Resume Text:
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**** ********** **
Raleigh, NC ***** Phone (919) ***-****
E-mail n4yoxw@r.postjobfree.com
Kwame Woods BA QP CSAC-R
Objective To obtain a position that will enable me to use my strong organizational skills, educational background, and ability to work well with people, which will allow me to grow personally and professionally. I am self-motivated and able to work both independently and as collaborative team member
Education 1992 – 1997 Saint Augustine’s College Raleigh, NC
Bachelor of Arts- Psychology
Trainings
Electronic Health Record Learning Management System
Enterprise Performance Management Diagnosis codes (ICD-9 and ICD-10)
Human Resource Information System
MS Programs Word, Excel, PowerPoint, Visio, Outlook, SharePoint
NCI CPR/First Aid Sign Language
Employment
Mar 07- Present Teaching Alternative Strategies & Knowledge Inc. Raleigh, NC
Director of Operations
• Lead implementation and severed as their primary point of contact , providing ongoing guidance and assisting in the effective adoption and utilization of the Electronic Health Record & Learning Management System
• Collaborates with Managers to define time-frames, funding, procedures, deliverables and staffing levels. Worked with EMR & LMS vendor and staff to develop project proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities, and budget
• Assist and coordinate with the creation, modification & approval of provisioning SOPs as related to the EMR & LMS applications
• Working with the team and key staff to ensure planning, development, training, implementation, and evaluation of EMR & LMS application functionality.
• Acts as the primary support person for users during project implementation. Support the practice in the adoption of meaningful use, patient portal and the orders Interface
• Generate reports on a monthly and weekly basis in support of the revenue cycle
• Communicates directly with key management personnel to design and generate related revenue cycle reporting
• Tracks, trend, and report financial metrics in order to identify revenue enhancement opportunities and identify opportunities to improve performance
• Maintains a log that tracks project progress and personal productivity
• Gather and analyze industry forecast and trend data from third party sources. Present data in the form of research reports and presentations
• Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety
• Identifies areas of revenue cycle enhancement through the use of appropriate financial/statistical indicators related to company performance.
• Manage outpatient billing, patient registration, address verification to ensure accurate billing
• Evaluate training and performance support needs and design the training and performance support products.
• Communicates directly with key management personnel to design and generate related revenue cycle reporting.
• Audits reports and recommends changes to reflect accuracy, consistency and completeness of data being reported.
• Reviews source documents, collects, analysis and recommends format changes in preparation for setting up more complex information or reports.
• Conducting training classes, both on-site and online, in support of the company's applications and systems to train and provide continual learning
• Developing instructional documentation and lesson plan material through LMS for staff
• Develops and conducts technology competency assessments
• Provides end user training for individuals and groups
• Conducts training for systems and applications
• Develops and modifies training curriculum lesson plans and courses
• Creates curriculum content, adapts training content to maximize learning outcomes
• Assesses existing training methods and suggest improvements
• Consults with management teams on workflow modifications and integration into training
• Collects end user feedback and identifies ways to improve system design and implementation by documenting and tracking end user training
• Serves as a resource to Super Users and other customers
• Assists in defining and developing departmental wide program management practices, governance standards, processes and metrics
• Provides direct leadership of all Accounting, Financial, Information Technology, Legal and Risk Management programs of the company
• Direct the preparation of all financial reports, including income statements, balance sheets and GL reporting and all internal and external presentation of financial results
• Oversight of the corporate annual budget and departmental budgets, and long-term financial planning.
• Develop tools and systems to provide critical financial and operational information to the company officers and make actionable recommendations on both strategy and operations
• Develop Standard Operating Procedures for company
• Coordinated changes in company policy, long range planning
• Prepares claims for clinical audit processing in the case of authorization, coding, level of care and/or length of stay denials
Feb 04 –Feb 08 Life Skills Counseling Raleigh, NC
Program Director
• Responsible for the oversight of all operations, quality assurance, training, data management and administrations of the Company
• Responsible for the measurement and effectiveness of all internal and external business processes. Provides timely, accurate and complete reports on the operating condition of the company.
• Conducts Implementation meetings for software installations, through telephone contact or on-site visits; and provides training for software within the scope of knowledge and abilities.
• Conducts software troubleshooting, through telephone or on-site visits, for supported software within the scope of knowledge and abilities, or directs to appropriate entities.
• Provides application training to new and existing users.
• Complete Medicaid/Medicare/Private payer billing for services
• Strategize and implement finance, accounting, billing, and auditing standards
• Manage, record and reconcile financial transactions in QuickBooks
• Maintain cash flow spreadsheets
• Create and monitor budgets for the organization
• Manage payroll, human resource and organizational needs
• Process and disseminate all new hire paperwork
• Enter and track new hires, updates and changes to employee records within HRIS system.
• Conducts new hire orientation and assists with pre-employment responsibilities
• Conduct webinar training for groups and individuals on Electronic Health Record & Learning Management System
• Support implementation and maintenance of electronic medical record system
• Conducting training classes, both on-site and online, in support of the company's applications and systems to train and provide continual learning
• Assists in the evaluation and re-design of project plans and objectives as necessary.
Selects, develops, manages and evaluates direct reports; oversees the selection, development, management and evaluation of indirect reports.
