin a new career in the healthcare industry utilizing skills in areas such as medical coding, billing, and data analysis.
This document provides an overview of Tony Fanelli's career in health information technology leadership. It summarizes his 20+ years of experience in various roles within healthcare organizations, implementing electronic medical record systems. It also outlines some common issues and needs expressed by key stakeholders in healthcare such as primary care physicians, administrators, and C-suite executives regarding EMR systems like ensuring data quality, interoperability, and support for value-based care initiatives.
The document discusses the state of healthcare in the United States, National Imaging Associates (NIA) and their RadMD enterprise portal. It describes how the US healthcare system is large, costly and fragmented. NIA created RadMD to connect physicians, improve information sharing and manage diagnostic imaging costs/quality. RadMD integrates clinical data and transaction processing to facilitate the healthcare process for providers, payers and patients.
This document provides a summary of a medical billing and coding professional's qualifications. It includes 3 sentences summarizing her objective, education, and current role as a medical risk adjustment field auditor reviewing medical records to ensure accurate risk adjustment coding.
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
This document describes a medical software solution that aims to organize, simplify, and automate complex processes and workflows in healthcare organizations. It integrates and optimizes processes across departments, decreases costs and improves efficiency. The software provides analytics, detailed reports, increased transparency, and customizable dashboards. It has an intuitive interface, allows for task automation, and retrieves data from other applications. The software was recognized as one of the top vertical market solutions in Europe in 2012. It contains various modules that can operate independently or together to cover different medical activities like appointments, patient records, imaging, and billing. The document discusses the benefits the software provides like reducing costs, improving safety and accessibility of patient information, and streamlining operations.
This document provides a summary of Jamie Swartz's professional experience and qualifications. She has over 14 years of experience in healthcare, with 12 years specifically in Medicaid managed care. Her experience includes quality improvement, process improvement, project management, regulatory reporting, data systems and analysis. She is currently the Director of Business Project Management at Aetna Better Health of Pennsylvania, where she oversees various operational areas including systems, reporting, audits and projects. Prior to this role, she held several leadership positions at Aetna Medicaid plans in Delaware, focusing on quality improvement, data analytics, and developing tools and processes to improve performance.
Jeannette S. Fonseca Rodríguez is seeking a position where she can apply her experience in customer service, human resources, and healthcare. She has over 4 years of experience working in appeals and grievance departments, quality control, and as a case coordinator. Her skills include excellent communication, knowledge of computer programs like Microsoft Office, and being bilingual in Spanish. She is currently working towards an Associate's Degree in Pharmacy Technician from National University College.
HIMSS CCDA Story BSWH_HSP Roundtable_Jan 2016Oscar Glorioso
Baylor Scott & White Health implemented C-CDA direct messaging to improve care coordination and avoid Medicare penalties. They mapped clinical data from their EHR to the C-CDA standard, configured a health information service provider for exchange, and developed workflows to send and receive summaries. While technical issues arose, they saw decreased readmissions. Moving forward, Baylor aims to decentralize direct messaging management and integrate it with other initiatives to further improve outcomes.
Cristina Gomez is an experienced health information management professional with over 25 years of experience. She has a bachelor's degree in health information management and is a certified registered health information technician. Gomez has extensive experience implementing electronic health records and other technologies to improve efficiency and compliance. She is skilled in areas such as leadership, health information exchange, and project management.
Ana Dolores Franco has 12 years of experience leading medical teams in the Navy. She supervised daily operations at a Navy mobilization processing site ensuring accurate medical processing for over 9,000 personnel. She also developed and maintained medical readiness reporting and ensured command readiness goals were met. Currently pursuing a Master of Public Health degree, she previously worked as a medical doctor in a hospital in Mexico and as a marketing translation coordinator for a company in San Diego.
This document is a resume for Ivan Bradley, an experienced pharmacist with 28 years of experience in Florida seeking new opportunities. He has worked in various pharmacy settings including community, long term care, mail order, outpatient, and institutional pharmacies. Bradley is proficient with many pharmacy software programs and has a clear record. He is seeking relief, contract, or staff pharmacist positions and is willing to travel up to 50%.
This document provides a summary of Gina Allen's experience and qualifications as a registered nurse and case manager. She has over 25 years of experience in healthcare, including current roles as a full-time RN case manager and previous roles in hospitals, skilled nursing facilities, and insurance companies. She holds certifications in case management and basic life support.
