Wilhelmina Frierson MHA, BS, RHIT, CPC, ACHE

**** ******** ***** * *********, NC 28214 u 704-***-**** u ac24rl@r.postjobfree.com

PROFESSIONAL SUMMARY

Highly motivated HIMS director with more than eighteen years of practice in the HIMS profession. Strong leadership and organizational skills with extensive work as an HIPAA trainer, knowledgeable of coding including ICD-9- CM and ICD-10, CPT, HCPCS, level one trauma coding. Experience in mental healthcare, acute care hospital, outpatient, and rehabilitation hospital working environments with a willingness to expand to others. Strong computer and process improvement skills with the ability to improve the policies and procedures of operations. Certified professional coder, registered health information tech. and SC notary. Ability to train employees on medical components such as confidentiality, coding, HIPPA, consumer rights and more. Strong commitment to learning and staying abreast of multiple areas of service and support.

Jack Hughston Memorial Hospital, Phenix City, AL, Oct. 2015 – Present. Acute care 70 beds hospital that provides inpatient, outpatient, and emergency room services.

Health Information Management Director / HIPAA Officer

Provide day to day management of activities including scanning, qualitative analysis and coding including the offsite coding company.

Perform the functions of the Recovery Audit Coordinator including trend analysis and completion of tasks in regulated time frames and in accordance with the Recovery Auditor contract.

Coordinate the delinquent medical record count and the notification process to facilitate the timely completion of patient charts including review and monitoring.

Maintain the suspension list according to the departmental procedures and medical staff committees.

Prepare and utilize the annual operating budget for the HIM department and capital expense requests.

Initiate, facilitate and promote activities to foster information privacy awareness.

Educate and develop policies governing HIPPA and perform routine audits to ensure compliance.

Keep abreast of regulatory standards regarding Health Information Privacy, legalities, reimbursement and documentation in assurance of compliance.

Charge Master

Concurrent chart reviews

Review DNFB report daily (M-F)

Physician deficiencies report

Managed the following: four HIM TECH; four Coders; two Release of Information TECH; work with transcription company

Healthsouth Acute Rehabilitation Hospital, Rock Hill, SC, 2005- 2015. Acute care 50 beds hospital that provides inpatient and outpatient services to adults.

Health Information Management Director/ Medical Staff Director/ HIPAA Office

Perform duties of other HIMS staff to remain familiar with procedures, assist in quality control, and support staff.

Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and / or professional charges in absence of coder.

Assure requested information from external sources are handled expeditiously, maintain confidentiality of patient information and provide release of information in accordance with regulatory requirements.

Maintain a system for identification and timely completion of incomplete medical records.

Maintain patient charts, records, bills and other sensitive material in a secure area.

Abstract and validate data elements in the medical record and various computer systems.

Utilizes monthly data from UDS, PATCOM, CMS and other regulatory agencies to measure goals.

Organize, plan, and manage time effectively to complete assignments.

Meet position requirements and perform essential functions.

Maintain CMS outcomes, Case Mix Index, and Case Mix Groups (CMGs’).

Devry University, Charlotte, NC., 2014-Present

Health Information Technology Instructor

Administer ICD-9-CM and ICD-10, CPT, and HCPCS classes online as well as on campus.

Success Behavioral Healthcare, Gastonia, NC, 2003-2005. Mental health clinic that provided outpatient services to adults and children.

Health Information Management and Quality Director

Coordinated intercompany, Local Management Entity, State, and CARF chart audits.

Constructed Policy and Procedure Departmental Manuals for NC Council & CARF accreditation.

Improved the process of enrollment and assessment packages received for admission.

Conducted quantitative and qualitative reviews to maintain compliance.

Conducted initial, six month, and annual Children and Adolescent Functional Scale Outcome studies.

Trained employees on confidentiality, 42-CFR, 122C, and guidelines for clinical documentation.

Implemented Numerical Filing of Consumer PHI and pilot new numerical sorting system for consumer charts based on services received.

Created program instruction for daily review of computerized notes, charts, and assessments.

Initiated delinquency Medicare reports, Documentation Error Reports, Daily Service Documentation Reports, Census Report, CMS-13 reports, FIM Product Line Report, Discharge Summary Report, Medicare & RIP Audits, and Deficiency Report.

Mid Carolina Cardiology, Charlotte, NC, 2003. Heart & Vascular Surgery, Imaging, emergency room, and urgent care services

Medical and Billing Coding Specialist/ ER Coder.

Provided coding and billing for patient care in Emergency Room, Internal Medicine, inpatient and outpatient acute care rehab departments.

Lab Corp, Charlotte, NC, 2002-2003. Specimen collection lab.

HIM Clerk

Filed ROI, transcribed, processed claims and mail.

Checked patient charts for patient’s dictations and emailed doctors of missing information, faxed dictations, and assembled medical charts in the correct order.

Analyzed records for deficiencies and entered information into the computer system.

Developed a data flow diagram of the procedure for completing medical records reviews.

Maintained 90 plus active patient charts monthly for updates and annual reviews.

EDUCATION / TRAINING

Pfeiffer University, Masters of Science; Health Administration, 2013

Pfeiffer University, Bachelor of Science; Major: Health Administration, 2009

Greenville Technical College, Associate Degree in Health Sciences

Major: Health Information Management Systems, 2002

Pathways Local Management Entity, Gastonia, NC: HIPAA, Confidentiality, 42-CFR, 122C, State and Federal Rules and Regulations, Consumer Rights & Privacy Practice. Medicare / Medicaid billing, coding, First aid, CPR and compliance

PROFESSIONAL AFFILIATIONS

ACHE: American College of Healthcare Executives

AHIMA: American Health Information Management Association

AHA: American Hospital Association

NCHIMA Board: North Carolina Health Information Management Association

AAPC: American Academy of Professional Coders

ACCOMPLISHMENTS

Increase department revenue by capturing missing infusions not charged

Decrease DNFB report days from 7 days to 4 days or less

Worked for several for profit hospitals: Jack Hughston Memorial Hospital; HealthSouth Rehab Hospital; and Success Mental Health

Eleven years of successful Joint Commission Surveys

$200,000 annual budget

Decrease budget by $50,000 by bring all coding services in house

98.8% in compliance with all State Audits

Provide HIPAA, Confidentiality, Consumer Rights, and service record training to all employees

Provide training on completing an ROI form according to 42-CFR and state regulations.

Successfully completed all requirements for NC Council and CARF for HIM

SYSTEMS EXPERIENCE

Citrix

PATCOM

MedHost

Digital Patient Record

3M

M*Modal

Cerner

References Furnished Upon Request

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