Project Manager Management

MELISSA M. BROUSSARD

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

Houston, TX77053

Cell: 832-***-**** •Email: ********************@*****.***

Value Offered as ICD-10 Training and Healthcare Project/Practice Manager

Demonstrated track record of improving and directing planning, managing, monitoring, controlling, and establishing an ICD-10 Training and Certification program, including curriculum development, job aids, testing methodology, software and delivery, exam development, and delivery hand on competency.

Business Consultant providing efficient and effective assessment, planning, initiating, evaluating, and building a communication network repository for historical references to help maximize instructor realization, curriculum quality, revenue growth, and profitability through implementing a structural training program to support the new ICD-10 organizational transformational design.

Providing strategic and tactical planning and through empowering a cohesive team that achieve high standards of quality training program transforming the old ICD-9 to the new ICD-10 coding system.

PROFESSIONAL SKILLS PROFILE

Over twenty year of related work experience plus a combination of strong academic training and credentials in:

Compliance Analyst, Billing & Reimbursement Compliance-Professional

Provide education and training

Curriculum and instructional management

Accounts Payable & Accounts Receivable

Certified Billing & Coding

McKesson Billing and Claims Software

Macess, Medisoft, MOSS, People Soft

Completed- Carol Buck’s ICD-10-CM Online Training Modules 2010

Project conversion ICD9 TO ICD10 Implementation Project Manager

Project Risk, Quality, Procurement, Monitoring , and Controlling

The Strategic Project Management

Project Cost, Scheduling, Monitoring, and Control

Project & Team Leadership

Life & Health Consultant

Project Initiation, Planning, And Execution

Proficiency with the Microsoft Office Suite 2003 or 2007, and 2010 (especially with MS Project and Visio).

EDUCATION

Certificate in Project Management, Kaplan University, 2011

M.B.A. - Management Specialization - Letourneau University Houston Texas Campus Graduated. December 19, 2010

B. B. A. - Letourneau University Houston Texas Campus, August 15, 2008- BBA-Graduated with honors-“Summa Cum Laude”

A.A.S., Medical Billing and Coding - Houston Community College, 2007

Diploma, Allied Nursing, Practical Nursing Program for LPN - Louisiana Technical college, New Iberia, LA

Texas License-Group 1, Healthcare and Life Insurance, Training Program Certification

Certified Professional Coder (CPC) - AAPC

EMPLOYMENT EXPERIENCE

Adjunct-Part-time Instructor/Professor

Adjunct Instructor, 02/2011 – Present Kaplan University-North Campus

Courses: ICD-10 Implementation Project Training Manager- Go LIVE 10-1-13

Courses: Medical Practice Management - HI141 Basic Medical Coding

Courses: Medical Practice Management - HI142 Advance Medical Coding

Courses: Health Services Delivery and Legal Issues-HI181

Certified Professional Coder Project trainer developing and maintaining an ongoing programs to meet the educational needs a project management strategic design.

Work flow outlining the milestones in order to deliver a complete, accurate and successful ICD-10 new code set.

Develop a curriculum instructional process flow policy and procedure guidelines for training and development and educational workshop.

Facilitate weekly status meeting updating Key Stakeholder and Staff on the project

Monitoring and tracking daily scheduling and project cost with an EVM- Earn Value Management tool in order to forecast any critical path that would affect converting the old ICD-9 to the new ICD-10-CM /PC ‘Online Training

Lead Professor delivering instructional material for current student to become a medical practice manager or other similar position in a health care facility.

As a Certified Professional Coder with a Master’s Degree in Business Administration with a Minor in Management, training each student on how to run a medical office efficiently, through group discussions, lectures, and hands-on laboratory experience.

Through lecture and Kaplan’s Medical Practice Management lesson plan, students are trained for ten weeks of medical practice management boot camp in the area of:

Financial management, Patient communication, Personnel management, insurance coding and billing, Medical records management, and Appointment scheduling. Equipping each student with the skill set and competency in order to develop help prepare them for a successful career.

Adjunct Instructor, 2/2011 – Present Houston Community College District-Southwest

Courses: Business Technology-1301 Computer Application 1

Courses: Business Technology-1329 Beginning Keyboarding 1

As a Professor in the Business Technology Department, training student through, hands-on, self-paced, individualized, instructional course. Thus, the student is responsible for reading all appropriate training chapters and completing each training exercise as indicated on the class schedule. The student will identify the components of a computer system and demonstrate basic proficiency in commonly used applications. Through lector, students are introduction to computer hardware, software applications, and procedures with hands-on overview of computer applications which run under windows environment on PC compatible platform, including current terminology and technology.

