Objective:
 

To work as a manager, Quality Auditor, Compliance Auditor o


Work Desired:Full Time - Permanent
Citizenship:US Citizen
Resident Of:State: Colorado - Area Code: 303
Willing To Relocate:No
Posted By Candidate:1+ Year Ago
Experience:More than 3 years of work-experience
Technical Skills:Access database, PowerPoint, MS Word, Word Processing, Excel, Tracking systems, Computer Hardware, Project Management, Database Administration
Work Experience:
Juneau L. McNair, RHIT
4959 Nepal Street
Denver, CO 80249
Home Phone  [Send email to request phone number] 75-1586 Email  *  

SUMMARY
 *  Over 30 years experience in the Medical Record profession and related
fields
 *  Expertise in Managing, implementing and developing procedures
 *  Strong people skills, and always striving for improvement, challenge, and
perfection
 *  Knowledge in ICD-9CM, CPT, HCPCS, Microsoft Excel, Microsoft Word, Microsoft
Works, Windows 98, 2000, Power Point, XP, Softmed Tracking system, Diagnostic
Imaging System, SMS Data Care system, and Access database.

WORK HISTORY

DaVita Inc., Compliance Auditor
Perform strategic assessments of compliance issues and risks, monitoring and
supporting compliance audit programs, managing and conducting compliance audits
and follow-up reviews. Responsibilities include:
 *  Identify and assess compliance risks
 *  Participate in the planning and periodic review and revision of the Auditing
Team work plan
 *  Conducts and manages audit and investigation projects and tasks along with
follow-up
 *  Develop and enhance compliance audit tools programs, procedures and
standards
 *  Prepare accurate and timely audit reports
 *  Assists in development, implementation and modification of policies and
procedures
 *  Serves as a resource to clinic and corporate teammates
 *  Works with clinicians and IT department to obtain necessary data items 

Chartone, Training Manager
Traveled 75%+ training CMA  's in the field. Main responsibilities were
designing, scheduling, and implementing all training procedures across the
country. Management responsibilities included:
 *  Delivered filed based training (face to face and conference calls)
 *  Attended quarterly meetings to analyze CMA training needs for each
territory
 *  Developed and implemented needed training
 *  Implemented policies and procedures for training in release of information
processes
 *  Developed training curriculum
 *  Assisted in large field group training as needed or requested by the
Regional Managers
 *  Trained in HIPAA, implementation of new programs, and information systems
 *  On site training assessments

Confidential Copiers, Area Manager
Manage a staff of eight employees and provide release of information services
throughout Colorado. Train, implement, organize, and instruct employees on
confidentiality rules. Maintain compliance with federal laws and regulations
related with the Health Insurance Portability and Accountability Act of 1996
(HIPAA). Management responsibilities include:
  *  Mentoring, disciplining, and evaluating employees
  *  Provide release of information services to several different clinics
  *  Maintain positive communication with staff, clients and customers 
  *  Perpetuation of professional standards at all times.

Secure Health Information Corporation, Field Operations Manager
Manage a staff of 30 employees in several health care facilities throughout
Colorado. Implement, organize, and instruct employees on confidentiality rules.
Maintain compliance with federal laws and regulations related with the Health
Insurance Portability and Accountability Act of 1996 (HIPAA). Provide superior
allocation of protected health information to professional and personal
representatives. Management responsibilities include:
  *  Screening applications, interviewing, certifying employment, and hiring
applicants
  *  Training, mentoring, disciplining, and evaluating employees
  *  Conduct detailed quality reviews and monthly meetings
  *  Provide coverage when needed
  *  Maintain professional standards, positive communication with staff,
clients, and customers 
  *  Develop policies and procedures

Wardenburg Ambulatory Care Center, Medical Record Technician
Assist Physician with documentation and completion of medical records.
Responsibilities include:
 *  Process and analyze outpatient medical records for completion and accuracy
 *  Direct physicians in completing their medical records
 *  Train other employees
 *  Provide coverage when needed in Release of Information and Transcription