This document provides a summary of Frank Spencer's qualifications and experience in healthcare administration and medical coding. It includes his contact information, education history with multiple degrees, and certifications in areas such as coding, case management, and healthcare administration. The summary highlights over 15 years of experience in roles focused on medical coding, revenue cycle management, and provider education at healthcare organizations in Maine.
This document contains the resume of Sena Joliffi, a 25-year healthcare professional with experience in claims processing, administrative roles, and quality assurance. She currently works as a Claims Supervisor at Molina Healthcare, where her responsibilities include monitoring claims guidelines, resolving issues, and ensuring production and quality standards are met. Previously she held roles such as Quality Coding Auditor, Ancillary Products Manager, Coder, and Patient Management Coordinator. She has extensive skills in areas like Medicare, coding, claims processing, and software programs.
Sheneque L. Long-Davis is seeking a position that allows her to grow within a company. She has over 15 years of experience in revenue cycle management, medical billing, and insurance verification. Her most recent role was as a Revenue Cycle Specialist II at CCS Medical, where she assessed insurance reimbursement, verified documentation, and resolved credit balances. She is organized, a strong problem solver, and motivated to learn.
The Homecare Intelligence (HCI) Solution - ProvidersIris Fung
The document discusses Homecare Intelligence Canada Inc.'s logistics solutions for home care agencies. It describes the challenges of scheduling home care visits given various clinical, patient, and provider factors. The HCI solution uses algorithms to optimize visit assignments, sequencing, and routing to minimize travel times and costs while improving quality of care. Implementing this solution could help agencies improve operational performance, enhance patient and provider satisfaction, and reduce operational costs.
Bindu Chawla has over 15 years of experience in medical coding and currently serves as the Manager of IP Coding Services at JPS Health Care Network in Texas. She oversees a team of 11 coders and 3 auditors. Previously, she held coding management roles at Anthelio/Pyramid Healthcare and Precyse Solutions. Bindu has a Bachelor's degree in Microbiology, a post-graduate diploma in Medical Lab Technology, and is a Registered Health Information Administrator, Certified Coding Specialist, Certified Professional Coder, and ICD-10 CM/PCS Train the Trainer.
This document is a resume for Diane A. Carr which summarizes her experience in health information management roles over several years. It highlights her expertise in areas such as electronic health records, computerized health information systems, coding, clinical documentation improvement, and revenue cycle management. The resume lists her work history in various interim management positions where she improved coding quality and productivity, reduced denied or unpaid claims, and oversaw transitions to new computer systems.
The document describes a scenario faced by a newly hired health information management (HIM) department supervisor. It outlines various challenges including staff concerns over possible job cuts, rejected Medicare claims, and an upcoming clinic acquisition. It also notes operational issues like an ongoing EHR transition and the need to evaluate department processes. Facing these difficulties, the supervisor must determine necessary coding functions, evaluate staff, and improve decision-making to effectively manage the changing HIM workflow and quality standards.
A Belt and Suspenders Approach to Chart Audit and Coding by Carol OlsonAltegra Health
This document discusses approaches for improving chart audit and coding to ensure accurate risk adjustment scores. It emphasizes the importance of accurate documentation and coding for determining risk adjustment payments. It recommends a "belt and suspenders" approach of explanation, evaluation, selection and analysis of documentation improvement methods. The document also discusses upcoming changes to HCC coding rules and the need for provider training to address these changes. Finally, it notes challenges in validating risk adjustment data across different HCC models and years.
Experiences on Performance Management System in a Private Hospital Setting: T...Reynaldo Joson
The document discusses the experiences and perspectives of a consultant-adviser regarding performance management systems (PMS) in two private hospitals in the Philippines where he worked: Manila Doctors Hospital in 1999 and Ciudad Medical Zamboanga in 2009. The consultant provides thoughts, perceptions, opinions, and recommendations (TPORs) on: 1) the long journey towards performance excellence that may take at least 10 years of commitment and perseverance; 2) tools for evaluating the PMS at the hospital level including regular management reviews, internal/external audits, and balanced scorecards; and 3) factors to consider when pursuing various quality standards and accreditations.
Marsha L. Carpenter has over 25 years of experience in healthcare, with a focus on quality improvement, regulatory compliance, and Lean Six Sigma. She currently works as an account manager and adjunct faculty. Previously she held roles in data analysis, quality services, and surgical technology. She has a MBA in IT Management and is certified in Six Sigma Green Belt, surgical technology, and project management.
