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Director Level

Location:
Salisbury, North Carolina, United States
Posted:
April 22, 2019

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Resume:

PHYLLIS MILLER Ph.D,RHIA,RHIT,CHPS,CTR

Salisbury, NC 28146 980-***-**** ac86gd@r.postjobfree.com

Professional Summary

Affinitive, Visionary and Coaching Health Information Management Professional with more than 20 years' experience in the healthcare field. Management of operational and capital budgets within facility-specific guidelines. Preparation of written justification for staffing, software/hardware upgrades/updates, i.e. EMR system upgrades. Specializing in: Defined efficiencies and accuracies within HIM, ACoS, CoC, TJC survey preparation/participation, Revenue Cycle Management, Coding (including compliance and specialty coding), Inpatient/Outpatient/Physician/E&M/Profee/Trauma/Cancer Registry/Oncology/Cardiac, etc., Assignment of key performance indicators, Clinical Documentation Improvement (CDI), Audits (including outcomes), Risk/Quality Assessments, Key Metrics Outcomes, Initiatives, and Follow-up, Data Analysis, Medical Record Review and Interpretation, Multiple Committee Member, i.e. Cancer Committee, Medical Records, Quality, TJC, Baldridge/Disney, etc., Project Management, Lean Six Sigma Projects with a focus on short/long goals and objectives, positive bottom line outcomes, Electronic Medical Record (EMR) Planning, System Implementation, Roll-out, Training, Public Relations and Intradepartmental Outreach, Subject Matter Expertise, Strategic Planning Initiatives, Risk Modeling Data, MACRA, MIPS, ICD-10-CM/PCS, ICD-10, ICD-11 Coding Conversion Planning/Training, Employee Recruitment and Retention, Disciplinary Action and Follow-up

Education

Capella University – (PhD): Organization And Management, Focus in Leadership, 2008 – GPA 3.687

Minneapolis, MN

Central Michigan University – (MSA): Health Services Administration, 2000 – GPA 3.42

Mt. Pleasant, MI

SUNY Downstate (Downstate Medical Center) – (BS): Health Information Management, 1997 – GPA 3.26

Brooklyn, NY

Borough of Manhattan Community College – (AAS), 1995 – GPA 2.56

New York, NY

Certifications

Certified Tumor Registrar (CTR), 1995

Registered Health Information Technician (RHIT), 1996

Registered Health Information Management Administrator (1997)

AHIMA Approved ICD-10 CM/PCS Trainer, 2010

Lean Six Sigma (Green Belt) 2010

Certified Healthcare Privacy and Security (CHPS) 2011

Subject Matter Expert (SME) 2011

Skills

Epic, McKesson, Cerner, Cerner Millennium, Oncolog, Registry Plus, CNExT, C/NET, GE Centricity, eClinicalWorks, Varian, Mosaiq, Allscripts, 3M, 3M 360 CAC Coding, CDI, MD, ChartScript, Softmed, Optum, Optum 360 CAC, Microsoft Office Suite, PeopleSoft, Aria, IDEA, Metriq, Meditech, Laserfiche, TIER, AdvancedMD, Quadramed, Charge Master (CDM), Revenue Cycle, HIM, Quality Improvement, HIPAA, Corporate Compliance, CMS, TJC, ACoS, Cancer Registry/Oncology Data Management; Coding

ICD-10 CM/PCS, ICD-9-CM, CPT, E&M, Prof Fee, Home Health, Behavioral Health, Development of Apprentice Coding Training Program, Specialized Registry Coding: Cardiothoracic, Trauma, KPI's, Specialized Registry, New Technology/Software Implementation and Training, etc.

