Medical Manager

Pamela Branch

Cell- 404-***-****

Email- ********@*****.***

Primary Strengths

. Consulted, EMR,EDI, ICD-9- ICD-10 Testing, CPOE 4.5, 5.0, 5.5, 6.1

Implementation Build Order sets in Hospital Clinical and Financial

. Testing support for Financials, ICD-9/10, Claims

. Troubleshooting, Working with databases Oracle, SQL Server,Interfacing with customers

. Network security, log monitoring, and reporting

. Supported Sunquest Lab, Softlab Lab, and Interface, Allscripts SCM and

Nextgen

. Lead Testing Coordinator, Lead Instructor Trainer Computer- based/Web-

based, Instructional design skills, Experience with Visio,

requirements repositories, system mapping and flow-charting.

. SCM Configuration Tool, ClinDoc Build Tables, Web Testing of Servers

. Technical System, SQL, Understanding of Workflow and build process

Allscripts

. Consulted, Implemented and Trained on Hospital Revenue Cycle

. EMR and Allscripts Practice Management (EHR),Implementation

Experience

. Supported GE Centricity Practice Management System Testing and go-

live for end users

. Allscripts AM/PFM Revenue Cycle Patients Financial, Hospitals, 3M

. System supported, Cerner Ambulatory and Acute Care, Allscripts,

Integration, ConnectR, Allscripts/Eclipsys SCM 6.1, Allscripts,

Meditech, Allscripts KBMA, Allscripts ES Scheduling, Nextgen Supported

and Testing, HL7 interface, eGate, Coding, ADT interface Support/

Cerner Openlink Lab, Testing Activation, Epic

Professional Accomplishments

CHC/ESD/NSHS- LongIsland, NY& Toledo, OH

Consultant QA Testing / System Analyst & Integration 10/13 - Present

. Testing ICD-9/10 CPOE, Meaningful Use, HL7, ADT, Cerner Powerchart,

Cerner Lab Allscripts 6.1, SCM, and Allscripts ED 7.1, Allscripts

11.4,Openlink, ConnectR, Dragon, Functional, Integration, End-End

Testing, Regression Testing Cerner, Supported Sunquest Lab, Softlab

Lab, Siemens Invision, Mckesson, Epic, Meditech, Siemens, UB04, Epic,

Interface Epic

. Supported and Testing Mckesson HPF 15.1, Intergration supporting end

user

. Supported the Medicare Claims and Billing Claims

. Supported Testing Claims Coding and Health Insurance, EDI 837, 835,

276, 277, Cloverleaf

. Coordinates ICD-10 Activities related to payer team, Assists with

outreach to payers to gain ICD-10 readiness status

. Supported healthcare transactions and standards such as X12 for 4010

and 5010

. Supported Testing EDI Medical Claims to Clearinghouse and different

Payers

. ICD 10 Migrations for all revenue cycles, ICD 10 remediation Project

Hospital Cerner Lab, Rad, Pharmacy or Anesthesiology, Cardiology, Rad

One, L&D, Cath Lab

. Supported, Testing Created 6.1 Allscripts Report and SQL, Testing,

MLM, Pharmacy Meds

. Supported Testing Sunquest Lab, Cerner Lab /Ambulatory, System

Testing and go-live for end users

. Supported Testing Build of SCM 6.1 Order sets Build and Testing unit

Build

. Supported SoftLab Testing interface and Training Lab end users on

Cerner PathNet, Results

. Testing and Supporting EDI, Allscripts 11.4, Orders/Results, Cerner

PathNet, OpenLink, ConnectR Interface, supported the Error Work List,

Troubleshooting and Reviewing and Fixing errors, Experience in DBA and

System Engineer

. Testing Medical Insurances, EDI, Blue Cross, United Healthcare,

Medicare, Medicaid, Workers's Comp, Claims, OptumRx

. Testing Front end and Back Patient Financials, Integration Claims

. Set- up Automation Scripts for Testing Allscripts, Cerner, Epic ADT

Prelude, Cadence, Cerner, Unix/Linux Scripting, Oracle installation

and Support

. Supported ICD-9, ICD-10, Testing, ADT, Allscripts, Sunquest Lab,

Mckesson, Meditech Magic EHR, Data Integration HL7, Medhost, Cerner

lab/microbiology/pathology results to Allscripts SCM Orders/ Results

. Supported Allscript, SCM, KBMA, ED, Home Care Testing 6.1 CPOE Dev and

QA environments

. Supported Allscripts Practice Management system

. HL7 interface Openlink troubleshooting, evaluate the system issues

and escalate Technical Team SCM, Pharmacy,Meditech Lab, Cerner Labs,

RIS and eGate, including ADT and lab results

. Supported EDI and Perform troubleshooting and resolve errors in 834

and 820 transactions for health insurance exchanges

. Supported and Analyzed ADT Interface Issues, Pharmacy Batch charges,

RIS Charges, Lab Charges issues and HIM/Coding sent to eGate Team for

Technical support