• Manage client expectations with respect to program deliverables, timelines, and budgets
• Assist in the scheduling and securing of resources necessary to carry out training sessions according to designated project plan
• Analyzes any denied, disallowed or non-covered claims and determines if non-payment is based on medical or technical reasons
• Complete Medicaid/Medicare/NCHC & private payors billing for services
• Prepares claims for clinical audit processing in the case of authorization, coding, level of care and/or length of stay denials
• Responsible for the maintenance and monitoring of the denial management process. Creates procedures and solutions regarding denials in order to increase cash. Identifies trends and reports regularly to Director
• Develop and track trainings and protocols for all services
March 04- July 07 Advance Health Resources Inc Raleigh, NC
Qualified Professional/Associate Professional
• Provide community support services for adult/child clients who meet DSM IV criteria
• Serve as the QP/AP for adult/youth population (developmentally disable, mentally ill, mental retardation)
• Provide case management
• Provide therapeutic interventions to the client to enhance client functioning and interactions
• Complete Medicaid/NCHC billing for periodic services
• Work cooperatively with the client, family and therapeutic teams to assure that the treatment plan goals are met
July 03 – March 04 Evergreen Health Service Raleigh, NC
Program Coordinator/Clinical Supervisor
• Serve as the QMHP/QDDP for adult/youth population (developmentally disable, mentally ill, mental retardation)
• Supervise administrative staff, residential directors, direct care staff, case managers and CBS workers
• Conduct intakes, complete progress notes, develop treatment plans, lead QA/QI team
• Complete Medicaid/NCHC billing for periodic services
• Develop and track trainings and protocols for residential/periodic services
• Responsible for the maintenance and monitoring of the denial management process. Creates procedures and solutions regarding denials in order ot increase cash. Identifies trends and reports regularly to Director
• Presented cases to Clinical Team and Resource Team of county
• Coordinated changes in company policy, long range planning, hiring, employee evaluations
• Provide case management
• Run day to day operation of Community Support department
• Directs the development and installation of procedures and controls, to promote communication and adequate information flow, and thereby solidify management control and direction of the Company
• Ensured compliance with federal standards regulated by the Department of Health & Human Services, DMA and LME’s
• Review and analyze operations budget, implemented policies and procedures to manage P&L
• Direct the preparation of financial reports, including income statements, balance sheets and GL reporting and all internal and external presentation of financial results
• Develop Standard Operating Procedures for company
March 00 – July 03 Community Alternatives of NC Apex, NC
Clinical Supervisor/QMRP
• Run day to day operation of 3 ICF/MR facility, provide 24/7 on call coverage and support
• Managed and supervised 3 mid-level management supervisors, 6 lead shift staff and 68 direct care staff
• Developed and implemented individualized treatment plans/written habilitation training programs for clients
• Facilitated contact/services between parent, guardian, school, clinicians, day program and community
• Lead interdisciplinary team meetings and human rights committee, participated in quarterly drug reviews and utilization reviews
• Ensured compliance with federal standards regulated by the Department of Facility Services
• Reviewed and analyzed operations budget, implemented policies and procedures
• Strategize and implement finance, accounting, billing, and auditing standards
• Manage, record and reconcile financial transactions in QuickBooks
• Participate in corporate financial policy development as a member of the senior management team
• Process and disseminate all new hire paperwork
• Enter and track new hires, updates and changes to employee records within HRIS system.
• Establish and maintain employee files in compliance with legal requirements
July 99 – April 00 North, Inc. Durham, NC
Regional Supervisor
• Motivate and lead a high performance operations management team; attract, recruit and retain required members of the executive team not currently in place; provide mentoring as a cornerstone to the management team.
• Serve as the QMHP/QDDP for adult/youth population (mentally ill and mental retardation)
• Managed and supervised 4 mid-level management supervisors and 65 direct care staff
• Developed specialized task training programs
• Scheduling
• Provide case management
• Reviewed and analyzed operations budget, implemented policies and procedures, hiring/interviewing applicants and employee evaluations
• Manages resources including operating budget, supplies, equipment, space, staff and information
August 98 – June 99 North, Inc. Durham, NC
Program Manager of Applied Forensics
• Coordinate and ensure the implementation of behavior plans
• Provide therapeutic counseling and crisis intervention to clients
• Run day to day operation of facility, provide 24/7 on call coverage
• Maintain/reconcile petty cash client funds
• Provide liaison between clients and person monitoring mental health/medical diagnoses (Psychiatrist, RN, LCSW, General Practitioner, Family/Guardian or Court System)
• Review documentation (PA, CAP, HRI, CBI, SL)
• Provide day-to-day leadership and management to the organization that will convey the mission and core values of the Company.
• Responsible for the oversight of all operations, quality assurance, training, data management and administrations of the Company.
• Develops, recommend, implements and monitors short -term strategies and initiatives for improving the efficiency, revenue, and cost effectiveness of locations
• Process and disseminate all new hire paperwork
• Enter and track new hires, updates and changes to employee records within HR system.
• Establish and maintain employee files in compliance with legal requirements
January 98 – July 98 Heath Force Raleigh, NC
Mental Health Counselor
• Developed job and contract negotiations for the clients with local business
• Provide one to one job training as job coach
• Documentation of services
• Taught independent living skills
• Participate in interdisciplinary team meetings
References Available upon request
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