Information Manager Utilization Review
Resume:
HEATHER BROOKS
Saint Charles, Missouri 63301
**************@*****.***
EDUCATION: ST. CHARLES COMMUNITY COLLEGE Associates Degree in Science, Health Information Technology
AAPC- currently enrolled in the Certified Professional Coder program. Scheduled to graduate September 2022.
EMPLOYMENT HISTORY:
RED BUD REGIONAL HOSPITAL-Red Bud, IL
02/2017-08/2017
Director, Health Information Management/Credentials Facility Privacy Officer
● Direct Report to CFO
● Managed 5 Staff
● Software includes: MedHost (HMS, Clinview, EDIS), Compliance 360, P2Sentinel, MDStaff, MModal Clarity, Evrichart, Kronos
● Managed all aspects of HIM department
● Participated in Joint Commission Survey for recertification
● Reduced Echocardiogram Transcription turnaround time by 10 hours
● Created/Implemented HIPAA/IT Security Monthly Walkthroughs
● Maintained AR Days below 3 each week
● Received and investigated all Privacy complaints for hospital and 6 clinics
● Created and distributed all end-of-month stats for each department: Stroke, Chest Pain, Code Blue, Infection Control, Injuries, Mortalities, CMI, Delinquency Rate by Dr
● Reported to corporate each week Coding Stats, Delinquency Rate, Coding Holds
● Reported to corporate monthly H&P report, OP Note Report, Discharge Disposition Audit, Financial Chart Audit, Transcription Error Rate
● Prepared and transmitted charts for quarterly corporate Inpatient and Outpatient Audits via Evrichart software
● Updated and wrote policies/procedures for annual update
● Worked with Ciox on release of information requests
● Utilized Evrichart for chart storage needs
● Reported Cancer Registry to Illinois
● Justified payroll daily through Kronos
● Reviewed Unbilled/Error Report daily with coders
● Presented Privacy/Security/Compliance at General Orientation each month
● Worked directly with providers regarding queries and delinquencies
● Reviewed and worked on BAAs with Administrative Assistant
● Worked to implement ABN procedure with Registration using Revenue Cycle Pro Committees:
● Facilitated Forms Committee
● Facility Compliance Committee
● Acute Care Committee
● Environment of Care Committee
CENTRAL OZARKS MEDICAL CENTER-Richland, MO
02/2016-05/2016
3 Clinics
Health Information Manager
● Direct Report to CEO
● Software includes: eClinicalWorks EMR.
● Took all IT calls related to eCW and general calls unrelated to health information.
● Ensured all providers were registered to receive Meaningful Use monies in the future.
● Updated all providers in PECOS making sure all were tied to the proper NPI number..
● Was the Surrogate representing COMC providers to CMS.
● Set up all new users in eCW.
● Collaborated with Infinitech Support for all new network and email needs.
● Worked with Business Manager to add CPTs to eCW.
● Updated all problem lists to ICD10.
● Made updates with eCW support to customize portions of the EMR to ease the workflow of the providers.
MADISON PARISH HOSPITAL-Tallulah, LA 06/2014-01/2016 25 bed Critical Access Hospital
Director, Health Information Management
Director, Registration
Privacy Officer
● Direct Report to CFO
● Manage 2 Supervisors
● Manage 17 FTEs
● Implemented Hospital-wide EMR Conversion to Prognosis Innovation Healthcare-go live 06/01/15
● Training Correct Care Emergency Room Providers to use ER Module of Prognosis-go live 08/10/15
● Installed first encoder 3M for coding staff to learn and use
● Prepared and Trained Staff for ICD10 Conversion
● Reduced Unbilled from 2.5M to 200K working with the Business Office Director by setting standards for coding staff to meet each day.
● Created Medicaid Application Specialist Position on site so patients didn’t have to go to the health department.
● Reported Unbilled to CFO Weekly.
● Implemented Regular HIPAA Training for Employees
● Implemented Monthly Hospital-wide Departmental Privacy/HIPAA Walkthroughs to meet CMS Guidelines.
● Manage Daily Activities in HIM and Registration
● Code Inpatient and Outpatient Records
● Manage Delinquencies and Deficiencies Working with Providers
● Payroll through ADP
● Work HOLD Claims in Quadax/Xpeditor
● Report Quarterly Hospital Data to the State of Louisiana
● Utilization Review with the CNO
Committees:
● Facilitate Medical Staff Meeting Quarterly
● EMR Implementation Steering Committee
● Risk Management Committee
● Revenue Cycle Committee
● Case Management Committee
● Performance Improvement Committee
ATCHISON HOSPITAL-Atchison, KS 11/2012-03/2014
25 bed Critical Access Hospital Manager, Health Information Management Privacy Officer
● Direct report to CFO
● Managed 8 FTEs
● Software includes: Meditech, Fusion Text, ABN Assistant, Time Keeper Plus, 3M, MedAssets
● Implemented Voice Recognition with Fusion Text.
● Implemented CPOE for providers in Meditech.
● Implemented provider documentation in Meditech.
● Implemented remote coding.
● Managed all functions of the HIM department daily.
● Coded.
● Worked with Business Office Manager and CFO to improve Revenue Cycle.
● Managed denied claims through MedAssets.