. Tested Unit, Functional and Integrated Testing Allscripts and Reviewed

Test Plans and Scripts CPOE, eMAR, Functional, Integrated

/participated in Worklflow Testing, in Staging meetings

. Provided Troubleshooting for HL7 ConnectR, OpenLink, interface

messaging of SCM, Invision, Cerner Lab SoftLab, Medtiech Lab, Meditech

Pharmacy, Mckesson RIS, Epic Chartmaxx, HL7 eGate interface System,

from SCM Allscripts, Understand Tool QTP, Manual Testing of ADT

Scripts

. Reviewed the Allscripts SCM Pharmacy Charge /Batch File to go to

Invision/Tanks file/ Patient accounting for Billing UB4

. Provided Support ADT integrated Testing and developed test scripts

scenarios

. Reviewed and executed test scripts, logged, tracked defects and

worked with teams for defect resolution

. Supported System Analyst issues, Basic tier 2 and tier 3

troubleshooting and support experience in Allscripts Applications and

escalated defects to the Technical Support Team

CHC/MMY I( Allscripts 6.1) St Mary's Hospital Evansville, IN / 9/13 -10/13,

Consultant EMR

. Supported Allscript Reports, and Testing, Order sets and Allscripts

5.5, 6.1 CPOE, Clinical, KBMA, SoftLab

. Supported Build ClinDoc, Orders and Order Sets

. Supported MD's, RN's, and other staff,

. Supported Nextgen, Testing Ambulatory

Exicte Health Parnters (Nextgen 5.8, 8.3) St Francis Physicians' Offices

Consultant EHR Nextgen 8.3 6/13- 9/13

. Supported Clinical Physicians, Nurses, offices of Nextgen

. Supported Templates workflow, SoftLab supported

. Training clinical Staff and supporting

Exite Health Parnters (Cerner EMR)

Consultant Cerner --4/13-6/13 Phoenix, AZ & Redbluff, CA

. CPOE "Go Live" support of Cerner Millennium Suite including

Powercharts, Powerplans, Powernotes, PharmNet, SurgiNet to

Physicians, Cerner

Home care Nurses, other clinical staff, Softlab

. Supported Openlink Interface HL7 messaging, Cerner CareNet and IView

. Provided support Interface and full suite back-office billing and

collection services, including claims processing and submission,

remittance management, denial and reject management, and participated

in Team build design meetings

. Supported Cerner Revenue Cycle, Billing, HIM/ Coding,Patient

Accounting, Patient Access

. Supported and Testing of Cerner Revenue Cycle Financial, ICD-10

Coding, Training

. Provided support to end users Pharmacists, Pharm Tech, understood the

Build and answered end user problems and questions regarding system

functionality

. Supported and Trained Cerner CPOE PowerChart, Powernotes,

Powerplans, Clinical documentation

. Assisted client Clinical Content expert for workflow process, Support

physician processes impacted by CPOE, document

. Strong technical skills including understanding of large scale Cerner

technical infrastructure in mission critical healthcare environments

. Ability to manage projects independently through system lifecycle

. Supported Scheduling Cerner (ESM) Build, Testing, OR, Radiology,

other services

. Activation support, OR, PACU, and other units, assisted with

resolving end user issues and workflow discrepancies

CHC/ESD/Baylor Hospital (Allscripts GE Practice Management System,

Allscripts 5.5 SCM, KBMA, eMar, ClinDoc)

Consultant/System Analyst-10/12- 3/13

. Supported Allscript 5.5 CPOE, SCM, ED

. Supported SoftLab end users, Sunquest Lab

. Supported Allscripts Practice Management System

. Supported MD's, RN's, and other staff, GI Lab Provison

. eMar, ClinDoc, Flowsheets, KBMA

. Allscripts ES Scheduling support

. Supported GE Centricity Practice Management System Testing and go-live

for end users

CHC /Dekalb Medical -Nextgen 5.8

Consultant Support Nextgen --8712-9/12

. Clinical Content expert, Worklfow Testing

. Supported Clinical Physicians, Nurses, offices of Nextgen

. Supported Templates workflow

. Training clinical Staff and supporting

CHC/Partners IT Inc/NSLIJ Hospital ( Allscripts Touchworks 11.4) Lake

success, NY

Consultant Implementation/Testing - 3/12 - 7/12

. Workflow Activation Support and Testing Allscript V11.4 EHR System

Clinical, Functional, HL7, ConnectR, Error Worklist, Testing Web

. Participated Workflow Process Team

. Testing and the Set-up Build application Functionality

. Training Allscript EHR to end user support and understand clinical

content

. Unit testing, Functional, Integrations ( Front end, Back End)