STUDENT LEARNING OUTCOMES RESULT

Students will complete documents under timed production conditions.

Students will select correct document formats and layouts, and assess documents for correct grammar, spelling, and punctuation.

Texas Children's Hospital Houston, TX (07/2008-04/2011)

Provider Contracting –Certified Professional Coder Project Manager

Maintain up to date on industry standards and regulations to ensure compliance.

Monitors accuracy of compliance audits, conduct prospective and retrospective inpatient and outpatient documentation audits with rules and regulations set forth by CMS, Federal and State laws and regulation and institutional policies and procedures.

Evaluates appropriateness of services and procedures billed based on supporting documentation and apply sharp business acumen and leadership skills toward directing staff and providers on correct coding and billing procedures as it relates to ICD-9, CPT, HCPCS coding.

Manage policy decision related to claims payment and compliance,

Develop fees schedules that comply with AMA guidelines and state Medicaid/CHIP guidelines.

Strategically plan, allocate, and administer budgets to maximize use of resources and boost bottom-line profitability while controlling costs

Selected Accomplishments:

Lead project manager for network contracting department:

Planning: develop project objectives, goals and strategies.

Organizing: Establish and identify the project management policies, procedures, and techniques.

Motivating: Define project team member needs.

Directing & Controlling: Establish limits, cost, schedule, and performance standards for the project.

Created and integrated Fee Schedules to ensure that the reimbursement templates are applied correctly in the claims adjudication process.

Prepared and led weekly Reimbursement Committee Meeting on a broad range of project risks with the new work flow for MACESS and Epic Go Live Software.

Managed risk involving:

Fee schedules, Accountable for project deliverables

• Manage end user expectations for deliverables and priority of projects.

• Manages project resources.

• Co-ordinate the gathering of requirements

• Act as a point of escalation for end-users with issues that are impacting production application

Renaissance Healthcare Houston, TX (08/2007-07/2008)

Reimbursement Coding and Compliance Manager

Establish a highly motivated team by effectively assessing performance and resolving inefficiencies through proactive solutions.

Accountable for managing the billing and coding team, allocating specific responsibilities, observing appropriate resources needed and developing schedule to ensure timely completion of project.

Communicate with a Senior Project Manager, Functional Area Manager and IT management regarding status of specific projects.

• Ensure adherence to company Project Management Methodology including complete documentation of functional requirements.

Proficiently monitored medical records, reviewed and verified internal requests for medical information, and oversaw billing and coding staff.

Trained and led staff in all aspects of billing guidelines; tracked staff performance and worked to improve efficiency.

Managed and prepared revenue, usage reports, and Fee Schedule for presentation to senior level staff members.

Manage and evaluate project progress and applied company approved government and third party payor payment guidelines for Medicare/Medicaid managed care, and HMO regulations.

Remington College West Campus- Houston, TX (06/2006-07/2007)

Medical Billing and Coding Instructor/ Externship Coordinator

Maintained full accountability for leading a team of 25 -35 students with management-approved materials such as current CPT, ICD-9 CM, HCPCS, Medical Terminology, Anatomy and Physiology, and HIPPA Compliance guidelines, including training students in the area of Physician, Hospital billing and coding guidelines and procedures.

HCA, Physician Services Houston, TX (01/2005-06/2006)

Reimbursement Analyst

Initiated and communicated the distribution of information to the sponsor and VP, the scope and work break down structure of the new physician contract negotiation.

Planned, execute, control, and close the scope objective for the new practice startup

Recommend application support for commercial office and software products, such as Facets, Business Objects, and others, as well as support in-house developed applications from a project management viewpoint.

Liaison for end-users with issues that are impacting production applications.

• Thorough knowledge of end to end business processes, act as IT subject matter expert on some business processes.

• Prepares reports for management regarding status of project.

• Follow change management, HIPAA and SOX guidelines such as:

THE SARBANES-OXLEY AUDIT CHECKLIST

Provides insight, key activities concerning the Audit Committee member and draft Audit Committee Charter.

Implemented a week project chart audit inspection for all new level physicians less than six months start-up.

Planned weekly management meeting concerning the office work flow and risk management of the reimbursement cycle.

Executed day-to-day activities, defining and analyzing coding practices,

Enhancing interpersonal skill through coordinated physician and staff meetings involving compliance plan, documentation guideline, and all medical insurance healthcare plans.

Project lead-designed a new flow method and transform a successful compliance-training program to support the medical billing and coding and revenue cycle reimbursement instructional Education/training Program- five months duration with a successful deliverable .

Reference:

Available Upon Request

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