Camille Graves is seeking full-time employment utilizing her experience in the United States Air Force and various administrative roles. She has over two years of active duty service in the Air Force as well as experience as an administrative assistant at dental offices performing tasks such as scheduling appointments, submitting insurance claims, and maintaining patient records. Graves is proficient in various software programs and aims to utilize her organizational and customer service skills gained through military service and previous positions.
This document contains a resume for Robin Napier, an experienced healthcare consultant specializing in clinical process optimization and automation. The resume summarizes Napier's experience leading clinical process redesign and electronic health record implementation projects at various healthcare organizations. It also lists Napier's areas of expertise, including meeting meaningful use objectives, physician order entry, and medication management systems.
Fy 2021 hrsa operational site visit updates 2021.09.08Compliatric
On May 27 2021, HRSA updated the Site Visit Protocol to further align with the Health Center Program Compliance Manual. While a high level overview of the changes was presented in a previous webinar on June 8th, this session will allow participants to further explore specific updates to assist with continuous compliance. Participants will learn about “Hot Spots” that can affect compliance within the fiscal, clinical and Admin/Governance sections. Best practices will be shared and presenters will allow additional time for questions.
Please join us on September 8th for this exciting webinar hosted by Michelle Layton and Jennifer Genua-McDaniel.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
Evelyn Kim has over 14 years of experience in coding management positions. She specializes in risk adjustment coding and ensuring accurate documentation to pass audits. Kim is skilled in developing coding policies, educating medical professionals, and reducing backlogs. Her experience spans multiple specialties including orthopedics, primary care, oncology, and radiology.
This is a summary of my professional successes. I am ICD 10 Proficient with Outpatient and Inpatient facility and pro- fee experience. I work remotely/telecommute and has worked on site.
HIMSS CCDA Story BSWH_HSP Roundtable_Jan 2016Oscar Glorioso
Baylor Scott & White Health implemented C-CDA direct messaging to improve care coordination and avoid Medicare penalties. They mapped clinical data from their EHR to the C-CDA standard, configured a health information service provider for exchange, and developed workflows to send and receive summaries. While technical issues arose, they saw decreased readmissions. Moving forward, Baylor aims to decentralize direct messaging management and integrate it with other initiatives to further improve outcomes.
Cristina Gomez is an experienced health information management professional with over 25 years of experience. She has a bachelor's degree in health information management and is a certified registered health information technician. Gomez has extensive experience implementing electronic health records and other technologies to improve efficiency and compliance. She is skilled in areas such as leadership, health information exchange, and project management.
Ana Dolores Franco has 12 years of experience leading medical teams in the Navy. She supervised daily operations at a Navy mobilization processing site ensuring accurate medical processing for over 9,000 personnel. She also developed and maintained medical readiness reporting and ensured command readiness goals were met. Currently pursuing a Master of Public Health degree, she previously worked as a medical doctor in a hospital in Mexico and as a marketing translation coordinator for a company in San Diego.
This document is a resume for Ivan Bradley, an experienced pharmacist with 28 years of experience in Florida seeking new opportunities. He has worked in various pharmacy settings including community, long term care, mail order, outpatient, and institutional pharmacies. Bradley is proficient with many pharmacy software programs and has a clear record. He is seeking relief, contract, or staff pharmacist positions and is willing to travel up to 50%.
This document provides a summary of Gina Allen's experience and qualifications as a registered nurse and case manager. She has over 25 years of experience in healthcare, including current roles as a full-time RN case manager and previous roles in hospitals, skilled nursing facilities, and insurance companies. She holds certifications in case management and basic life support.
This document provides a summary of Frank Spencer's qualifications and experience in healthcare administration and medical coding. It includes his contact information, education history with multiple degrees, and certifications in areas such as coding, case management, and healthcare administration. The summary highlights over 15 years of experience in roles focused on medical coding, revenue cycle management, and provider education at healthcare organizations in Maine.
This document contains the resume of Sena Joliffi, a 25-year healthcare professional with experience in claims processing, administrative roles, and quality assurance. She currently works as a Claims Supervisor at Molina Healthcare, where her responsibilities include monitoring claims guidelines, resolving issues, and ensuring production and quality standards are met. Previously she held roles such as Quality Coding Auditor, Ancillary Products Manager, Coder, and Patient Management Coordinator. She has extensive skills in areas like Medicare, coding, claims processing, and software programs.