Auditing, Billing, Coaching, Database Management, Staff Education/Training, Financials/Budgets, Leadership, Medical Legal, HIPAA Privacy and Security, Medical Record Review, Transcription, Team Management, Mentoring, Telecommunications, Process Improvement, Program/Project Management, Quality Improvement, Recruitment, Research, Risk Analysis/Management, Lean Six Sigma, Staffing Recruitment, Disciplinary Action Process and Follow-up

Work History

Health Information Management Links, Inc., 1/2013 to Present

Project Manager, CM/PCS Trainer and Consultant

Senior HIM/HIT, Coding, CDI, Revenue Cycle and Education Consultant

Management of department operations and budget, Preparation and written justification for staffing, software/hardware upgrade/updates, i.e., EMR system upgrades, improved department efficiencies, ACoS, CoC, TJC survey preparation/participation, Revenue Cycle Management, DNFB, Coding (including compliance and specialty coding), (Inpatient, Outpatient, Physician, E&M, Profee, Trauma, Cancer Registry, Oncology, Cardiac, etc.), Transcription Services, Component education (coding each piece): procedure performed (location, intent - diagnostic/intervention, type of device used - internal/external, technique - endoscopic/percutaneous), as well as all other codeable components, verified by coding guidelines/coding clinics, CMS and other Regulatory Agencies, Key Performance Indicators, Clinical Documentation Improvement (CDI), Audits (including outcomes), Risk/Quality Assessments, Key Metrics, Data Analysis, Medical Record Review and Interpretation, Member of Multiple Committees, i.e. Cancer/Oncology, Medical Records, Quality, TJC, Baldridge/Disney, etc., RAC Audit Team Review and Management of 3rd Party Payor Denials, Project Management, Lean Six Sigma Projects with a focus on short/long goals and objectives and positive bottom line outcomes, Electronic Medical Record (EMR) Planning, System Implementation and Roll-out, Training (coding staff, CDIS, physician, ancillary staffing, and external stakeholders), Subject Matter Expertise, Strategic Planning Initiatives, Risk Modeling Data, MACRA, MIPS, ICD-10-CM/PCS, ICD-10 to ICD-11 Coding Conversion, Resource Planning, Employee Recruitment and Retention, Disciplinary Action and Follow-up, Practiced key listening skills, associated with clear, effective oral and written communication, Long and short-term coding assignments.

Interim HIM Director, 11/2018 to 03/2019

North Central Community Hospital – Wausau, WI,

Interim Remote Coding and Follow-up, 7/6/2017 to11/2018

Florida Hospital - Heartland Medical Center – Sebring, FL

Interim HIM Director, 12/2016 to 12/2017

Grays Harbor Community Hospital – Aberdeen, WA

Interim HIM Manager, 01/2014 to 01/2016

Kaiser Permanente – Fremont, Haywood, Sacramento, Walnut Creek, CA

Health Information Management Links, Inc., – Richmond, VA

(University of Texas Medical Branch, Galveston, TX), 1/2013 to 12/2014

HIM and Coding Director, 01/2011 to 01/2013

Virginia Commonwealth University Medical Center – Richmond, VA

Management of department operations and budget, Preparation and written justification for staffing, software/hardware upgrade/updates, i.e., EMR system upgrades, improved department efficiencies, ACoS, CoC, TJC survey preparation/participation, Revenue Cycle Management, DNFB, Coding (including compliance and specialty coding), (Inpatient, Outpatient, Physician, E&M, Profee, Trauma, Cancer Registry, Oncology, Cardiac, etc.), Transcription Services, Component education (coding each piece): procedure performed (location, intent - diagnostic/intervention, type of device used - internal/external, technique - endoscopic/percutaneous), as well as all other codeable components, verified by coding guidelines/coding clinics, CMS and other Regulatory Agencies, Key Performance Indicators, Clinical Documentation Improvement (CDI), Audits (including outcomes), Risk/Quality Assessments, Key Metrics, Data Analysis, Medical Record Review and Interpretation, Member of Multiple Committees, i.e. Cancer/Oncology, Medical Records, Quality, TJC, Baldridge/Disney, etc., RAC Audit Team Review and Management of 3rd Party Payor Denials, Project Management, Lean Six Sigma Projects with a focus on short/long goals and objectives and positive bottom line outcomes, Electronic Medical Record (EMR) Planning, System Implementation and Roll-out, Training (coding staff, CDIS, physician, ancillary staffing, and external stakeholders), Subject Matter Expertise, Strategic Planning Initiatives, Risk Modeling Data, MACRA, MIPS, ICD-10-CM/PCS, ICD-10 to ICD-11 Coding Conversion Planning and Training, Employee Recruitment and Retention, Disciplinary Action and Follow-up, Practiced key listening skills, associated with clear, effective oral and written communication.

