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Healthcare Compliance Professional

Location:
Bedford, TX
Posted:
August 24, 2020

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Resume:

SUSAN HAMMERSCHMIDT, CHC

*** ***** *******, *******, ** 76021

817-***-****

***************@*****.***

www.linkedin.com/in/sehammerschmidt

PROFILE

Degreed professional with over ten years of experience in the healthcare compliance industry, specializing in policies and procedures, accreditation readiness, and Compliance program development. Strong organization and communication skills to achieve a robust Compliance program that meets today’s ever-increasing compliance regulations.

SKILLS

Organizational Communication Auditing

Written Expression Monitoring

Attention to Detail Government Regulatory Compliance Software (GRC)

Judgment and Decision-Making Systems Evaluation

Time Management Policy and Procedure Writing

Prioritization Complaint Response

Fluency of Ideas Instructing

Problem Sensitivity Operations

Regulation Comprehension Microsoft Office Suite software

cGMP Regulations HIPAA and HITECH

Information Security Information Privacy

CERTIFICATIONS AND LICENSURES

CHC – Certification in Healthcare Compliance Current

CEOL – Certified End of Life Specialist Current

Texas Notary Public Current

PHR – Professional in Human Resources Previously Held

Master Trainer, MOHR Development Previously Held

ACCOMPLISHMENTS

Set up infrastructure for new Compliance Departments, including writing and implementation of policies and procedures and creation and implementation of onboarding process and new hire Compliance training.

Managed and responded to over 600 escalated complaints in 16 months, including consumer complaints, Better Business Bureau inquiries, social media issues, and regulatory agency inquiries.

Developed a process to aid in prioritizing the complaint workload, reducing the total time in processing a complaint by 30%.

Managed initial URAC (Utilization Review Accreditation Commission) accreditation for Catalyst Health Network to become the 5th “Clinically Integrated Network” in the U.S.

Successfully coordinated accreditation efforts leading to a 100% desktop review and 100% site survey.

Created and implemented training programs and materials for allied health professionals, nurses, and physicians.

Established Infection Control and Safety committees to monitor and audit infection control and safety policies and procedures.

Established Performance Improvement committee to evaluate performance improvement metrics set for each department.

Utilized Lean Kaizen techniques to achieve the following successes:

* Medicaid Title XIX authorization process became completely paperless

* Denials due to illegibility were reduced to “zero.”

* Food and Drug Administration (FDA) Manufacturing paper flow became more efficient. Paper use was reduced by 90%

* Timing for Patient Hospital Setups was reduced by 2/3 from an average of six hours to two hours from receipt of physician order to delivery of portable oxygen equipment to the hospital.

SUSAN HAMMERSCHMIDT, CHC

625 Smith Terrace, Bedford, TX 76021

817-***-****

***************@*****.***

www.linkedin.com/in/sehammerschmidt

ACCOMPLISHMENTS (CONTINUED)

* Compliance training for Food and Drug Administration Current Good Manufacturing Practices (cGMP), Health Insurance Portability and Accountability Act (HIPAA), OSHA Safety, Department of Transportation (TXDOT), HAZMAT Safety and Security, Forklift operation, and other applicable policies required on an annual basis.

* Created and implemented annual audits for Food and Drug Administration procedures, Home Ventilator Program, Texas Department of Transportation, OSHA, HIPAA, HITECH, Hazmat Safety and Security, and comprehensive 3-D Audit for Billing and Collections process.

PROFESSIONAL EXPERIENCE

Senior Compliance Analyst Mar 2018 – Feb 2020

The Aliera Companies Addison, TX

Accreditation Specialist Oct 2016 – Nov 2017

Catalyst Health Network Plano, TX

Compliance Officer and Regulatory Manager Jul 2003 – June 2016

Dallas Life Support Systems Richland Hills, TX

RELEVANT EXPERIENCE

* Human Resources Administrator and Executive Assistant, International Isotopes, Inc. Denton, TX

* Operations Manager, Dillard Department Stores, Denton, TX

* Divisional Trainer, Dillard Department Stores, Fort Worth, TX

* Corporate Trainer, Dillard Department Stores, Little Rock, AR

CERTIFICATIONS AND LICENSES

Certified in Healthcare Compliance (C.H.C.)

Licensed Texas Notary Public

Professional in Human Resources (P.H.R.) - Previously held

EDUCATION AND EXPERIENCE

Bachelor of Arts degree (B.A.), Business (Retailing) - Columbia College, Columbia, MO

COMMUNITY INVOLVEMENT

Freedom Hospice – Hospice Volunteer

Meals on Wheels of Tarrant County – Volunteer

ASSOCIATIONS

Health Care Compliance Association (HCCA) – Member

Society of Human Resources Management (SHRM) – Past Member



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