Sheneque L. Long-Davis is seeking a position that allows her to grow within a company. She has over 15 years of experience in revenue cycle management, medical billing, and insurance verification. Her most recent role was as a Revenue Cycle Specialist II at CCS Medical, where she assessed insurance reimbursement, verified documentation, and resolved credit balances. She is organized, a strong problem solver, and motivated to learn.
The Homecare Intelligence (HCI) Solution - ProvidersIris Fung
The document discusses Homecare Intelligence Canada Inc.'s logistics solutions for home care agencies. It describes the challenges of scheduling home care visits given various clinical, patient, and provider factors. The HCI solution uses algorithms to optimize visit assignments, sequencing, and routing to minimize travel times and costs while improving quality of care. Implementing this solution could help agencies improve operational performance, enhance patient and provider satisfaction, and reduce operational costs.
Bindu Chawla has over 15 years of experience in medical coding and currently serves as the Manager of IP Coding Services at JPS Health Care Network in Texas. She oversees a team of 11 coders and 3 auditors. Previously, she held coding management roles at Anthelio/Pyramid Healthcare and Precyse Solutions. Bindu has a Bachelor's degree in Microbiology, a post-graduate diploma in Medical Lab Technology, and is a Registered Health Information Administrator, Certified Coding Specialist, Certified Professional Coder, and ICD-10 CM/PCS Train the Trainer.
This document is a resume for Diane A. Carr which summarizes her experience in health information management roles over several years. It highlights her expertise in areas such as electronic health records, computerized health information systems, coding, clinical documentation improvement, and revenue cycle management. The resume lists her work history in various interim management positions where she improved coding quality and productivity, reduced denied or unpaid claims, and oversaw transitions to new computer systems.
The document describes a scenario faced by a newly hired health information management (HIM) department supervisor. It outlines various challenges including staff concerns over possible job cuts, rejected Medicare claims, and an upcoming clinic acquisition. It also notes operational issues like an ongoing EHR transition and the need to evaluate department processes. Facing these difficulties, the supervisor must determine necessary coding functions, evaluate staff, and improve decision-making to effectively manage the changing HIM workflow and quality standards.
A Belt and Suspenders Approach to Chart Audit and Coding by Carol OlsonAltegra Health
This document discusses approaches for improving chart audit and coding to ensure accurate risk adjustment scores. It emphasizes the importance of accurate documentation and coding for determining risk adjustment payments. It recommends a "belt and suspenders" approach of explanation, evaluation, selection and analysis of documentation improvement methods. The document also discusses upcoming changes to HCC coding rules and the need for provider training to address these changes. Finally, it notes challenges in validating risk adjustment data across different HCC models and years.
Experiences on Performance Management System in a Private Hospital Setting: T...Reynaldo Joson
The document discusses the experiences and perspectives of a consultant-adviser regarding performance management systems (PMS) in two private hospitals in the Philippines where he worked: Manila Doctors Hospital in 1999 and Ciudad Medical Zamboanga in 2009. The consultant provides thoughts, perceptions, opinions, and recommendations (TPORs) on: 1) the long journey towards performance excellence that may take at least 10 years of commitment and perseverance; 2) tools for evaluating the PMS at the hospital level including regular management reviews, internal/external audits, and balanced scorecards; and 3) factors to consider when pursuing various quality standards and accreditations.
Marsha L. Carpenter has over 25 years of experience in healthcare, with a focus on quality improvement, regulatory compliance, and Lean Six Sigma. She currently works as an account manager and adjunct faculty. Previously she held roles in data analysis, quality services, and surgical technology. She has a MBA in IT Management and is certified in Six Sigma Green Belt, surgical technology, and project management.
Camille Graves is seeking full-time employment utilizing her experience in the United States Air Force and various administrative roles. She has over two years of active duty service in the Air Force as well as experience as an administrative assistant at dental offices performing tasks such as scheduling appointments, submitting insurance claims, and maintaining patient records. Graves is proficient in various software programs and aims to utilize her organizational and customer service skills gained through military service and previous positions.
This document contains a resume for Robin Napier, an experienced healthcare consultant specializing in clinical process optimization and automation. The resume summarizes Napier's experience leading clinical process redesign and electronic health record implementation projects at various healthcare organizations. It also lists Napier's areas of expertise, including meeting meaningful use objectives, physician order entry, and medication management systems.
