Medical Management

Karen S. Chambers, MSHI, RHIA

**** ******* *****, **********, ** 36106

334-***-**** **************@***.***

HIGHLIGHTS OF QUALIFICATIONS

. Experience in HIM/Resource Management and private sector management

. Exceptional investigative, research and report writing skills

. Creative and innovative skills to initiate new procedures and introduce

cost savings and efficiency measures.

. Effective communicator with medical staff, hospital personnel and

administration

. Proven ability in recognizing, analyzing and resolving problems.

TEACHING EXPERIENCE

ALABAMA STATE UNIVERSITY - Montgomery, AL

Health Information Management program in the College of Health Sciences

Instructor 8/11 - present

. Developed online curriculum for Electronic Health Record (EHR), Financial

Management and System Design courses

. Experienced in both online and in classroom instruction

MANAGEMENT EXPERIENCE

JACKSON HOSPITAL AND CLINIC - Montgomery, AL

356 bed acute care facility with multi-specialty clinics and an ambulatory

surgery center

HIM Administrator 7/06 - 7/11

Implemented McKesson Horizon Patient Folder electronic record system,

training staff and served as one of the System Administrators

. Redesigned department for more effective/efficient record flow for

prepping/scanning of records

. Implemented clinical documentation improvement to proactively address

MS-DRG's

UNITED AUDIT SYSTEMS, INC - Cincinnati, OH

National revenue cycle and coding consulting/interim coding company to

hospitals and health systems.

Director, Remote Coding Services 1/01 - 10/01 Laid off due to cut backs.

. Hired and managed all document preparation and remote coding staff

. Developed and implemented CQR policies and procedures for the remote

division

. Worked with IS to determine and implement system stability

requirements

. Assisted with planning and executing client start ups and

implementations

UNIVERSITY OF ALABAMA BIRMINGHAM HOSPITAL - Birmingham, AL

908 bed acute care teaching hospital with multi-specialty clinics and an

ambulatory surgery center.

Manager, Medical Records 1995 - 1997

Led HIM operations including ROI, archives and research.

. Streamlined work schedule for 24/7 area to improve customer and

employee satisfaction

. Served as liaison to risk management and legal counsel identifying

and referring potential risk/legal matters

. Eliminated backlog of ROI requests and reduced turnaround time to a

maximum of seven days

RIVERVIEW REGIONAL MEDICAL CENTER - Gadsden, AL

295 bed acute care hospital with multi-specialty clinics and ambulatory

surgery center.

Director, Health Information Services 1994 - 1995

Managed HIM record processing functions, Resource Management and Social

Services.

. Implemented DRG option program for resource managers and coders

. Successfully completed focused onsite review by JCAHO

. Streamlined daily processes to increase productivity and reduce

operating expenses

ATHENS REGIONAL MEDICAL CENTER - Athens, GA

295 bed acute care hospital with multi-specialty clinics and ambulatory

surgery center.

Director, Utilization Management 1985 - 1994

Coordinated PRO functions, insurance certification, physician/hospital

staff education, resource utilization, discharge planning and defense

auditing.

. Created in-house auditing position for cost containment, quality

improvement, resource utilization and risk management

. Implemented 100% review of all inpatient admissions successfully

reducing ALOS by 2 days

. Eliminated intensified review by Medicare PRO, reduced denial rate

and implemented insurance certification program for reimbursement

. Created information network with physicians' offices through

educational workshops and sessions

EAST ALABAMA MEDICAL CENTER - Opelika, AL

Director, Medical Records 1983 - 1985

ROTARY REHAB DIVISION OF MOBILE INFIRMARY - Mobile, AL

Director, Medical Records 1981 - 1983

CONSULTING/INTERIM

MANAGEMENT

CHAMBERS CONSULTING, Fairhope, AL

Health Information Management consulting services providing interim

management, departmental reviews and/or assessments for hospitals, health

systems and consulting firms nationwide. 1997-2006

K-Force /CALIFORNIA PACIFIC MEDICAL CENTER - (CPMC) - San Francisco, CA

Multi-facility acute care campuses

Interim Assoc Director/Manager, HIM 3/06 - 6/06

. Managed record processing, physician completion, transcription for

union campus

QUEENS MEDICAL CENTER - Honolulu, HI

505 bed acute/ 28 sub-acute with multi-specialty clinics and ambulatory

surgery center

Interim Manager/Director, Medical Records 8/04 - 2/06

. Managed record processing, physician completion, ROI, transcription.

