Healthcare Operations, Coding Manager

Devon W.Woolcock

*** ***** ******* *** #***

Hallandale Bch, FL 33009

Phone: 646-***-****

E-mail: *********@*****.***

SUMMARY

Finance / Sales and Operations Manager with proven track record of improving bottom line profitability by implementing strategic sales initiatives and managing expenses. Additional experiences include Product Development, Strategic Sales Planning, Managing P/L’s, Branch Development, and Corporate/Government Deposit campaigns. Significant contributions in growing banks’ deposit balances and increasing fee income while decreasing expenses (Margin). Accomplished in providing overall managerial guidance, establishing strategic direction and improving organizational effectiveness. Manage P & L to ensure Projects revenue and Margins are on target.

Excellent Interpersonal Skills

Analytical, quantitative, and problem solving abilities

Excellent ability to thrive in a fast-paced, high-risk environment that demands decisiveness

RELATED EXPERIENCE

Indegene Kennesaw, GA 2015-Present

Sr. Director of Operations, Risk Adjustment Coding, Quality and MRR

Direct, select, hire, train and motivate staff to achieve day-to-day and long- range operational goals. Coordinate resources required to meet the business units' objectives.

Oversees work assignments of system wide coding staff and adjusts work lists to accommodate volume and schedule changes and ensure that coders / auditors are meeting project specific quality targets

Provides weekly reports to client and the Director of HIM Consulting

Manage the resolution of problems that are escalated from clients. Continually review and appraise the progress and performance of staff and design developmental programs tailored to meet their career goals. Establishes yearly department goals

Develop products / programs for Coding and MRR area which will further enhance the company's growth, brand and revenue. Represents the company during meetings with Health Plans, Management Staff and other leaders in the industry.

Continually assess potential project risks and create and implement corrective action plan to ensure coders and auditors are meeting quality

Creates and distributes accurate reports to management and Health Plans with regard to productivity, quality, risks and other metrics.

Continuously analyzes progress of team to meet goals. Work cooperatively with staff and offices to develop meaningful reports. Identifies areas that need improvement and initiates creative solutions (cost effective) to correct issues to meet and exceed our stated goals. Prepares and delivers presentations to all levels of Management, Health Plan and boards.

Responsible for the daily operations of coding division including monitoring quality and quantity of workflow to ensure completion of work assignments

Provides cost effective management of resources

MedSave USA Long Island, NY (Formerly Arrow Health) 2011-2015

Auditor, Compliance and Risk Adjustment Operations Manager

Responsible for daily operations of coding staff of up to 100 coders and up to 20 auditors

Interview, select, and train new coders based on project guidelines

Responsible for daily touchpoint with all assigned coders and auditors.

Administer weekly calls with assigned coders to provide feedback on quality and productivity and plans for improvement where necessary.

Facilitate weekly calls with assigned auditors to discuss findings, trends and action plans for identified coders where necessary.

Support Director Operations on bi-weekly client call where necessary.

Responsible for coding and/or auditing where needed to meet client goals.

Accomplishes client and project goals by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; initiating, coordinating, and enforcing systems, policies, and procedures.

Maintain client-focused relationship providing support to client (on calls, in person, etc.) as needed.

Maintain work flow by monitoring steps of the process; observing constraint points and employee behaviors; monitoring personnel and resources; studying methods; implementing productivity enhancements; developing reporting and monitoring procedures; initiating and fostering a spirit of cooperation within and between departments and among staff.

Develop and manage production plan(s)in conjunction with Director, Operations by scheduling and assigning personnel; accomplishing work results; establishing priorities; monitoring progress; revising schedules; resolving problems; reporting results of the processing flow on shift production summaries.

Maintains quality service by establishing and enforcing organization standards.

Provides regular updates to management by compiling, initiating, sorting, and analyzing reports and data; answering questions and responding to requests.

Monitors systems and processes / procedures for any necessary revisions and/or enhancements and procedures by analyzing operating practices

DeKalb Medical Center ATL, GA 2011-2012

Coding / Auditor

Responsible for completing on-going outpatient clinical chart review projects /audits

Abstract diagnosis from both EMR systems and written documentation

Reviewed charts assuring documentation meet Medicare’s guidelines

Outpatient, Professional and Facility Coding

Identified the need for updating and creating new CDM

Identify and report system deficiencies or errors

Assisted patient accounts with coding related denials, edits and questions

PEAK Health Solutions San Diego, CA 2010-2011

Project Manager / Auditor - HCC

Responsible for completing on-going outpatient clinical chart review projects /audits

Abstract diagnosis from both EMR systems and written documentation

HCC Risk Adjustment Audits, ICD-10CM coding

Reviewed charts assuring documentation meet Medicare’s guidelines

Outpatient, Professional and Facility Coding

Standard Technology, Inc. Jax, FL 2010-2011

Auditor / Trainer

Coding and Auditing (Quality Assessment Reviews) of Provider Encounters Verification of Documentation using DOD Guidelines as Audit guidelines

Develop and implement Provider Training regarding audit findings

One on One and group Training sessions.

