Dorothy J Foster-RHIT, CCS-P

***** ******* ******, *******, ** 23831

Phone-804-***-**** adw7na@r.postjobfree.com

Objective

HIM Professional is seeking a position in Health Information Management or Analysis in order to use current experience in a comparable position within a Healthcare setting

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HIM Director and Privacy Officer Poplar Spring Hospital, Petersburg, VA

Behavior Health Facility- 2020-2021

Directive from Corporate Office to bring facility Health Information Department up to date with other UHS Mental Health facilities.

Revamped medical records filing system and storage process for medical records.

Implement manual processes into current system applications.

Worked with MS4, Nuance, HCS, 3M Coder, Concord Faxing, and Midas software application.

Prepared Medical Records for Corporate Audits and Insurance Audits

Participated in facility chart audits.

Processed Release of information request according to policies and state regulations.

Managed Coder, Chart Assembler, Medical Records Clerks

Work with Corporate HIM Staff to implement new polices for HIM department.

Worked with physicians and Medical Director on timely notes and chart discrepancies.

Assisted Business office with releasing medical records in order to obtain payment.

Monitored reports for coding and worked with Coder to get all billable charts completed.

Process facility HIPAA breaches according to company policy

Completed HIPAA training for new orientees.

Trained staff to new process changes.

Updated old policies with revised policies.

Completed all required training.

Medical Records Request Manager

Payment Error Rate Measurement (PERM) Program

AdvanceMed/CMS Contractor, Richmond, VA

2018-2020

Initiated the startup program for the Richmond PERM Facility

Established five PERM departments: Customer Service Call Center, Scanning department, Quality Assurance department, Quality Analysis department and Mailroom.

Attended weekly and daily Center for Medicaid and Medicare Service meetings.

Meeting with CMS State Representatives for all states pertaining to their audit requirements.

Worked with 17 different states per quarter.

Met established matrix goals for medical records request on quarterly and annual goals.

Created Standard Operating Procedures (SOPs) all departments, Customer Service Call Center, Scanning Department, Quality Assurance Department, Quality Analysis Department and Mailroom

Managed a staff of 20 employees.

Completed staff evaluations and employee annual goals.

Conducted monthly staff meetings.

Worked with Physician and other Healthcare providers pertaining to their audit requirements, medical records and billing information needed.

Participated in weekly management meetings.

Worked with company liaisons to resolve CMS issues and concerns.

Worked with IT and Application and Development for system improvements.

System Applications included: Avaya- Call Center Telephone System

ARMS- Record Management System

SMARTDOC-Record scanning processing system

Ephesoft- Quality Assurance and Quality Analysis Systems

Microsoft 10

Excel, PowerPoint, Outlook and Word.

HIM Operations Manager

Southern Virginia Regional Medical Center, Emporia, VA

2017 – 2018

Maintain hospital policies and procedures.

Worked in an EMR setting as well as Hybrid medical record-setting.

Followed HIPAA regulation pertaining to Release of Information and Protected Health Information

Reviewed Unbilled Report for edits and maintaining appropriated AR Days

Worked with Coder and Department Directors to resolve unbilled issues

Analyzed Coding, Productivity and Hold reports

Compiled and Analyzed data for Weekly and Monthly Corporate reports

Managed all HIM personnel staff, Coder, Analysis, Scanner, ROI Clerk and Health Information Specialist

Used various software applications to manage daily HIM operations procedures, includes:

Evrichart application-Upload medical records for billing issues

Compliance 360 application-Monitor BOM appeals to various insurance companies.

M-Modal Clarity Application-Physician dictation system

Clinview application-Review completed physician progress notes and H&Ps. Also review physician notes for E-Signatures

Emprint application- Hospital’s forms system

3M 360 application- Coding system

Med Host application-hospital Health Information system

Completed Joint Commission Reports

Monitored and Audited HIM performance indicators

Worked closely with physicians pertaining to timely

E-Signatures

Participated in Forms Committee Meetings, Morning Meetings, QA Meeting and Safety Meeting

Monitored and maintained staffing coverage

Processed and authorized staff daily time sheets

Medical Records Director

HCR ManorCare, Richmond, VA

2004 – 2017

Reviewed Discharge records

Performed medical records audit in order to establish compliance.

Review new admits paperwork and provided correct ICD9 and ICD10 and CPT codes for billing.

Implemented system for storing and maintaining current medical records.

Audit electronic medical records reports for documentation deficiencies.

Provided in-services to nursing and clinical staff pertaining to documentation issues.

Proficient in Word 2010, PowerPoint, Publisher and Excel

Prepared records for Legal reviews and CMS reviews

Supervised Medical Records Assistant and Clerks

Advised Director of Nursing on documentation issues.

Prepared Medicare and Insurance claims in the appeals process

Submitted medical records to Medicare and Medicaid for review

Released medical records according to HIPAA regulations.

Process physician’s application for privileges

Participated in facility's annual licensure survey pertaining to medical records issues as requested by surveyors.

Created plan of corrections for any medical records deficiencies after the annual survey.

Implemented systems for compliance after the annual survey.

Participated in facility’s Assisted Living licensure survey.

Participated in QAA Meeting

Outcomes Coordinator

Trained new medical records clerks from other outside company facilities.

A strong knowledge base of state and federal regulation pertaining to medical records compliance

Education

AAS Degree

Northern Virginia Community College, Springfield, VA

06-2006

Health Information Program GPA 4.0

06-2004

Health Record Coding Certification

J Sergeant Reynolds Community College

Health Record Coding Technician Program GPA 3.8

2004-2006

AHIMA RHIT and CCS-P Credentials

2014-2015

Licensed Virginia State Assisted Living Administrator (National Association of Long-Term Care Administrator Board Certification Program)

Qualified applicants will have a demonstrated ability in strategic and tactical planning, application of management practices and principles, and technical systems analysis. Knowledge of IT environments and applications. Knowledge of Medicaid Management Information Systems (MMIS) or other large-scale health care processing systems is required. Requires a comprehensive knowledge of the Health Insurance Portability and Accountability Act (HIPAA), including Electronic Data Interchange (EDI) Transactions and Code Sets. Must have extensive skill in applying project management principles to manage multiple projects within established timelines. Must have a demonstrated skill in communicating both orally and in writing to a diverse audience. Ability to develop and maintain project budgets, resource plans, risk and contingency plans is required. Extensive experience in managing large-scale Information Technology (IT) projects that includes development of project work plans is also required.

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