Manager

Lewis Anthony Flemming, MBA

*** *** ****** **. - **********, TX 75165 - 972-***-**** - ******@*****.***

Summary

Results-driven professional with over 25 years of extensive experience in accounting, auditing, and compliance. Recognized for exceptional communication skills and a strong analytical mindset, enabling effective problem-solving and strategic decision-making. Detail-oriented with advanced proficiency in PC applications and accounting software, proven track record of successfully managing multiple projects simultaneously while working independently and delivering high-quality results. I am committed to upholding the highest standards of integrity and excellence in all aspects of financial management.

Highlights

Proficient in Microsoft Office Valued team player.

Knowledge of GAAP/GAS guidelines Microsoft Excel expert

Solution-oriented SQL Database

CCH (regulation software) Oracle Database System

Accomplishments

Key Achievements:

Selected Participant in Executive Management Development Program: Chosen as one of six managers for Novitas' prestigious Executive Management Development Program, demonstrating leadership potential and commitment to professional growth.

Conference Speaker:

Invited to present at the Texas Association of Healthcare Financial Administrators Conference in 2013 and 2014, showcasing expertise and thought leadership in the field.

Academic Excellence:

I graduated with a commendable 3.47 overall GPA while managing a demanding schedule that included overseeing 11 audits and fulfilling various work-related responsibilities, highlighting strong time management and organizational skills.

Experience

Manager 07/2022 to 07/2023.

Myers & Stauffer LLC Kansas City, MO

Conducted quality assurance reviews on audit and attestation working papers and reports completed by other team members.

Ensured high-quality deliverables within specified deadlines.

Finished project deliverables and oversaw the audits through the necessary process.

Safeguard the security and confidentiality of all protected health information.

Senior Auditor 12/2017 to 06/2022

Noridian Healthcare Solutions Fargo, ND

Participated in in-house field audits to ensure compliance with Centers for Medicare and Medicaid Services (CMS) reimbursement principles.

Perform multi-level reviews which consisted of, but were not limited to, expense testing, revenue recognition, home office/related party cost, medical education cost, Medicaid payments, Physician and other capital-related cost, organ transplant compliance, and statistical reviews.

Research technical issues to ensure the proper reimbursement of costs incurred by healthcare Providers.

Maintain a strong, professional working relationship with the provider community.

Program Manager 08/2015 to 11/2017

Health Integrity LLC Dallas, TX

Developed and maintained program plans which included timelines, budgets, and resources.

Prepared internal and external reports to ensure organizational goals or objectives were met within designated time frames and funding limits.

Reviewed final audit reports before submitting them to external customers to ensure compliance with Federal and State policies.

Communicated program status, risks, and issues to stakeholders and senior management.

Identified and defined program scope, goals, and deliverables.

Ensured that program deliverables met quality standards and requirements.

Effectively managed program budgets and resources effectively.

Audit Manager 10/2012 to 08/2015

Novitas Solution Inc. Dallas, TX

Led audit team ensuring benchmarks, metrics, and operational plans were met.

Planned, organized, and evaluated essential functions of the audit engagements.

Reviewed documentation for completeness, accuracy, and technical proficiency.

Mentored, developed, and trained staff to foster professional and personal growth.

Performed corporate training on technical auditing issues for associates and the provider community.

Collaborated with internal and external stakeholders.

Prioritized tasks and schedules to meet deadlines and goal-relevant activities.

Provided recommendations to prove processes by implementing corrective and preventive action plans.

Senior Auditor 06/2010 to 10/2012

Trailblazer Health Enterprise Dallas, TX

Supervised a team of 5 to 7 auditors, ensuring we met benchmarks, metrics, and operation plans.

Reviewed documentation for completeness, accuracy, and technical proficiency.

Mentored, developed, and trained staff to foster professional and personal growth.

Worked on a special audit project for the Centers for Medicare/Medicaid Services at the University of Colorado Hospital.

Performed research on the treatment of technical audit issues.

Ensured timely completion of all assignments under federal timeliness guidelines.

Reimbursement Coordinator 01/2009 to 05/2010

Parkland Health & Hospital System Dallas, TX

Ensured that contract rates and reimbursement policies were accurately applied.

Analyzed claims before and after payments to ensure accurate reimbursement policies and procedures.

Reviewed payer requirements and pursued cost reimbursement to ensure maximum third-party reimbursement.

Analyzed billing and claim reports to identify claim errors and coordinated resolutions.

Systematically prepared documents and assembled financial statements for independent auditors.

Researched existing and proposed regulations and their impact on existing policies and procedures.

Education

MBA: Accounting 2015

Keller Graduate School of Management Irving, TX

Certified Fraud Examiner program

BBA: Accounting 1997

Texas A&M University-Commerce Commerce, TX

Awards & Organizations

Kappa Alpha Psi Fraternity Fall 2021

Commerce Greenville Alumni – Exchequer 2022 to present.

Lifetime Member 2023

CFO West – BIG XII Conference 2011 to 2020

Rose Bowl (Side Judge) 2019

Holiday Bowl (Side Judge) 2018

Citrus Bowl (Side Judge) 2017

CFP National Championship (Side Judge) 2016

Music City Bowl (Side Judge) 2015

Citrus Bowl (Side Judge) 2014

Military Bowl (Side Judge) 2013

BBVA Compass Bank Bowl (Side Judge) 2012

Sun Belt Conference 2009 to 2010

Beef O Brady Bowl Saint Petersburg, FL (Field Judge) 2010

Southwest Athletic Conference 2004 to 2009

SWAC Championship 2009

Contact this candidate