Fy 2021 hrsa operational site visit updates 2021.09.08Compliatric
On May 27 2021, HRSA updated the Site Visit Protocol to further align with the Health Center Program Compliance Manual. While a high level overview of the changes was presented in a previous webinar on June 8th, this session will allow participants to further explore specific updates to assist with continuous compliance. Participants will learn about “Hot Spots” that can affect compliance within the fiscal, clinical and Admin/Governance sections. Best practices will be shared and presenters will allow additional time for questions.
Please join us on September 8th for this exciting webinar hosted by Michelle Layton and Jennifer Genua-McDaniel.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
Evelyn Kim has over 14 years of experience in coding management positions. She specializes in risk adjustment coding and ensuring accurate documentation to pass audits. Kim is skilled in developing coding policies, educating medical professionals, and reducing backlogs. Her experience spans multiple specialties including orthopedics, primary care, oncology, and radiology.
This is a summary of my professional successes. I am ICD 10 Proficient with Outpatient and Inpatient facility and pro- fee experience. I work remotely/telecommute and has worked on site.
Timothy Look has over 18 years of experience as a coding manager in multi-specialty physician practices. He has managed coding teams and ensured accurate coding according to Medicare, Medicaid, and commercial payer guidelines. His experience includes coding for internal medicine, family practice, pediatrics, and other specialties. He maintains current knowledge of coding practices and regulatory guidelines.
Angela Beard seeks a position in healthcare that utilizes her coding and auditing skills. She has over 20 years of experience in medical coding, auditing, and revenue cycle management. Her experience includes coding outpatient, ER, and inpatient charts across various specialties. She also has experience auditing charges and making corrections to ensure accuracy. Beard has worked remotely for several companies and consistently receives high scores on internal audits above 97%. She is proficient in ICD-9, ICD-10, CPT, and HCPCS coding and has experience with various EMR systems including 3M and Epic.
Kathleen McCloskey has over 25 years of experience as a healthcare systems analyst, consultant, and project manager for electronic health record implementations. She has extensive experience leading projects for Allscripts Sunrise and Siemens applications, including configurations, testing, training, and optimizations. Some of her roles included developing training materials for case management and utilization review, leading radiology builds, and analyzing workflows to help organizations meet meaningful use criteria.
Michelle Henning is seeking a position as a healthcare consultant where she can utilize her 10 years of experience as a certified medical coder. She has extensive experience coding for various specialties such as neurosurgery, pain management, and physical therapy. Her qualifications also include certification in medical coding training and auditing physician records to ensure accurate coding.
Linda Ruiz has over 25 years of experience in healthcare finance and information services, including 9 years of supervisory experience. She has worked as an expert business analyst and clinical informaticist for Allscripts and UCI Medical Center, where she supported electronic medical record systems, developed interfaces, and provided technical support. The document outlines her technical skills and experience in clinical documentation, interface development, database management, and customer service.
Angela Moss has over 20 years of experience in clinical documentation improvement, case management, coding, and revenue cycle management. She currently works as a Clinical Documentation Improvement Specialist at Barnes Jewish Hospital, where she leads a team of 29 specialists and has helped improve the hospital's mortality index and value-based purchasing scores. She also works as an independent consultant, advising healthcare facilities on ICD-10 readiness and CDI program development.
This document is a resume for Yon H. (Cindy) See. It summarizes her experience in supply chain management, procurement, and medical assisting roles over 20 years. She has extensive experience managing suppliers and developing procurement processes for healthcare companies. Currently, she works as a medical assistant at Duke Health, monitoring patients and assisting medical professionals. She also has project management and administrative experience from her time at IBM.
Mary Wallace is a healthcare professional with extensive experience implementing and supporting clinical systems like MEDITECH and Patient Keeper. She has over 20 years of experience directing implementations, software training, and technical support. Her background includes roles implementing pharmacy modules, electronic health records, and helping facilities achieve Meaningful Use certification.
EEPAK MATHUR has over 19 years of experience in healthcare analytics and informatics. He currently serves as the Director of Healthcare Reporting and Analytics at Visiting Nurse Service of New York, where he oversees analytical teams and regulatory reporting. Prior to this role, he held several positions involving data analytics, reporting, and quality improvement at organizations like Oxford Health Plans and CIGNA Healthcare. EEPAK MATHUR has expertise in areas like SAS programming, dashboarding, data quality, and reporting to CMS and the New York Department of Health. He also has experience developing analytical strategies to increase revenue and optimize business objectives.