HIM/Coding Director, Privacy Officer, 08/2008-8/2011

Providence Medical Center – Kansas City, Kansas

Management/Operations, operational and capital budgets within facility-specific guidelines. preparation of written staffing justification, software/hardware upgrades/updates, identification of defined in-efficiencies, HIM, ACoS, CoC, TJC survey preparation/participation, Revenue Cycle Management, Coding (Inpatient/Outpatient/Physician/E&M/Profee/Trauma/Cancer Registry/Oncology/Cardiac, etc.), Key performance indicators, Clinical Documentation Improvement (CDI), Audits, Risk/Quality Assessments, Key Metrics Outcomes, Initiatives, and Follow-up, Data Analysis, Medical Record Review and Interpretation, Multiple Committee Member, i.e. Cancer Committee, Medical Records, Quality, TJC, Baldridge/Disney, etc., Third Party Payor Denials, Project Management, Lean Six Sigma Projects with a focus on short/long goals and objectives, positive bottom line outcomes, Electronic Medical Record (EMR) Planning, System Implementation

HIM/Coding Director, Tumor Registry Director/Manager, 01/2005 to 08/2011

K-Force Healthcare Consulting – Tampa, Florida

Managed the daily interim management operations of the HIM, Coding Departments, Specialized Registries, etc., Coding Services, CDI, Transcription, Cancer Registry/Oncology, ROI, Birth Registry, Trauma, RAC Audits, Charge Master Reconciliation, Revenue Cycle Management, i.e. DNFB Reduction, ensuring compliance with Outpatient PPS, Lean Six Sigma Process Improvement, Transition Hybrid Platform to Electronic (EMR) platform (GE Centricity conversion to Epic), Chart Analysis, Transcription, Scan Center, Internal/External Compliance and Regulatory Agencies, Meaningful Use, Forms, RAC, Risk Management, Revenue Cycle, DNFB, Quality Improvement, Physician Practice Groups, Long Term Acute Facility (LTAC), Long and short-term departmental goals and objectives, Physician Transcription Support, Quality Audits and Outcomes, Interventional Radiology, Coder Education, Subject Matter Expert, Identification, Coordination, and Implementation of Projects and Programs Initiatives designed to improve the Quality and Cost Effectiveness of HIM Coding and the Revenue Cycle Operations, Ensured projects timely scheduled project completion, adhering to established procedures and timelines, ICD-10 Physician, CDI, Coding, Tumor Registry, and Ancillary Staff Training, Design, Implementation, and Management of Tumor Registry/Oncology, Coding Apprentice Program, Charge Master Reconciliation, HIPAA Privacy/Security Compliance Officer, Survey Preparation and On-Site Visits.

Medical Records Manager, Medical Records Supervisor, Tumor Registrar, 01/2000 to 01/2005

Catholic Medical Center of Brooklyn and Queens, Mary Immaculate, Saint. John's, Saint Joseph, Saint Mary's, Saint Vincent Hospitals

Accomplishments

Successfully attained stated career goals and objectives. Career advancements achieved through education, workplace opportunities, experience, leadership, establishment of open and clear lines of communication, ability to build and manage collaborative and successful working team(s), organizational strategic planning, mentoring, and maintaining community involvement as a board member, mentoring, and volunteer, i.e. shelters, food kitchens and pantries.



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