Quality Assurance Manager

TONYA L. SIMPSON, MBA

**** ******** **. ( CHESAPEAKE, VA 23322

PHONE 757-***-**** ( E-MAIL ************@*******.***

EMPLOYMENT EXPERIENCE

May 2004 - Apr 2014 Simpson & Co. Landscape Designs, Inc., Falls Church, VA

Office Manager/Owner, part-time

. Responsible for all human resource functions, including

the recruitment of skilled and unskilled hardscape

construction personnel, I-9 and tax form administration,

employee relations and maintenance of personnel files.

. Completed weekly payroll, tax filing, and annual and

quarterly reports.

. Performed all accounts payable and accounts receivable.

. Negotiated the sale of the company and trained new owners

in April 2014.

Sept 2012 - May 2013 Virginia Heart, Falls Church, VA

HIPAA Privacy & Security Officer, full-time

. Ensured company of 35 physicians and 11 office locations

was HIPAA and OSHA compliant through the development and

implementation of written policies, CMS research and

regulation monitoring, auditing, site visits, employee

orientation, and staff training.

. Responsible for preventing, responding, and resolving

compliance and security issues; including Breach

notification and providing disciplinary action as needed.

. Chaired the HIPAA Compliance Steering Committee, which

included the CEO and select members of the Management

Team, to educate, coordinate and implement company-wide

operational changes to ensure HIPAA and security

compliance.

. Maintained security through the request, monitoring, and

tracking of building DataWatch cards, hospital system

access, and the organizations EMR based on job description

and employment status.

. Collaborated with the IT Department to test and implement

encryption, develop databases to monitor security, and

clarify data fields within the EMR system.

Jan 2009 - Aug 2012 Association of Alexandria Radiologists, Alexandria,

VA

Director, Quality Assurance & Compliance, 32 hrs per

week

. Directed and ensured that the organization was compliant

in billing procedures, medical documentation, HIPAA,

HITECH, and OSHA through the monitoring of CMS

regulations, auditing, the development of written policies

and staff training.

. Identified root cause of quality issues through the use of

patient satisfaction surveys, complaints, data analysis,

and benchmark comparisons.

. Developed and executed operational processes to achieve

quality improvement.

. Coordinated, audited, analyzed, and presented reports to

the Quality Assurance Committee (comprised of seven

physicians) on peer review, billing, incidents, and

complaints for continuous quality improvement.

. Developed professional relationships with hospital quality

improvement managers to ensure quality services were being

delivered according to our contracts.

. Handled Risk Management issues for the company by acting

as the liaison between Alexandria Radiology, the

attorneys, physicians, hospitals, and patients.

. Collaborated with the radiologists, CEO, and directors on

the implementation, execution, and completion of company-

wide projects to ensure quality and compliance.

May 2002 - Jan 2009 Fairfax Radiological Consultants, P.C., Fairfax, VA

Director, Prosperity Medical Centers, 30 hrs per week

. Managed the operations of PET/CT, TomoTherapy, CT, Nuclear

Medicine, Diagnostics, Vascular Lab, Vein Clinic, and

Vascular Interventional services of two outpatient

centers.

. Ensured the compliance of OSHA, HIPAA, JACHO, ACR, and

ICAVL through the implementation and monitoring of

operational procedures.

. Performed audits to ensure that proper coding and billing

procedures were being followed.

. Developed and implemented business plans and budgets for

each service line, established vendor contracts and

participated in the design of new centers.

TONYA L. SIMPSON, MBA Page 2

. Interviewed and performed ongoing evaluations on all

employees assigned to the Section and communicated

disciplinary action as needed.

. Collaborated with Physician Services to ensure that

marketing efforts were cohesive with the center's goals.

. Worked with the IT Department in developing new databases

and maintaining support for optimal operations.

. Performed quality improvement analysis company-wide (70

radiologists and 13 outpatient sites) using an Access

database and maintaining incident/complaint reports.

. Handled Risk Management issues for the company by acting

as the liaison between Fairfax Radiology, the attorneys,

physicians, and patients.

Feb 1998 - May 2002 Northern Virginia Noninvasive Diagnostic Vascular

Laboratories, Annandale, VA

Office Manager, full-time

. Performed all in office accounting functions, such as

accounts payable, accounts receivable, insurance billing,

payroll, and the payment of taxes.

. Participated in the lab's accreditation process with ICAVL

by providing documentation on our operational and medical

procedures.

. Directed and trained employees in the operations of the

lab.

. Scheduled procedures and met insurance requirements.

COMPUTER EXPERIENCE Word, Excel, Access (database management), RIS,

PowerPoint, QuickBooks, EMR, EPIC, Internet search

skills

EDUCATION

Marymount University (2002)

Master of Business Administration

Dean's List

George Mason University (1999)

Bachelors in Health Administration

Dean's List

References available upon request

Contact this candidate