Genise Burgess, RHIT

Van Nuys, California *****

SUMMARY OF QUALIFICATIONS

Proven leader with over 20 years of improving organizational effectiveness, implementing strategic direction and day-to-day operations in fast-past environments spanning a variety of Health care organizations.

Experienced in all aspects for Revenue Cycle Management, Coding/Reimbursement methodologies, Patient Call Centers, Provider Enrollment, and Human Resource Management.

Proven ability to manage and motivate teams to achieve optimal performance.

Excellent project management skills with a proven history of shepherding projects from initial strategy development through final implementation and evaluation, with demonstrated ability to manage multiple projects to ensure timely and quality completion.

Excellent ability to negotiate and solidify contracts to execution including re-negotiation.

Strong communicator with the ability to deliver clear and concise information one – on one or in group settings.

Ability to maintain professional relations with key provider organizations, facilities, and provider offices to cultivate and maintain strong relations with customers, business partners and other key stakeholders

A hands-on leader who balances technical and business acumen with effective communication skills to build trust across all organizational levels and direct data-driven process improvement.

EMPLOYMENT EXPERIENCE

Brault (formerly Emergency Groups Office, San Dimas CA 2010 - 2020

Chief Operation Officer, (2018 – 2020)

Plan, organize and implement the strategic direction and day-to-day operations of the organization

Ensure operational effectiveness and customer satisfaction while delivering desired profitability

Establish financial management processes to include monthly and annual revenue goals, spending budgets, and reporting processes

Responsible for the efficiency of the business, which includes maintaining control of diverse business operations, such as Revenue Cycle, Patient Call Center, Provider Enrollment, Human Resources and Payroll.

Collaborates with Executive Team members to create and ultimately deliver top and bottom line business goals

In collaboration with the VP of Sales and VP of Client Services, effectively on-board new clients while ensuring client commitments are delivered

Deliver more than 4 million emergency department visits into the billing system annually.

Achievements

Identified progressive and proactive technology solutions to optimize business efficiencies

Clarified Functional gaps in Contracting, Compliance, and Provider Enrollment. Led restructuring/realignment.

Developed reporting tools for at a glance performance indicator review

Implemented proactive technology solutions to optimize business efficiencies for automated data capture to improve cycle time

Improved Clean Claims rate enterprise-wide, and client Cash Per Visit reimbursement

Developed pricing strategies for business plans/service lines

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Built a strong talent development process to recruit skilled talent, structured a strong on-boarding systems, improved training platform, development, and career advancement opportunities.

Implemented Leader Rounding and Mentorship programs

Implemented Remote working program in response to Covid19 pandemic

Vice President of Operations, (2012-2018)

Ensure development of Divisions strategic vision, objectives, policies, and procedures

Develop and implement production and quality standards for the Division.

Drive performance and to ensure key performance metrics are met or exceeded.

Develop operating plans and budgets to ensure timely, cost-effective service delivery.

Monitor industry trends, proactively identifying emerging customer needs and proposing innovative solutions to meet those needs.

Recruit, train, and mentor a team of high quality, middle managers to ensure achievement of division and company goals.

Achievements

Supported market expansion into facility coding and trauma coding service lines

Established coding Academy and implemented distance learning

Implemented scripting for demographic and clinical documentation capture

Developed email communication for patient inquires, as an alternative to phone calls to the Call Center

Implemented the Leader Rounding program

Implemented Development Tracks: Managers to Directors, and Directors to Executive Directors

Developed Position Ranking protocols to identify High and Low Performers

Instituted quarterly Town Hall Meetings with the CEO

Revamped Employee newsletter

Re-instituted New employee orientation

Director, Coding and Front-End Operations, (2010-2012)

Directs all Front-End Processes that deliver more than 1.5 million emergency department visits into the billing system annually.

Manages 63 direct reports and an overall team of more than 120 with a budget of 6 million.

Provides process innovation, develops best practices, and solve problems leveraging existing and new technology to improve productivity, timeliness, and accuracy.

Overall scope is the administrative and operational activities of capturing patient specific information/data and reimbursement coding performance.

Maintains and analyze individual and department statistics on work volume, productivity, and accuracy for use in long-range planning and budgeting.

Achievements

Coding document highlighting

Virtual chart completion process to eliminate clerks at the hospital site

Introduced electronic code book

Stanford Hospital and Clinics, Palo Alto CA June 2009 - July 2010

Manager, Health Information Management Operations

Responsible for the overall management of Document Imaging, Release of Information, Customer Support, and Retrieval Support.

Developed Release of Information Training program and department quality assurance program. Budgetary responsibility for the areas managed.

Significant customer interface responsibilities with other departments, patients, vendors, and other external customers, including outsource ROI vendor.

Manages the IT infrastructure and applications (EPIC, Hyland On Base, SMS, IDX) supporting the sections managed.

Manages the timely and accurate storage of all components that make up the legal medical record.

Manages electronic interfaces from the ancillary departments (ie. laboratory, pathology, transcription, radiology, etc.) to the HIMS systems.

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Developed long-range business plan and strategy for the scanning of paper documents into the electronic health record.

Manages staff of 22

Manager, Revenue Cycle/Coding

California Pacific Medical Center, San Francisco CA Dec. 2007 - June 2009

Provides team leadership and resource management for the coding department

Directly supervises coding staff. Monitors and reports all required hospital performance measures.

Project team member for EPIC implementation, and Project Team lead for Clinical Documentation Improvement Initiatives.

Initially provided project management consultation services relating to software upgrades, policy and procedure review/revision.

Developed training materials and updated job descriptions.

Facilitated development of self-directed work teams and mediation processes for peer to peer conflict management.

Created management level reports for quality assessment reporting.

Provided a resource for risk management/compliance regarding HIPAA/compliance issues and HIM.

Coordinated HIT mentoring program between the facility and local colleges.

Managed staff of 11

Centinela Freeman Regional Medical Center Jan. 2001 – Aug. 2007

Centinela, Memorial, Marina Campuses, Inglewood California

System HIM Director, (2005 – 2007)

Addition of the HIM department for the Centinela Campus and the coding operations for a large multi-physician orthopedic clinic – Kerlan Jobe.

Managed staff of 56

Centinela Freeman Regional Medical Center – Memorial and Marina Campuses

Director, Health Information Management, HIPAA Privacy Officer, (2001 – 2005)

360 and 167 bed acute-care facilities.

1,650 inpatient discharges per month and 5,350 outpatient visits per month.

Responsible for the directing, planning, and managing HIM operations for two sister hospitals.

Managed staff of 36.

EDUCATION / CREDENTIALS / CONTINUING EDUCATION

Ongoing continuing education specifically in Electronic Medical Records and Coding

HIPAA Privacy – 2003

Certificate of Risk Management

oAmerican Institute of Medical Law, November 1998

Occupational Certificate, Health Information Technology

oCypress College, June 1996

Associates of Arts in Economics

oLos Angeles Valley College, June 1992

Occupational Certificate of Supervision

oLos Angeles Valley College, June 1991

PROFESSIONAL AFFILIATIONS

Board Director, Summit Community Development Corp

Past SCHIA Educational Committee Coordinator

American Health Information Management Association

California and Southern California Health Information Management Assoc.

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