● Worked closely with providers regarding records completion. Delinquencies were below 15% monthly.
● Purged records and established business relationship with Iron Mountain for records storage.
● Familiar with HFAP guidelines.
● Managed schedules and payroll with Time Keeper Plus.
● Negotiated and began implementing ICD10 training for all staff.
● Worked with GeoLearning as education platform.
● Built new functionality in Meditech.
● Built and implemented HIPAA training for entire facility.
● Facilitated and managed students from area colleges studying Health Information Technology.
● Worked to establish medical necessity software ABN Assistant.
● Presented upcoming implementations in HIM to Medical Staff quarterly. Committees:
● Facilitated EMR Steering Committee monthly.
● Facilitated Medical Records Committee quarterly.
● Facilitated Revenue Cycle Committee monthly.
● Member of Integration Committee.
● Participated in Utilization Review Committee quarterly.
● Facilitated ICD10 Training and Implementation Committee monthly. COMMUNITY HEALTH CARE SYSTEMS- Onaga, KS
06/2012-10/2012 25 bed Critical Access Hospital
Manager, Health Information
● Direct Report to CFO
● Managed 9 FTEs
● Software includes: Healthland, EMDs, Kronos, 3M
● Managed DNFB
● Worked with providers regarding records completion including managing delinquencies and pulling records for charts completion.
● Release of Information
● Purging Records
● Worked with Privacy/Risk officer on reports of misconduct regarding HIPAA.
● Managed schedule and payroll using Kronos.
Committees:
● Member of Electronic Medical Records Committee working to implement EMDs and NextGen. SAINT LUKE’S HEALTH SYSTEM Kansas City, MO
02/2008 – 05/2012
Wright Memorial Hospital 25 beds Critical Access Facility Hedrick Medical Center 25 beds Critical Access Facility Director, Health Information Management
Privacy Site Coordinator for Wright Memorial Hospital
● Managed 17 FTEs, 4 PTEs, and 2 PRNs
● Directly reported to CFO
● Software includes:CPSI, McKesson Horizon Patient Folder, McKesson STAR, 3M, Dictaphone, KRONOS, RiskMaster
● Manage Unbilled And worked directly with providers for chart completion. This close interaction between HIM and the providers made it easy to keep records completed in a timely manner.
● Case Mix Index: perform regular chart reviews for trends in DRGs and Case Mix Index fluctuations.
Manage Unbilled Report weekly and report statistics weekly to CFO.
● Manage records for 30 Specialty Clinics.
● Implemented CPSI EMR at Wright Memorial Hospital and Hedrick Medical Center
● Manages all functions of the HIM Department
● Coding
● Process payroll with KRONOS.
● Cognos Budget Planning annually.
● Prepare Flex Cost Reports and Flex FTE Reports monthly.
● Flex staff levels to daily census.
● Participate in several Performance Improvement teams-Employee Satisfaction Team, Doctor Outpatient Order team, Physical Therapy Notes Team Committees:
● Member of RAC Committee at Wright Memorial Hospital and Hedrick Medical Center
● Member of Ethics and Compliance Committee
● Organize monthly Utilization Review/Medical Records Committee meetings, transcribe minutes, and prepare information packets for committee members
● Participate in the Medical Executive Committee Meeting bi-monthly
● Participate in the Medical Staff Meeting Quarterly
● Participate in the Revenue Cycle Committee
● Organize and lead the Forms Committee
BARNES JEWISH HEALTHCARE- St. Louis, MO
01/2007 – 01/2008
BJC Behavioral Health Outpatient Psychiatric Facility 1,700 patients HIMS Supervisor
● Manage 8 FTEs
● Software includes: PDS, Fast Chart Finder, Ca-Locus, CIMOR, Emomed
● Manage schedule for staff
● Maintain all records for facility-1600 clients-purging, shifting and filing
● Manage all requests for release of information
● Prepare schedules for doctors
● Pull records for doctors
● Schedule appointments for clients
● Prepare transfer charts
● Review charts for glucose levels
● Review for deficiencies
● Chart review for admissions
● Concurrent chart reviews
● Discharge chart reviews
● Coding
● Answer 4 line switchboard
● Update client information in PDS
SAINT LOUIS UNIVERSITY HOSPITAL-St. Louis, MO
06/2005 – 12/2006
345 bed facility; Level I Trauma Center
HIM Evening and Weekends Supervisor
● Manage 4 FTEs and 4 PTEs
● Software includes: Softmed, Meditech, Pbar
● Write schedule for weekend and part time staff
● Maintain all of SLUH records-purging, shifting, filing
● Manage all requests for release of information after hours
● Pull records for doctors
● Prepare transfer charts
● Track transfer completion
● Order supplies and records from Iron Mountain.com
● Process discharge pickup
● File loose sheets
● Process and release all deceased patients
● Participated in QI committee restructuring transfer process
● Participate in monthly manager college program covering topics of all natures: human resources, worker relations, hospital finance.
DES PERES HOSPITAL-St. Louis, MO
11/2004 – 06/2005
125 bed acute care facility
Inpatient Analyst and Pain Management Coder
● Software includes: Rumba, Pbar, Softmed
● Analyzed all inpatient records with Softmed
● Coded pain management records with 3M and Pbar
References Available Upon Request
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