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Project Manager Quality Assurance

Location:
Alpharetta, GA
Posted:
August 14, 2014

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Resume:

SHAUNA JOHNSON

**** **** ** #******- *******, GA 30076 - 404-***-****

Email: acfdmx@r.postjobfree.com

I am a professional who has delivered consistent superior project results.

I have maintained and assisted clients in determining best practices while

adhering to governmental guidelines. I possess the ability to translate

and configure data into current/ standard terminology, and assign

appropriate codes for inpatient coding within hospital policies. Assisted

in the maintenance of administrative codes such as: (CPT, CPT-II, and ICD-

9/10), clinical terminologies (SNOMED CT, LOINC, RxNorm, etc.), and

medication codes (NDC). Sustaining such codes is necessary in order to

facilitate an ongoing execution of sensitive code review procedures and

sensitive code identification.

AREAS OF EXPERTISE

CONFIGURATION AND CODING SPECIALIST, JULY 2007-PRESENT

While working with Adian Inc., I provided expertise for various contracts

in building crosswalks among standard terminologies. Among the many tasks,

I was responsible for assigning the appropriate ICD-9-CM diagnosis, CPT

codes, and ICD-10 if applicable. Specific experience and expertise was

demonstrated in normalizing, mapping, resolving conflicts, and managing

updates and domain modeling. Monitored the development and instructional

design of training material and programs; reviewed implementation

activities and tasks in accordance with Standard Implementation

Methodology. In addition, assisted with implementation training to provide

hospital personnel with preliminary knowledge and skills required to

utilize EHR systems; including multiple clinical workflows, best practices,

improved system/process performance, and clinical adoption.

Projects completed

. Mission Viejo- Newport Beach, CA

. Catholic Health Initiative- Denver, CO.

. Trinatas Hospital- Newark, NJ

July 2012- September 2013 Medical Coding Specialist (Contractor)

Collaborated with Adian Inc., to complete mapping for Elsevier Merged

Medical Taxonomy (EMMeT). Also, supported select clinical vocabularies,

terminologies, and coding systems such as UMLS, SNOMED-CT, ICD-9, ICD-10,

CPT, and LOINC for national hospitals.

May 2011- June 2012 Clinical Coding Analyst (Contractor)

Worked with Shared Health Systems to maintain and assign administrative

codes (CPT, CPT-II, and ICD-9/10) and clinical terminologies (SNOMED CT,

LOINC, RxNorm, etc.) with a special emphasis on currently used medication

codes (NDC, NCPDP, etc), to facilitate an ongoing execution of sensitive

code review procedures and sensitive code identification. Further, ensured

all work was validated using the Health Information Exchange to ensure

hospital interoperability.

June 2009-May 2011 Configuration & Implementation

(Contractor)

While contracting to work on system configuration, emphasis was placed

on maintaining inpatient hospital procedures and policy. Assisted in

reconciling NDC codes order to ensure proper billing. This was done to

minimize duplicate orders and errors. Also, worked to build and test

multiple drug formularies, and order sets used in various hospital

departments. Maintained a consistent understanding of software products

and functionality in order to assist end users

August 2007-April 2009 Configuration Specialist (Contractor)

Worked to develop or maintain CPT and related products as necessary. In

addition to knowledge acquired regarding ICD-9 while on this project,

also played a key role in informing project manager of potential gaps

that would affect project plans and deadlines. Facilitated

communication between implementation and coding team to Project Manager

to ensure deliverables were met.

CAPELLA UNIVERSITY

Master of Science, Human Services; Social and Community Service

Minneapolis, MN

THOMAS EDISON STATE COLLEGE

BA Liberal Studies

Trenton, NJ

ReerewlkrRE

REFERENCES AVAILABLE UPON INTERVIEW

Clinical Implementation and Configuration Specialist

EMR Implementation* EHR Implementation *Cross walking *Mapping

*Quality Assurance

. Eclipysis

. Inpatient Coding

. QA Testing

. Meaningful Use

. EHR/EMR Health Systems

. Meditech

. Clinical Terminologies

. Instructional Design

. SMM

. Configuration

PROFESSIONAL EXPERIENCE

EDUCATION

SKILLS & SOFTWARE

. Health Information Management

. Various Coding Software

. Go- Live preparation

. User Acceptance Testing

. Lexscape

. Snowflake



Contact this candidate