. Assigned management for Medical Coding and Utilization Management in

1/05.

. Streamlined record processes to expedite completion and reduce

operating costs

. Assisted with coding software conversion for facility.

BROOKWOOD MEDICAL CENTER - Birmingham, AL

586 bed acute with multi-specialty clinics and ambulatory surgery center

Interim Director, Health Information Management 5/04 - 7/04

. Managed record processing, physician completion, coding, ROI,

transcription

. Identified and resolved financial issues regarding 'lost' and unbilled

records reducing DFNB

ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER - Paterson, NJ

792 bed acute care hospital with multi-specialty clinics and ambulatory

surgery center

Consultant, Medical Records, 5/02 - 3/03

. Performed coding and record processing assessment for Ancillary and

Outpatient Clinics and conducted educational sessions for staff

regarding compliance, documentation, filing protocols and ROI

. Conducted charge audits to identify and resolve lost revenue

opportunities

. Created document specific record retention schedule

RIVERSIDE REGIONAL MEDICAL CENTER- Newport News, VA

576 bed acute care hospital with multi-specialty clinics and ambulatory

surgery center

Director, Medical Records, 3/03-11/03.

Hired to revamp a problematic HIM department with significant backlogs.

. Reduced delinquent medical record count from 3,170 to 124

. Implemented time and attendance policies to reduce staff absenteeism

and tardiness.

. Streamlined chart analysis process to eliminate duplication and

increase turnaround time.

EASTON HOSPITAL - Easton, PA

365 bed acute care hospital and ambulatory surgery center

Interim Director, Medical Records, 1/02 - 4/02

. Managed record processing, physician completion, coding and ROI

. Reduced number of delinquent/incomplete records

. Streamlined record processes to expedite completion and reduce

operating costs

. Worked with IS to identify and resolve account/record processing

issues

. Assisted with system conversion for facility

EDGEWATER MEDICAL CENTER/GRANT HOSPITAL - Chicago, IL

200 and 100 beds acute care hospitals with multi-specialty clinics and

ambulatory surgery center

Interim Director, Health Information Management 10/01 - 1/02

. Managed record processing, physician completion, coding and ROI

. Identified and resolved financial issues regarding 'lost' and unbilled

records reducing DFNB significantly

. Handled all tasks required of the MR department for facility closure

. Reduced number of delinquent/incomplete records

. Worked closely with IS to identify and resolve processing issues

MISSISSIPPI BAPTIST MEDICAL CENTER - Jackson, MS

550 bed regional health system with multi-specialty clinics and

ambulatory surgery center.

Interim Director, Clinical Resource Management 7/00 - 12/00

. Coordinated HIM record processing functions, Case Management, Social

Services, Decision Support, Infection Control and Data Management

. Streamlined record processing to eliminate delays and provide earlier

access to physicians for record completion

. Revised Chronic Offenders policy and notification to eliminate delays

in chart completion

. Implemented revenue integrity process to identify areas of potential

risk/loss and work with applicable departments on education as well as

policy/procedure revisions

. Developed tactical plan for the department which included

goals/objectives, strategies to accomplish, areas of responsibility

and timeline for completion

PARKRIDGE MEDICAL CENTER - Chattanooga, TN

295 bed acute care hospital with outpatient clinics and ambulatory

surgery center.

Interim Director, Health Information Management 3/99 - 5/00

. Managed HIM record processing functions

. Reduced delinquent record count from 2,200 to 198

. Streamlined daily processes to increase productivity and reduce

operating expenses

. Worked closely with IS to facilitate system conversion and resolve

processing issues

. Established weekly routines with the medical staff to maintain reduced

number of incomplete records

DIVERSIFIED RECORDS MANAGEMENT - Montgomery, AL

Consultant, 1998 - 1999

. Trained and evaluated personnel at ROI site facility

FILE MANAGEMENT - Birmingham, AL

Consultant, 1997 - 1999

. Supervised relocation of warehouse contents for multi facility

healthcare organization which included bar coding and data entry of

over 30,000 boxes

. Developed record retention schedule for multi facility organization

. Conducted educational programs for clients on records processing and

file submittals for data retrieval utilizing Gain software

EDUCATION/CERTIFICATION

MS, Health Informatics, 2012, University of Alabama Birmingham, Birmingham,

AL

RHIA, 1982, American Health Information Management Association, Chicago, IL

BS, Health Information Management, 1981, University of Alabama Birmingham,

Birmingham, AL

AA, Marketing/Management, 1977, Jefferson State Junior College, Birmingham,

AL

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