Post Job Free

Resume

Sign in

Home Health Medical

Location:
Milwaukee, WI, 53226
Posted:
November 07, 2010

Contact this candidate

Resume:

DONNA K. KORIATH, RHIA

*** *. **** ******

Milwaukee, WI 53226-4428

Home: 414-***-****

abh708@r.postjobfree.com

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



Contact this candidate