• Responsible for identifying the comprehensive legal patient medical record in paper and electronic systems in Health Information.
• Duties include assuring all patient records and loose documents are scanned and indexed into the EPF with the highest level of quality possible.
• Responsible for full range of tasks performed in health information department with regard to health information management and maintenance.
• Provides customer service support of the health information department and any other duties assigned.
Pawandeep is a senior project manager with over 15 years of experience in IT and 10 years of experience in the health domain. He has extensive expertise in managing large IT projects from concept to completion. Pawandeep has a strong track record of successfully delivering end-to-end projects in hospital information systems within budgets of $5-10 million. He is highly skilled in areas such as business analysis, process improvement, stakeholder engagement, and managing diverse project teams.
Sara provides healthcare solutions including an integrated healthcare management information system (HMIS), picture archiving and communication system (PACS), quality management system (QMS), and telemedicine solutions. It has implemented full turnkey hospital IT projects for both public and private healthcare organizations. Sara's healthcare solutions provide clinical and administrative modules integrated across multiple locations to enable centralized monitoring, optimization of resources, and accessibility of patient records. The solutions are designed around global healthcare standards and can scale to support organizations' growth. Case studies demonstrate successful implementations for healthcare groups in Africa and India.
This document provides a summary of the qualifications and experience of Zachary G. Harris as a health information management and coding professional. It outlines his 19 years of experience in diagnostic and procedural coding using ICD-9, ICD-10, CPT and HCPCS classification systems. It also lists his education and certifications, including certification as a Certified Professional Coder through AAPC. Finally, it provides a detailed employment history describing his coding roles and responsibilities in various healthcare settings.
Mary Clocksin-McKeon has over 25 years of experience in medical billing, coding, and compliance roles. She has extensive experience with various medical billing systems and specializes in laboratory billing. Currently she works as a Billing and Compliance Analyst at Rochester General Hospital, where she leads a team that identifies billing issues and works to resolve them. Previously she has held various roles at RGH involving training staff, auditing bills, and ensuring accurate billing and coding.
Tracy Cadet seeks a position utilizing strong organizational and multi-tasking skills. She has over 10 years of experience in clinical data management, pharmacovigilance, and drug safety. Her background includes data entry, analysis, quality control, and regulatory reporting for adverse events. Cadet is proficient in Microsoft Office, databases such as Argus and ARISg, and has advanced knowledge of medical terminology and FDA regulations.
This document summarizes an individual's qualifications for a healthcare IT position. They have 20+ years of experience in [1] implementing and supporting clinical and financial systems, [2] analyzing surgical and financial data to improve operations and reduce costs, and [3] training staff on new healthcare technologies. They also have advanced degrees in business administration and health services administration along with membership in several professional healthcare organizations.
Kim Edwards has over 20 years of experience in healthcare operations and patient care. She holds an Associate of Science degree in Health Information Technology from DeVry University and is a certified Registered Health Information Technician. Currently she works as a Nursing Communications Technician at Cedar Sinai Medical Center where she files charts, answers phones, and enters physician orders into Epic. She is proficient in various EHR systems like Epic, Meditech, and Quantim.
Marisa P Andrews-Warnes has over 15 years of experience in medical coding and auditing. She has extensive skills in coding procedures, diagnoses, and evaluation and management visits across many specialties. Her background also includes supervising coding teams and educating physicians and staff on documentation best practices. Currently she is a coding specialist for TrustHCS Healthcare Consulting Services where she audits records to ensure accurate coding.
1. Dena Wallwork RHIT, CHA Phone: 615.604.1176 Email: dena.wallwork@yahoo.com
Page 1 of 3
OBJECTIVE – To obtain a position that allows me to use my experience in the healthcare industry, along with my
associate’s degree in HIM, and Certified Healthcare Auditor training to benefit the organization and its customers. My
experience ranges from coding, HIM Director, Transcription Supervisor for acute and psychiatric care, implementations,
meditech dictionaries upkeep, HIPAA privacy officer and many others as noted below. I look forward to speaking with you
in the near future.
EMPLOYMENT
Comprehensive Pain Specialists, Hendersonville TN – December 2011 to Current
October 2014 to Current – Compliance Analyst
Analyze Provider documentation and coding to ensure compliance with all federal, state, guideline/requirements and updates.
