Lisa Staples

*** ***** *** **

Towson, MD *****

T443-824-1666

acojnl@r.postjobfree.com

PROFILE!

** **** ***** ** ******** Critical Care with a deep understanding of scope of practice in medicine. Three

years of experience building, managing and implementing successful CDI programs. My model(s) include a five

prong approach: includes quality care, concurrent documentation review, with a focus on complications, and denials.

Experience

Revenue Cycle Consultant April 2014 to Present

Maricopa Integrated Health Systems, Phoenix, AZ

Completed an assessment of the documentation and reimbursements of the inpatient population in

Behavioral Health. Developed a strategy to capture the SOI and ROM along with developing a strategy to

petition the state of AZ for full reimbursement.

Assisted CFO in contract negotiations with the contracted physician group that staff the 12 outpatient clinics

in and around Phoenix: Uncovered a 30% no show rate of schedule appointments as an aside to the

outcome of the analysis.

Defined the advantages of the new APR-DRG coding guidelines implemented in August of 2014.

Audited Emergency Room documentation, developed and implemented a program to capture the acuity of

the population admitted to the ER in real time.

Clinical Documentation Consultant January 2014-April 2014

Maricopa Integrated Health Systems, Phoenix, AZ

ICD 10 Project Manager: Developed ICD 10 training tools for the Physician practices within the Maricopa

health system.

Congress postponed the implementation and I moved to other projects for Maricopa Integrated Health.

Clinical Documentation Consultant November 2013- January 2014

St Joseph-Oakland, Pontiac, MI

Goal: Reorganize and audit the Clinical Documentation Program

Clinical Documentation Specialist ( Department of Surgery ) December 2012-November 2013

Johns Hopkins Health Systems, Baltimore MD

• Increased Cardiac Surgery’s CMI from 3.1 to 3.88 third quarter 2013

• Recovered 14 million, third quarter 2013

• Developed and implemented a proprietary model that successfully affected a positive gain in the revenue

cycle.

• MHACS

• Denials

• Petition for exclusions

• Developed the training program for the CDI program.

• Training fees for 3M was fifty-thousand a day to have the full compliment of consultants on sight, This

was eliminated.

Retired from Johns Hopkins and took a three year hiatus and launched an internet start-up.

2009-2012

CN 111 RN, CNOR Open Heart Team. Johns Hopkins Hospital 1995-2009

• Ran the Day to day operation of the open heart team including triaging and running the daily operation to

hiring and training new staff. First assisting in surgery to participating in on going research studies.

• Designed & implemented a program to decrease Cardiac Surgery’s mediastinal rate. 6 months post

implenmentation the rate went from 12% to 4%.

• Designed & implemented a program to prevent pressure ulcers in the Cardiac Surgery pt population.

CN 111 RN, CNOR Cardiac Surgical Intensive Care . Johns Hopkins Hospital 1989-1995

• Part of the team to design, train and open a new ICU

• Ran the daily operations of the unit

• Responsible for a staff of sixty RNs

RN Surgical Intensive Care . Johns Hopkins Hospital 1981-1989

First position after graduating Nursing School

Part of the team who took care of the first Heart Transplant, out of seventy-five nurses only seven were

chosen, I only had one year of experience and I was part of that team.

Education

Currently enrolled in an MS of Informatics - American Sentinel University 2013- present

Education ( cont)

Phoenix Online BSN program: 2003-2005

Johns Hopkins University School of Administration 1982-1983

MacQueen Gibbs School of Nursing 1981

Active RN License in Maryland

Scheduled for the CCDS Exam & Enrolled in the PMP Certificate program

Referrals

Upon request

Skills: MS office products with some experience with Access & visio, Epic EMR, Allscripts EMR, 3M

encoder & CAC with experience in training & implementation, JThomas CDI software, some experience with

Optum CDI software, McKesson mobile units & data entry. Experience with auditing Dragon and working

with providers using the application. Was on the committee evaluating Fusion to replace Dragon July 2014.

Contact this candidate