Contract HIM Director - People 2.0 - Minnesota and California
(2024 - 2024)
Provided interim HIM management in two different critical access facilities.
- Outsourced coding due to coding attrition and ongoing coder recruitment challenges
- Created internal Union Coder and Outsourced vendor partnership
- Refined Epic clerical workflow to reduce analysis TAT from over 30 days to 1
- Redefined productivity standards to process ROI requests in less than 15 days
- Obtained bids to destroy records in multiple non-compliant, severely damaged storage areas and created a plan to retain those records not yet eligible for destruction
- Improved clerical staff morale and retention by implementing flexibility of working hours
- Defined coding productivity standards for all patient types
- Addressed long standing privacy issues as well as ensuring that healthcare providers have a clear understanding of minor rights related to access of their PHI
Clinic and Physician Practice settings - WSI - Denver, CO
(2018 - 2024)
Temporary Placement in clinic and physician practice settings across multiple years.
- Redesigned Insurance Authorization Process in a busy Oncology practice
- Performed insurance authorization at a large medical practice
- Scanned 3 months of backlogged medical records
- Performed data integrity functions
- Scheduled and performed all medical record functions for multiple practices
Contract HIM Consultant - American Consultants/The Healthcare People - Overland Park, KS
(2015 - 2022)
Contract HIM Consultant across multiple years providing interim HIM management and consulting services.
- Provided interim HIM management at five different (5) critical access facilities for all HIM functions
- Provided ongoing training in ICD-10 for both coders and non-coders
- Restructured coding operations
- Acted as Interim Privacy Officer in designated facilities
- Responsible for medical staff credentialing, responsible for oversight of the function as well as performing all medical staff related activities
- Developed reporting dashboard for monitoring HIM performance
Interim HIM Operations Manager - University Medical Center - Las Vegas, NV
(2021 - 2021)
Provided interim HIM operations management in a 500-bed academic teaching facility.
- Worked with ROI team to eliminate backlog and redesigned all clerical workflows
Interim Executive Director of HIM - B.E. Smith - Albuquerque, NM
(2019 - 2020)
Provided interim HIM management in a 500-bed academic teaching facility.
- Restructured CDI and improved the staff morale and implemented metrics resulting in recovery of over one (1) million dollars
- Eliminated six (6) month scanning backlog and partnered with Departments to send documents to HIM with appropriate identification labels which enhanced turnaround time
Project Management/Interim HIM Director - Independent Consultant - Jerseyville, IL
(2018 - 2018)
Performing multiple assigned projects within HIM and Patient Financial Services.
- Interned for thirty (30) days in the Patient Financial Services Department positing charges and performing daily close
- Provided EMR optimization recommendations and recommended a hospital physician practice utilize an interface between CPSI and Next Gen
Interim HIM Director - Primeau Consulting - Burlingame, CA
(2016 - 2024)
Provided interim HIM management in acute care facilities on project basis.
- Provided interim HIM management over a four-campus acute care facility
- Provided interim HIM management over a two-campus acute care facility
- Coordinated a reduction in force and as a result facilitation of the redesign of multiple HIM workflows
HIM Consultant - Change Healthcare/Altegra Health/The Coding Source - Los Angeles, CA
(2011-05 - 2016-11)
Project-based HIM consulting services.
- Served as an Interim HIM Director on multiple engagements
- Provided interim HIM management in five acute care facilities with a primary focus on coding centralization
- Served as a Health System Project Manager for CAC/CDI for multiple hospital campuses in Southern California
Senior HIM Consultant - Precyse Solutions/Quadramed - Alpharetta, GA
(1993-02 - 2011-02)
Project-based senior HIM consulting with focus on systems implementation and interim management.
- Provided assistance in implementing HIM/UR/QA software applications in hospitals and other types of healthcare facilities
- Provided interim HIM management in multiple operations including assistance with system implementations and upgrades
- The majority of assignments were interim management of HIM/Medical Record/Privacy/Compliance operations, pending recruitment of a permanent manager
- Performed operational assessments, implementation assistance and client training for McKesson/Horizon Patient Record/business office products
- Evaluated and optimized Epic/OnBase HIM workflow to meet enhanced revenue cycle initiatives
- Acted as quality analyst, responsible for department reporting and core measure data abstraction
- Provided multi-site management with cross training of staff in order to improve HIM productivity and workflow
- Prepared HIM department for total outsourcing through current employee assessment, trained new staff in all aspects of HIM functions and responsibilities
- Re-worked internal and external operations to improve department's coding process to reduce DNFB, as well as eliminating ROI backlog
- Assessed operations of internal clinics in order to standardize enterprise business practices
- Provided oversight of clinical documentation improvement program
- Analyzed and implemented clinical documentation improvement (CDI) and computerized assisted coding (CAC) applications in multiple HIM departments
- Oversite of medical staff credentialing processes in multiple hospitals
- Assisted in TJC and DNV and state survey preparation and maintenance of ongoing survey readiness
