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Title Quality Assurance Health Information
Target Location US-CO-Lakewood
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Candidate's Name , M.Ed., RHIA, CPCS, CPMSMPHONE NUMBER AVAILABLE EMAIL AVAILABLESummaryAHIMA-certified health information management professional seeking to develop and implement immediate actionable strategies to optimize the effectiveness of your record departments quality assurance and performance improvement activities. Responsible process manager motivated to achieve operational expectations and successful regulatory and accreditation surveys. Experienced in developing employees within a positive teamwork environment while optimizing departmental and organizational success.Areas of ExpertiseRegulatory/Accreditation RequirementsQuality Assurance/Performance Process ImprovementPrivacy and Security/HIPAARecords Management (Hybrid)Policy and Guideline DevelopmentEducationCareer ExperienceCentennial Peaks Hospital May 2014  presentDIRECTOR, HEALTH INFORMATION MANAGEMENT & FACILITY PRIVACY OFFICER Responsible and accountable for translating the mission, strategic goals, and program priorities of this 104-bed behavioral health hospital into HIM department operations. Develop and manage department goals, policies, procedures, budget, and staff. Plan, organize, staff, direct, and supervise coding, release of information, transcription, transition of care, and medical record assembly and analysis functions. Ensure that medical records are maintained in compliance with all accreditation and government regulatory agencies; manage continuous quality improvement of the handling of patient information and ensure confidentiality and integrity of patient records; conduct breach investigations; and provide continuous privacy training to facility staff. Conduct monthly audits of medical records. Provide clinical documentation improvement education to physicians. Chair the Forms Committee. Serve as Administrator on Call on a rotating basis.Achievements: Increased operational efficiency and process improvement to the point where we sustained a current state with coding, record analysis, release of information, and care transition. Put in place a web-based digital release authorization form, which is well received by patients Initiated the first medical record destruction in the history of the facility. Of special note, during her visit to Centennial Peaks Hospital, the corporate privacy officer stated that, as the facilitys privacy officer, I was one of the four best privacy breach investigation writers in the 400+ UHS facility organization.Select Specialty Hospital June 2013  May 2014MANAGER, CREDENTIALING AND HEALTH INFORMATIONDirect the credentialing and health information management departments for two long-term acute care hospital (LTACH) campuses. Coordinate day-to-day operations and workflow of the departments. Conduct full range of credentialing and privileging activities and provide support to Credentials Committee and Medical Executive Committee. Identify and implement opportunities for process improvement. Monitor compliance with accrediting and regulatory agency requirements to ensure survey success. Supervise clerical staff activities related to health record scanning, completeness, release of information, and storage and retrieval.University of Colorado Hospital July 2011- June 2013 MEDICAL STAFF COORDINATORConduct full range of credentialing and privileging activities for initial appointment and reappointment of medical staff and allied health professionals for a large academic medical center; serve as a resource for compliance with internal and external standards, including accrediting and regulatory agencies; analyze and formulate revisions to ensure compliance of medical staff governing documents; serve as a subject matter expert in CDPHE and TJC surveys; participate in the implementation of a new credentialing software program (Morrisey) in support of UCHs paperless credentialing initiative; member of the OPPE process improvement working group.North Suburban Medical Center August 2009 - November 2010 DIRECTOR, MEDICAL STAFF SERVICESPlan, manage, and direct the operations and administrative functions of medical staff support services; achieve and support high quality, timely, cost-effective processes to facilitate credentialing of licensed independent practitioners; develop department budget and monitor variance; provide direction, leadership and management of medical staff services and credentialing professionals; establish and promote the support staff as an in-house resource, liaison, and partner for the Medical Staff leaders and administration; and support Medical Executive Committees monthly meetings; advise Medical Staff leadership in the development, implementation, and adherence to Medical Staff organization governing structures and documents; provide orientation to Medical Staff leadership regarding responsibilities, roles and functions; ensure compliance with facility policies and procedures, state and federal regulatory entities, accrediting bodies and Medical Staff Bylaws. Update governance documents for Medical Staff review and approval.Presbyterian/St. Lukes Medical Center May 2005  August 2009 MANAGER, MEDICAL STAFF SERVICES (2007-2009)COORDINATOR, MEDICAL STAFF SERVICES (2005-2007)Plan, manage and follow-up on credentialing and privileging activities for licensed independent practitioners; assist in development and implementation of the focused professional practice evaluation(FPPE) policy and process; manage day-to-day operations of the credentialing function through maintaining appropriate productivity to meet targeted service levels, turn-around times, and satisfaction/quality levels; maintain current working knowledge of credentialing standards and practices, statutes and laws and bylaws and policies and ensure that updates, changes, modifications or deletions were communicated and implemented by staff; participate in facility surveys and audits. Education Master of EducationHuman Resource Studies with a Specialization in Organizational Performance and Change Colorado State University Bachelor of ScienceHealth Information ManagementRegis University CertificationsRegistered Health Information Administrator (RHIA) Certified Provider Credentialing Specialist (CPCS) Certified Professional in Medical Services Management (CPMSM) 2Candidate's Name
Professional Organizations American Health Information Management Association Colorado Health Information Management Association National Association of Medical Staff Services Colorado Association of Medical Staff Services  Past President 3Candidate's Name 

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