Home Health Medical
Resume:
DONNA K. KORIATH, RHIA
Milwaukee, WI 53226-4428
Home: 414-***-****
********@**.**.***
GOAL STATEMENT
I desire a position that uses my professional and technical experience and
skills to foster quality and to promote efficient, effective, and cost
conscious utilization management.
BACKGROUND SUMMARY
Senior health care leader experienced in health information management,
privacy and compliance for home health, hospice, durable medical equipment,
respiratory therapy and pharmacy product lines. My experiences encompass
the areas of leadership, regulatory issues and accreditation, with a focus
on electronic documentation systems development and quality improvement.
PROFESSIONAL EXPERIENCE
AFFILIATED HEALTH & TMJ CENTERS OF WI 11/2009-Present
Wauwatosa, WI
Position: Medical Record Supervisor
Accomplishments
. Planned and implemented a major paper record purge. Hired 3 temporary
part time employees for 6 weeks to purge and organize an internal storage
area for inactive records.
. Restored processing of release of protected information turn around time
from 6-8 weeks to 7-10 days
. Successfully updated and maintained the primary functions around
maintaining attorney accounts. These accounts consisted of new patients
who had suffered personal/work related injuries and/or injuries resulting
from motor vehicle accidents. Primary liaison with attorneys involved in
these cases. Monitor account receivables and progression of cases
through to settlement.
OUTCOMES HEALTH INFORMATION SOLUTIONS 03/2009-11/2009
Tarpon Springs, Florida
Position: Field Reviewer
Accomplishments
. Audited medical records at multiple health care settings to retrieve
information for quality initiatives associated with HEDIS measurements
and payment integrity.
AURORA VISITING NURSE ASSOCIATION Milwaukee, Wisconsin 03/1997-04/2008
Positions
Director, Health Information, Privacy & Compliance 2007-2008
Director, Health Information & Privacy 2001-2007
Director, Health Information 2001-2007
Manager, Health Information 1997-2001
Accomplishments
. Compliance Officer: responsible for all regulatory and/or billing issues
related to home health, hospice, durable medical equipment, respiratory
therapy and pharmacy product lines. Chair of Aurora VNA Compliance
Committee, member of Aurora wide Compliance Committee.
. Privacy Officer: responsible for knowledge of HIPAA regulations related
to product lines above. Member of Aurora Health Care (AHC) Privacy
Committee. Educated staff, monitored privacy education rates and acted
as expert resource to all Aurora VNA staff.
. Director, Health Information: responsible for all clinical health
information staff and functions across all branches including home health
and hospice. Expert health information resource to durable medical
equipment, respiratory therapy and pharmacy staff. Represented health
information management at the leadership level.
. Successfully managed key health information components related to major
conversions and upgrades to electronic health care documentation systems
agency-wide. Instituted electronic order tracking process and electronic
physician signature software for orders. Played a key role in
implementing system lab results, home health aide documentation, and
hospital referral documentation from paper to electronic media.
Instituted a paperless health information process.
. Expert ICD-9-CM coding resource. Developed general and V-code guidelines
for home health adhering to CMS coding guidelines.
. Developed processes related to successful conversion to the prospective
payment system for home health.
. Instituted career ladders for Quality Analysts/Coders to encourage
attainment of coding certification. Assessed education levels and
developed education plans.
. Acted as key resource for the expansion of Advance Care Planning (ACP)
initiatives. Served on AHC ACP Committee and Aurora VNA Care Management
Committee.
. Acted as expert resource on AHC health information initiatives, including
Legal Record Definition and a classification system for electronic
records.
. Integrated AHC initiatives to health information staff: Diversity,
Aurora Star Program, Employee Recognition Program, Planetree Service
Model, Responsible Freedom and Service Recovery, Aurora Pulse, e-culture
initiative, Map Learning (acted as facilitator).
. Championed Continuous Quality Improvement methods to increase
efficiencies and eliminate waste.
. Conducted two extensive time studies of my department processes resulting
in productivity monitoring and reporting tools.
. Centralized health information functions from five regions to two
resulting in decreased staffing and improved efficiency. Cross trained
staff creating broader coverage for all order processing functions.
. Successfully worked through several major agency reorganizations that
directly affected the health information department
. Instituted numerous monitoring systems to ensure timely acquisition and
processing of physician orders and compliance with health information
documentation requirements.
. Participated in the following Aurora VNA committees: Adult Day Care CMS
Demonstration Project; Care Management; Clinical Operations; Combined
Management; Compliance; Documentation; Ethics; Finance; Joint
Commission; Performance Improvement and Safety; Policy and Procedure;
Revenue Cycle; Securecare (electronic physician signature software).
Participated annually in the Aurora VNA strategic planning process.
. Played a key role in developing a Palliative Care program throughout the
Aurora VNA.
HORIZON HOME CARE AND HOSPICE, Inc. Glendale, WI 11/1992-
03/1997
Position
Manager, Medical Records
Accomplishments
. Key player in conversion from paper to electronic documentation system
and implementation incorporating point of service technology.
Responsible for report writing and development of monitoring systems.
. Significant involvement in Information Systems, representing electronic
medical record issues.
. Involvement in the agency's first JCAHO accreditation - responsible for
Bioethics and Management of Information standards.
. Actively participated in the development of Total Quality Management
philosophy. Acted as facilitator for agency wide quality teams.
WE CARE NURSING SERVICES, Inc. Milwaukee, WI 08/1987-
11/1992
Position
Director, Medical Records
Accomplishments
. Undertook a major conversion (discharge and readmission) of all skilled
home health patients to a newly acquired agency after CMS de-
certification.
THE MILWAUKEE JEWISH HOME Milwaukee, WI 12/1985-
08/1987
Position
Director, Medical Records
Accomplishment
. Restructured Health Unit Clerk functions. Created processes for auditing
patient medical records and thereby increased their responsibilities and
accountabilities.
GOOD SAMARITAN MEDICAL CENTER Milwaukee, WI 06/1983-
12/1985
Position
Assistant Director, Medical Records
Accomplishment
. Leader in the consolidation of two major hospitals' medical information
systems due to a merger.
COLUMBIA HOSPITAL Milwaukee, WI 03/1983-
06/1983
Position
Utilization Review Coordinator
MILWAUKEE COUNTY MEDICAL COMPLEX Milwaukee, WI 08/1982-
03/1983
Positions
Medical Record Assistant I 08/1982-03/1983
Clerk Typist II 05/1981-06/1982
EDUCATION
1982 - Bachelor of Science in Medical Record Administration, University of
Wisconsin-Milwaukee, Milwaukee, WI
PROFESSIONAL MEMBERSHIPS, ORGANIZATION WIDE PUBLICATIONS, TEACHING
. 1981-Present Member, American Health Information Management Association
. 1981-Present Member, Wisconsin Health Information Management
Association
. 1981-1982 Member and Chairperson, Policy and Procedure
Committee, Student Association, Medical Record Administration, University
of Wisconsin-Milwaukee
. Published articles for Aurora VNA Pulse Newsletter
. Lectured on electronic documentation initiatives to University of
Wisconsin-Milwaukee undergraduates.
. Conducted numerous clinical internships to health information and medical
assistant program students.
. Founder, Home Health Medical Record Colleague Group, 1994-1995
SERVICE
. Volunteer, Aurora VNA Hospice 2006-present
. Conference Committee Volunteer, Wisconsin Homecare Organization Fall
Conference, 1996
042308, Rev 010509,110109
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