. Testing Clinical Notes, Orders/Results, Troubleshooting Build

. Set-up of printers and supported

. Reports Build, tested, HIM

Soliant/ SNCH Hospital (Allscripts/ Eclipsys, SCM/ED, Activation CPOE 5.5

eMAR, SCM/ED, KBMA, Pharmacy)

Consultant/Test Manager -12/11- 3/12

. Manage testing activities, SCM/ED Testing Unit, Functional,

Integrated, ADT Testing, Work Closely with the Build Team SCM/ED

. Tested all Pharmacy meds, KBMA and Functionality of SMM, RN security

role testing of KBMA

. Experience in coordinating clinical staff physicians, nurses, and

ancillary personnel

. Documented and communicate client business requirements and workflow

CHC/CSI/ Florida Hospital (Cerner CPOE), Orlando, Fla

Consultant/ Trainer Clinical - 10/11- 12/11

. Go-live support Cerner CPOE, PowerChart, Powerplans, PowerNotes,

FirstNet, eMar

. Manage Physician Support activities, Cerner life cycle implementations

. Documented and communicate client requirements, and Workflow

processes

. Experience in coordinating clinical staff nurses, physicians, and

ancillary personnel

CHC/Crescent Solution/ Hoag Hospital (Eclipsys /EMR, Activation CPOE 5.0,

5.5 eMAR, SCM/ED), Irvine, Cal

Consultant/Testing/Clinical Implementation-- 1/11- 10/11

. Implementation Unit, Functional and Integrated Testing and Created

Test Scripts CPOE, eMAR, ED Manager Testing 5.0, 5.5 Functional,

Openlink Integrated/Worklfow Testing, ED Status Board testing, Order

sets Testing, Order Process Analyst

. Testing of Chartmaxx Epic, interface from SCM Allscripts

. Tool QTP, Manual Test Scripts

. Lead Trainer CPOE, ClinDOC, Emar

. Build Orders, Orders Sets and Results specification in SCM

Configuration Tool

. Understanding of Medical Logic Modules MLM, Load, edit

. Security Build for users, tested

. SCM Reports Build and Testing

. Lead ADT integrated Testing and developed test scripts scenarios

. Developed and executed test scripts, logged, tracked defects and

worked with teams for defect resolution

. Activation Support ED/ SCM, CPOE, eMAR, Development Workflow Team,

Work with Clinical Adoption Team

. Continuing Education Training CPOE, eMAR, ED Manager Physicians and

Nursing Workflow, Training of internal IT Self- Service Dept.

Sedona Education (EMR, Cerner Clinical PowerPlans, PathLab), CPOE

Indianapolis, IN

Consultant/Clinical -9/10- 12/10 Cerner

. Activation Support Powerchat, PowerPlan Orders, Workflow Process

meetings, Emar L&D, Mother baby and NICU

. Physicians Support of Orders CPOE, PharmNet, PathLab

CHC/MaxIT (EMR, AM/PFM Eclipsys, Financial Build)/SCM, Passaic, NJ

Consultant/AM/PFM/ - 7/10- 9/10

. Implementation, Build Financial, Testing, Workflow Eclipsys/ Billing,

Claims

. Build passport Illegibility

Columbus Healthcare Consulting /Impact/Acro (EMR, Trainer CPOE 5.0, Order

Set, SMM, ClinDoc Eclipsys) Cleveland, OH

Lead Trainer/Analyst IT/EMR - 3/10 - 7/10 Allscripts

. Conducted training for University Case Western Medical SCM, SMM, CPOE

8,000 staff

. Provided workflow Analyst, Testing, SCM/ClinDoc, eMar, activation

support for SCM, SMM, ED

. Participated on the Implementation Build and workflow Team

DeKalb Medical Center (EMR, AM/PFM, Revenue Cycle Eclipsys Financial)

Atlanta, GA

System Analyst IT /EMR/Eclipsys AM/PFM- 10/09 - 3/10

. Supported and Build in the Eclipsys AM/PFM implementation of Revenue

Cycle applications (Patient Accounting, Patient Access, Decision

Support, Scheduling, Billing, etc.)