Provide assistance to Executive Director of Compliance Integrity including research of current laws, risk assessment, LCDs and
educational needs for the company.
Performs billing audits to comply with current federal, state, and other regulatory entities requirements including clinical
documentation, charges billed, denials etc. to determine if best practices are being met and provide education where needed.
Team lead in transition to ICD-10-CM for the company
December 2011 to October 2014. Data Resource Manager/ Healthstream System Administrator/Compliance Department
System administrator for healthstream learning center. Provide system wide support for the company’s learning software,
including but not limited to: Create assignments, courses, new users, statistical reports. Provide end users with assistance on
technical problems as they arise. Maintain the employee database including the education for AHA certification, and ICD10
certification.
Provide software solutions for a fast-growth group with over 800 employees and 50 clinics.
Work-Flow analysis of paper documents to be scanned into charts, using fax inbox, drop boxes and scanners in an orderly and
timely fashion.
Compliance Auditor – Audit documentation for compliance to state, federal and other regulation entities for 50 plus clinics.
Provide input and creation of companywide policies and procedures as they relate to documentation standards.
EHR documentation quality review for providers and clinical staff including diagnoses and procedure codes by CMS standards
for clinic visits, procedures and consult visits.
Analyzes data from EBO reporting system identifying areas that need addressing by education, further in-depth audit.
Provides Department Heads with education materials to share with their employees regarding the most up-to-date current coding
guidelines.
NHC Healthcare – Hendersonville, TN March 2011 – December 2011 HIM Director.
Responsible for all aspects of health information documentation for 122 bed long-term/rehab center meeting standards, MDS
coding, chart analysis for completion.
HIPAA Privacy officer for the facility; providing the most current state, federal and Medicare guidelines to our facility for
compliance and continuity of care for residents. Audited charts for completeness, documenting areas where documentation
needs to be addressed to meet standards for RUGS and federal guidelines. Provided statistical reports to IM committee
regarding compliance with chart audits, HIPAA violations and worked with corporate consultant to address facility issues in
these areas.
Coding - admission, MDS. RUGS coding, coding upon transfer and discharge from facility using ICD9CM diagnoses coding
guidelines.
Superior Global Solutions – Virtual Position December 2010 – March 2011 Transcriptionist/Editor.
Transcribed medical reports for acute care hospitals nationwide including teaching facilities.
Report types transcribed – specialty groups, experimental trials from immune-histological, oncology, radiation therapy to general
medicine, orthopedics included HPs, Discharge Summaries, operative reports, cardiology reports, progress notes,
echocardiograms, Heartviews and ER notes, at a 98% accuracy rate.
Record Results LLC – Nashville, TN (Transitional Position) Team Lead Release of Information Sept. 2010 – Dec. 2010.
Provide all functions of release of information for a multi-clinic group of 90 physicians according to HIPAA compliant laws to
external entities including billing, monitoring for payment and processed requests.
DTS of America – Brentwood, TN March 2009- Sept. 2010 Implementation Specialist
Worked as part of the implementation team serving as the work-flow/Meditech expert during the implementation of DTS
transcription services to healthcare customers including hardware and software deployment, operational organization and work-
flow management as well as project management of the installation process.
Provided testing on new software for text and voice package documenting trials. Performed QA reviews for new sites
implemented providing feedback to company and the hospital/clinic on an ongoing basis during the implementation phase.
Input on work-flow resolutions within Meditech report dictionaries for LifePoint customers.
Tested and helped develop a new dictation/EMR software for the company.
Created training manuals for new software and trained staff on new products during implementation phase.
2. Dena Wallwork RHIT, CHA Phone: 615.604.1176 Email: dena.wallwork@yahoo.com
Page 2 of 3
HCA Shared Services –Nov. 2008 - March 2009. Transcriptionist
Transcribed reports for regional group of hospitals, (18) within the HCA market in Meditech Order Entry, Radiology Module
and back end speech editor in PowerScribe
Report types including history and physicals, discharge summaries, operative reports, radiology reports PowerScribe radiology
reports, psychiatric assessments and emergency room reports.
HCA Skyline Medical Center – October 2006 - November 2008 Transcription Coordinator
Supervised all aspects of transcription for Acute Care and Psychiatric Campus. Performed HR functions; staffing, quality
reviews, payroll processing, training of employees and liaison for outsource vendors.
