Manager Quality
Resume:
*** ******** ***** *******, ** ***** 407-***-**** ***************@*****.***
Janelle Wilson
Objective
Revenue management professional looking for a position where I can apply my 26 years’ experience in team leadership, developing direct reports and department, application implementation and management, data analysis, auditing and with project development and management.
Professional Accomplishments/System Knowledge
System Implementation
o VitalWare-Charge Description Master
o Registration Quality Assurance-automated auditing system o AVP, RQi, RQi Enterprise-automated auditing systems
Created training manual for the Quality Assurance team to improve new hire training experience
Implemented new style of training for the Quality Assurance team new hires
FAHAM Member-2011
HFMA Membership Committee Volunteer
Trained in and utilize(d): Affinity, GE, QES, SIS, Sovera PFS/HIM, Lawson, VisiQuate, Microsoft Office Suite
Work History
Orlando Health
Revenue Integrity Corporate Charge Master Analyst (04/2017 – Present)
Maintains the integrity of the charge master by ensuring adds, changes, reactivates and inactivates are completed
Provides education and training and is a resource to clinical staff that has user access to charge master system applications
Actively work regulatory exceptions in the charge master systems and communicate exceptions to Revenue Integrity personnel and Revenue Management teams/managers
Works collaboratively with IS, Nursing and Revenue Management leadership in the process improvement and implementation of charge capture opportunities
Understands and can apply pricing methodologies to charges
Reviews regulatory alerts and updates as they pertain to areas of responsibility, makes changes in the charge master system applications and notifies Revenue Integrity Management and Liaisons as appropriate
Charge Master system implementation-VitalWare
Orlando Health
Supervisor, Revenue Management Quality Assurance 1/2011 – 4/2017
Assisted Quality Assurance manager in planning team goals and organizing daily operational activities
Worked with vendors to assist in implementing an automated auditing software system Registration Quality Assurance-RQA
Facilitated training, team meetings and RQA demos during site visits
Established communication protocols with customers to provide ongoing feedback regarding accuracy and errors
Addressed all system/process issues reported and ensure that appropriate action is taken to resolve the problem
Supervised a team of 10 team members
Managed Time and Attendance for 10 staff members
Conducted coaching plans, coached and issued disciplinary actions as necessary 407-***-**** ***************@*****.***
Janelle Wilson
Initiated and implemented various projects to meet strategic departmental goals
Generated internal audits to maintain a high degree of accuracy on the Quality Assurance team Orlando Health
Senior Quality Assurance Analyst, Revenue Management Quality Assurance 3/2005-4/2011
Performed daily audits/analysis and outcome assessments on accuracy of patient data,
Provided feedback in reference to audit results to customers.
Served as project lead on existing and potential areas to audit, responsible to learn new audit areas process, coordinate audit and train team members. Serve as manager on duty when necessary.
Assisted in implementing automated audit software Registration Quality Improvement-RQi to facilitate Revenue Management audits.
Assisted with translation of existing audit criteria into program language
Assisted with testing the RQi system interface, troubleshoot HL7 extract warnings/rejects
Responsible to prepare written documents in reference to audit software updates and functions. Education
Everest University, Studied towards Associates in Business Administration, Transcripts equivalent to Associates
Achieved Honor Roll Status, 2001
Southeastern University, Studying towards Bachelors in Business and Organizational Leadership, Anticipate graduation-2020 References
References are available on request.
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