Denver Health Medical Center, Health Information Manager
Managed four different functions in the Medical Records Departments:
Manager of the Patient Care, Education and Research Section:
Managed a staff of 27 employees covering three different work shifts
Restructured section functions to ensure maximum productivity in processing
patients, return of records, and consolidation of partial reports. Develop and
maintain superior employee morale and productivity by interceding and solving
operational problems early. Analyze, prepare and submit bi-monthly statistical
productivity reports. Leadership responsibilities related to staff of employees
include:
 *  Screening applications, interviewing, certifying employment, and hiring
applicants
 *  Training, mentoring, disciplining, and evaluating employees
 *  Ensuring section coverage and on-call availability at all times
 *  Conducting monthly meetings with employees of all shifts to address their
issues
 *  Maintaining professional standards including departmental policy,
accreditation, continuing education and confidentiality rules
 *  Creating a positive communication environment that increased employee
productivity and customer satisfaction
Tumor Registry:
Managed one Tumor Registrar employee and provided support in maintaining the
Cancer Registry reporting requirements in compliance with Colorado Department of
Health licensing regulations
Managed the MediGroups Abstracting Section and Tumor Registry:
Designed, organized and implemented this new system mandated by the Colorado
Health Data Commission. Management responsibilities include:
 *  Developed policies and procedures
 *  Trained and conducted quarterly data quality studies to ensure a 95%
accuracy rate in reporting required by MedisGroups abstractors
 *  Abstracted clinical data from various reports in the medical record.
Collected data pursuant to guidelines in a standardized glossary
 *  Submitted reports to the appropriate government agencies by the instituted
deadlines
 *  Managed productivity, professional standards and interpersonal
relationships
Managed the Accreditation and Standards Section:
Invested many hours in reducing the amount of outstanding delinquent records in
the Doctors Incomplete Room and was commended by the Chief of Staff. Prepared and
distributed the physicians Incomplete List
 *  Assured completion of records by availability of records to physicians
 *  Coordinated the activities for the once a month    Chart Completion Day   
 *  Prepared minutes for the Medical record Committee held bi-monthly
 *  Directed productivity, professional standards and interpersonal
relationships 

National Jewish Center, Coder/ Reviewer
Performed real-time coding and review of medical records referencing ICD-9-CM
coding standards
Created and installed a user program to couple meaningful and easy to understand
language to the review codes
 *  Analyzed medical records
 *  Directed physicians in completing their medical records fully and
accurately
 *  Provided support in areas of Quality Assurance and generating special
reports

St. Joseph Hospital, Medical Abstractor
 *  Analyzed patient clinical medical record information to ensure validity of
the MedisGroups abstract
 *  Researched potential quality and utilization concerns for review and
analysis
 *  Contributed to semi-annual data quality studies while maintaining a 95% data
accuracy rate

Beth Israel Hospital
Worked in numerous departments and held several positions. Most significant
are:

Physician Assistant and Medical Records Clerk in the Medical Records
Department:
 *  Directed physicians in resolving delinquent records
 *  Trained other employees
 *  Filed medical records and loose reports in terminal digit order
 *  Compiled and typed daily Admission/ Discharge/ Transfer lists

Technical Coordinator in Radiology Department:
 *  Scheduled, screened and supplied preparations for various radiological
examinations
 *  Conveyed patient diagnosis to physicians offices
 *  Compiled and typed various business letters and reports

EDUCATION
 Central Business College, Denver, CO
 Business Secretarial courses
 Typing Certificate
University of Colorado, Denver, CO 
Introductory Psychology course
Metropolitan State College, Denver, CO
Computer Programming and Word Processing courses
 Arapahoe Community College, Littleton, CO
 Associate Degree in Medical Record Technology
 Registered Health Information Technologist (RHIT), Board certified in 1991
DeVry University
Technical Management courses
Colorado Art Institute
Community College of Aurora
PC Spreadsheet/Access Database

 

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