Customer Service Medical
Resume:
LANA P PRESCOD, RHIT
Towson, MD 21204
347-***-**** ********@***.***
QUALIFICATIONS
A detail-oriented and analytical Health Information Management professional with many years of experience in customer service, quality control, and proven process improvement outcomes.
EDUCATION / LICENSES
BBA, In Progress, Southern New Hampshire University, Manchester, NH
AAS, Health Information Technology, 2013, Alfred State College, Alfred NY
SKILLS/APPLICATIONS
Epic, Meditech, Cerner, Perceptive, Outlook, PeopleSoft, Lawson, Nuance, MMODAL, CACTUS
COMMITTEES
Medical Records, Forms, Chart Governance
CERTIFICATION
RHIT, American Health Information Management Association
PROFESSIONAL AFFILIATIONS
AHIMA, American Health Information Management Association
MDHIMA, American Health Information Management Association
PROFESSIONAL EXPERIENCE
NAVIGANT HEALTHCARE CYMETRIX - ADVENTIST HEALTHCARE, Rockville MD
Adventist HealthCare is a non-profit health services organization based in Gaithersburg, Maryland that cares for more than 400,000 men, women and children in the community each year among its entities and services.
HIM Operations Manager, 08/15-Present
Accountable for 30 FTE’s across 4 campuses- Discharge Analysis, Chart Completion, Release of Information, Transcription, Document Imaging and Scanning.
Responsible for reviewing and improving process workflows across 4 campuses.
Supports continuous interaction with the physician community to include documentation quality improvement, record completion, fining, and suspension activities.
Provide various dashboard reports to ensure KPIs are in line with the hospital system’s strategic plan.
UNIVERSITY OF MARYLAND -ST. JOSEPH MEDICAL CENTER, Towson, MD
University of Maryland St. Joseph Medical Center is a 320 bed general medical and surgical hospital.
HIM Business Operations Manager, 01/15-07/15
Managed15 FTE’s - Discharge Analysis/Chart Completion, Release of Information (ROI), Transcription, Document Imaging and Scanning
Reviewed and improved process workflows for transcriptionists, transcription vendor, and chart analysis staff.
Created policies for ROI, chart analysis, and transcription departments.
Proactively managed external vendor relationships with ROI and Transcription service providers.
Prepared and maintained HIM dashboard data for required reporting elements as well as internal performance indicators and reported trends and opportunities for improvement to the Director of HIM.
Utilized HIM dashboard indicators and other measures to evaluate staffing levels to ensure smooth departmental operations.
Managed open positions, recruitment efforts, and hiring of permanent and temporary staff.
Onboarding and training of HIM department new hires and vendors.
Assisted the HIM Director with setting departmental goals and team/individual productivity standards.
Supported continuous interaction with the physician community to include documentation quality improvement, record completion, fining, and suspension activities.
Attended medical staff meetings to address issues, obtain feedback, and finalize integrated policies.
Assisted with hospital’s initiatives to ensure compliance with federal and organizational standards (TJC, CMS, NCDR, HIPAA, MU)
PARKLAND HEALTH AND HOSPITAL SYSTEM, Dallas, TX
835 bed hospital with services including a Level I Trauma Center, the second largest civilian burn center in the U.S. and a Level III Neonatal Intensive Care Unit. PHHS also includes 12 community-based clinics, 12 school-based clinics, homeless outreach clinic services and Jail Health.
Clinical Documentation Specialist/Team Lead, 11/08-12/14
Audited and analyzed clinical documentation in the EMR to ensure compliance with Joint Commission, Hospital rules and regulations and federal/state laws.
Trained staff and created workflow process procedures to support timely deficiency updates relating to transcribed and Epic-entered patient care documentation.
Consistently met productivity, timeliness, and quality standards and goals set by the HIM Division.
Provided data for monitoring productivity and outcomes through maintenance of spreadsheets, databases, and other documentation procedures.
Trained and supported physicians with documentation requirements or issues with Epic In- basket notification.
Assisted with testing and implementation of Epic Transcription Module.
Reduced transcription error rates from 60% to 20% by instituting random monthly report audits, thus also improving TAT by several hours.
EMPIRICAL HEALTHCARE CONSORTIUM, Dallas, TX
A small, start-up coding and billing company served several small private practices in downtown Dallas.
Supervisor, 02/07-10/08
Provided follow up on unpaid accounts, data entry, and staff training on billing software system.
Assigned and monitored staff responsibilities to ensure timely processing of insurance claims.
Created and implemented office policies and procedures relating to record confidentiality.
Facilitated monthly employee meeting to address training deficiencies and error trends relating to denied or rejected claims.
JP MORGAN CHASE & COMPANY, Brooklyn, NY
Client Services Officer, 07/05-01/07
JPMorgan Chase & Company is an American multinational banking and financial services holding company. It is the largest bank in the United States, with total assets of US$2.6 trillion.
Facilitated the opening and management of new accounts with over $100 million in cash and assets.
Served as liaison between JPM franchise clients and global departments to coordinate expeditious inquiry resolution.
Identified and resolved cash and trade processing workflow inconsistencies between teams.
Trained staff associates in Treasury and Security Services processes.
Fostered customer loyalty through transparency in communication and created process improvement plan to reduce funding errors by more than 30% over a period of 6 months.
Operations Team Lead, 09/00-07/05
Oversight of special projects management relating to transfer of funds reconciliation and trade settlement funding.
Resolved outstanding currency and trade related transactions within client service team areas and processing departments.
Conducted Cash Team applicant interviews and training of new hires in all areas of cash and trade management.
Performed concurrent quality reviews to ensure accurate funds processing to ensure customer satisfaction.
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, New York, NY
NYCHHC is the largest municipal healthcare system in the United States, operating 11 acute care hospitals, five nursing homes, six diagnostic and treatment centers and more than 70 community-based primary are sites.
Principal Administrative Associate, 06/93-08/00
Reviewed and verified medical staff credentials to facilitate hiring process.
Created procedures to ensure process improvements for physician credentialing process.
Processed payroll and leave requests for 500+ employees.
Prepared and submitted applications for employee health benefits, insurance, pension and 401k plans.
Assisted with preparation and presentation of compliance-related policies and procedures.
Responsible for merging duplicate medical records in Master Patient Indexing system.
Assisted Incomplete Chart Analysts with assigning and updating provider deficiencies for inmates treated at various New York City Houses of Detention.
ADDITIONAL EXPERIENCE
UNIVERSITY OF MARYLAND MEDICAL SYSTEM, Linthicum Heights, MD
The University of Maryland Medical System (also known as UMMS) is a private, not-for-profit corporation founded in 1994 and based in Baltimore, Maryland. It owns and operates eleven hospitals (as of 2012) in Maryland and has more than 1,700 licensed beds, 83,000 annual admissions and gross patient revenues of $2 billion annually.
Epic Implementation Support Specialist (ADT/Prelude, HIM), 09/15-Present
Provide “At-The-Elbow” support to clinical and HIM support staff.
Provide issue analysis to support clinical and HIM departments.
Escalate issues to senior system support or relevant departments, as necessary.
Recommend effective solutions for the user community during implementation.
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