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Information Manager Utilization Review

Location:
Saint Peters, MO
Posted:
October 12, 2022

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Resume:

HEATHER BROOKS

*** ******* *****

Saint Charles, Missouri 63301

adszbi@r.postjobfree.com

314-***-****

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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