Orientation of New Providers

Monthly site visits to various clinics and point of support daily for coding questions

Out Patient and In-Patient Auditing

Risk Adjustment Management

Coding Consultant/Auditor 2009-2010

Responsible for completing on-going outpatient clinical chart review projects/audits.

Abstract diagnosis from both EMR systems and written documentation.

HCC Risk Adjustment Audits, ICD-9-CM coding for admitting, primary, and secondary diagnosis.

Reviewed charts assuring documentation met Medicare’s guidelines.

Outpatient, Professional and Facility Coding.

Bank of America 2006-2009

Vice President/Consumer Market Manager

Demonstrate performance as a coach and team player to Banking center associates.

Coach associates to sales performance.

Inspect sales performance through formal end-of-day checkouts, weekly SCV process, and end-of-quarter PA’s.

Develop and implement strategic sales strategies to drive and improve branch sales performance.

Foster high performance through candid coaching and feedback.

Overall responsibilities:

oGrow the business

oLead/coach people to perform

oDrive Execution Sustain Intensity

oReduce variability

Drive Time Inc., Atlanta, Georgia 2005-2006

Sales Manager

Provide guidance and strategic planning for the dealership with respect to sales goals.

Manage, develop and implement dealership strategies for increasing sales.

Recruit, screen and develop successful sales associates.

Review dealership performance as it relates to profitability and margin.

Monitor lot inventories to ensure proper volume of cars are maintained.

Carver Bancorp, Inc., New York, New York

2000-2004

Senior Vice President/Chief of Retail Banking

Developed new products and services that provided incremental fee income and revenue for the bank.

Identified, designed and constructed new Branch and ATM facilities. Increase branch network by three ATM Facilities and three branch locations.

Developed long-term and short-term business plan for the retail unit.

Developed incentive plan and sales culture for the branches.

Improved branch operation efficiency by expanding back-office operations and reallocating resources to streamline daily procedures.

Developed corporate/government deposit campaign which helped increase the bank’s deposit balances by $110 million over a three-year period.

Managed external relationships of key Corporate and Government Depositors and community-based organizations (New York State Banking Department, New York City Department of Finance and Comptrollers Office, New York City Department of Education, Department of Energy, NBA Players Association).

Served as Carver’s liaison with key community organizations and minority associations (Urban League, NAACP, Caribbean American Chamber of Commerce, Greater Harlem Chamber of Commerce, Harlem Business Alliance, 100 Black Men).

Citigroup / Citibank New York, New York

1995 – 2000

Division Executive Vice President (1998-2000)

Improved margin performance by developing and implementing strategies to meet company’s goal of increasing deposit balances and fee income.

Developed a department reporting structure and performance management reports.

Developed and administered a consistent and successful sales process.

Managed external relationships of key depositors and community-based institutions.

Worked with internal auditors and Regional Operations Managers to improve branch control procedures, policies and practices.

Cluster Manager (1996-1998)

Delivered and executed sales plan of Division Executive Vice President to Branch Managers and coached them to desired results.

Administered a high performance sales culture that was client focused, needs based and results driven and improved margin performance at individual branches by developing creative, targeted sales initiatives that were grass roots based and community focused.

Monitored and coached Branch Managers on sales initiatives and cross selling techniques.

AWARDS

Citigroup/Citibank Outstanding Cluster Performance Award

Miami Dade Chamber of Commerce Community Service Award

Employee of the year Barnett Bank of South Florida

EDUCATION

University of Houston, Houston Texas, 1986 - 1989

Major: Business and Finance Minor: Corporate Law

Bethune Cookman College, Daytona Beach Florida, 1984 - 1986

Major: Business and Finance Minor: Criminal Justice

SPECIALIZED EDUCATION/TRAINING

University of Michigan Executive Education Program, 2003

Management of Managers, Developing Leadership Excellence

Citigroup National Training Program, 1997

Managing People

Urban Bankers Coalition, 1997

Professional Development Program

American Institute of Banking, 1996

Bank Simulation Certification

Barnett Bank Management Training Program (for high potential candidates), 1992 - 1994

Analyzing Profit and loss Statements Projecting ROI Developing Sales Strategies

CRA/Fair Lending Certification SBA Lending Analyzing Financial Statements

Financial Center Rotation Middle Market Lending Consumer Lending

Certifications / Licenses

AAPC-CPC

References available upon request

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