Gathered statistical information for the HIM/UR committee for JCAHO compliance regarding TAT and Quality of reports.
Performed QA on transcribed reports for all transcriptionists per AAMT guidelines.
Maintained/Created and Revised the following in Meditech: OE forms, Reports Formatting including mail merge functionality,
provider dictionaries, set parameter changes for MRI, OE and other site and market requests. Provided direct assistance to
physicians and ancillary staff with dictation requests and education on the dictation system.
LifePoint Sumner Regional Medical Center – Transcription Quality Control Coordinator
September 2006- September 2007.
Implemented the Quality Management Program for a multi-facility transcription department, per AAMT guidelines.
Performed monthly reviews on transcribed reports providing feedback to the MTs quarterly with focus reviews on all report
types. QA included feedback for providers as well as MTs. The providers received feedback on the completeness of all report
types as to whether they met national guidelines for billing the correct level codes per their documentation.
HCA Hendersonville Medical Center –Served in 3 different roles while at HMC.
Medical Transcriptionist/special projects, May 1999-October 2006.
Transcribed all work types, DS, HP, Consult Notes, Op Notes, Radiology, Procedure Notes in Meditech.
Trained new MTs on Meditech system.
Performed QA and made required edits.
PACs editor. Updated radiology templates in reports dictionary to include current CPT codes for imaging reports ready by
radiologists for billing purposes.
Worked with new software for Cardiology group during test phase.
Help-desk liaison to resolve issues for transcription department.
PowerScribe edits for radiologists as needed.
HIM Director, 1997-1999.
Managed and supervised all functions of the HIM department to include, coding, transcription, release of information, chart
analysis, incomplete area, and preparation of birth certificates.
Member of Meditech Implementation Group during market transition phase.
Served as Co-Chair of IM committee.
Created policies and procedures to meet JCAHO, federal and state guidelines.
Performed coding audits on a quarterly basis for DRG accuracy, Case-mix evaluation.
Liaison with physicians for coding quality and clinical documentation improvement.
Coder 1995-1997.
Coded all patient types using current ICD9-CM guidelines in Meditech with 3M coding software. This included concurrent
coding, upon admission, during stay and prior to discharge.
The facility is an acute care facility with same day surgery, obstetrics, and endoscopy suite as well as cardiac cath lab.
Coded all visit types and met corporate standards of 97% or better accuracy rate based on national coding guidelines for
DRGs, case-mix evaluation, selection of principle diagnoses, procedure codes both ICD9CM and CPT codes including
modifiers. Inpatient, Surgery, endoscopies, emergency room visits, Rehab visits. As liaison to the billing office worked to
decrease AR days.
Mediplex Rehab - Coder 1993-1994. PRN position coding long term care/rehab visits.
Coded Rehab visits after discharge including ICD9CM codes based upon Rehab coding guidelines using Meditech and 3M
encoder
HCA Greenview Medical Center
HIM Supervisor 1994-1995, Supervised ROI, clerical staff, and analysts. Chart completion, delinquent count.
Coder 1992-1994 Code all acute care and same day surgery patient types using current ICD9-CM, CMS guidelines with 3M
coding software. This included concurrent coding, upon admission, during stay and prior to discharge.
3. Dena Wallwork RHIT, CHA Phone: 615.604.1176 Email: dena.wallwork@yahoo.com
Page 3 of 3
EDUCATION
Western Kentucky University, Associate Degree in Health Information Management 1992.
CERTIFICATIONS
o RHIT certified 1992 - present
o Certified Healthcare Auditor – 2015
PROFESSIONAL MEMBERSHIP
o American Health Information Management Association
o American Institute of Healthcare Compliance
o AAPC
Technical Skills
Audicy – AAPC audit tool for physician documentation and billing.
Healthstream System Administrator - Training January 2014
Eclinical Works – EHR and billing software, assistant system administrator training, September 2012
Meditech Training throughout time with HCA superuser through 2008 including:
o OE Reports module setup and Maintenance:
o Auto-Fax setup in OE
o OE Reports building, canned text builds,
o Provider Dictionary setup and maintenance
o Compiled Reports building
o 3M encoder use
o Statistical Reports building
o Radiology $T dictionary maintenance
o Provider Auto-Fax dictionary setup and maintenance
o Fax Error Log
o PowerScribe – Back-End editing and Template builds.
Microsoft Office Suite
o Outlook
o OneNote
o FoxIt Reader
o Excel