. SCM Configuration, ED Support, SCM, ClinDoc 5.50- 5.5 build

Implementation( H&P Notes, Flowsheets, Structured notes, ED

Assessments, Admission Note and supported, Build tables, Participate

in Design sessions, implementation, testing, and Order Set

. Test Coordinator for Unit Testing, Functional and Integration testing

the ES, AM/PFM

. Network Security supporting and Configuration SCM Acute Care, Lawson,

Tempus, Invision, FOD, Sovera AM/PFM, ES Scheduling,

. Daily Maintenances Support updates of SCM using SCM Config Tool

Outcomes Healthcare Solutions (Trainer EMR) Epic Atlanta, GA

Audit Consultant/C - 03/1/09 - 09/01/09 (contract)

. Contract work Medical Records and reviewing Hospitals and PM

practices in Atlanta for Hedis Research, SouthFulton Hospital

. Review of EMR charts, data and other clinical information to ensure

proper coding

. McKesson, Cerner, Epic, Training workflow

Eclipsys Corporation (EMR SCM Clinical, Financial Hospital)

Atlanta, GA

Client Consultant-07/07- 02/09

. Consulted, Implemented, Trained on Hospital Revenue Cycle AM/PFM

. Consulted, Implemented, Trained on SCM Clinical and CPOE, SRM

. Collected data for SCM Configuration and Defined departmental/ end-

user requirements

. Build Orders, Orders Sets and Results specification in SCM

Configuration Tool

. Created new order/ordersets. Modified existing order/ordersets

(deleted and/or replaced new order items) within existing ordersets.

Updated order item names. Tested Order/ordersets in development and

production environments

. Updated order item names. Tested order/ordersets in test, development

and live Environments. Built forms, multi-order grids, inline, multi-

order checkbox and Conventional ordersets. Built dictionaries

associated with each field on an order/orderset.

. Created Workflow Charts in Visio for SCM, Conduct Unit testing,

functional testing, integrated testing SCM, AM/PFM, ES Scheduling,

Sunrise Record Manager

. Conducted training for Eclipsys's SCM EMR, CPOE 500- 3,000 staff

. Provided activation support for SCM, ED, ES, AMB

. Delivered train-the-trainer, super user and end-user training to

Eclipsys customers SCM, SRM, ACM, AM/PFM on Eclipsys SCM 4.5,

interface HL7, Sunquest Laboratory System, NextGen

. SCM Orders, Results, eMAR, Registration and Patient Financial Trained,

Provided Instructional design skills, and Configuration Build

. Cross Train on McKesson HPF, Epic, Backfill Conversion Eclipsys

Medcomsoft (EMR Practice Management-Billing System) Ontario,

Canada

Implementation and Trainer Consultant Billing-9/06- 07/07 Atlanta, GA

. Project Lead, Managed, Delivered, Assisted IT Support Implementation

and training for Physician Software concepts via phone and web-based

sessions to Clients and Onsite.

. Testing and Development of Software, Medical Claims review, MS Office

Professional Suite 2000/XP Exchange Server, Crystal Reporting, and SQL

2000, CPT, ICD-9

HCA, (Hospital Business- Revenue Cycle) Meditech Atlanta, GA

Team Lead High Dollar Collection-12/02-07/06

. Consultant on Hospital Revenue Cycle processes and held weekly

meetings

. Work High Dollar accounts, Managed Care PPO/HMO, Audit Codes (CPT, ICD-

9)

. Clinical Appeals, Using Collection System to collect on $160 million a

month,

. Negotiate Contract for High Dollar Claims.

. Knowledge of Meditech Admission system, and Excel

. Provider Relations, Insurance and Claims Experience

. Participating on Collection Committee to Improve Processes,

Participated with Katrina Team

Westwood College, (College)

Atlanta, GA

Trainer-04/06- 7/07(Part-time) Atlanta, GA

. Training 2 level Students in Medical Billing /Coding

The Omni Technical, (College)

Atlanta, GA

Trainer 8/04 - 2/05 (Part-time) Decatur, GA

. Training 10-30 Students and, Developing Class Syllabus, and Teaching

Coding and Billing from the AAPC Study Guide Manual, CPT, ICD-9, and

E/M, Surgical Guidelines, Modifiers, and Coding Compliance.

Cuter & Abruzese Internal Medicine, (Physician Practice Management)

Atlanta, GA

Coder/Insurance Specialist 02/02- 12/02 Atlanta, GA

. McKesson Horizon System; STAR Registration,

. Code from Medical Records; Review Coding on System (CPT, ICD-9,

HCPCS),

. Review Codes EOB'S Denials, process all Medicare, Medicaid, Commercial

billing using

. Resolve Network issues with the Insurance Provider Relations;

Implemented of HIPAA

Education

. A+ Certification Computer Repair, Trainer on MS Office Suite Career

Blazers, Dunwoody, GA.1999

. CPC, Certified 2004 through AAPC Medical Coding and Medical Billing,

. BS, Psychology, Minor in General Business, University of Tennessee,

Chattanooga, 1988

Contact this candidate