Objective:
 

Objective To obtain a position with a healthcare related c


Work Desired:Full Time - Permanent
Citizenship:US Citizen
Resident Of:State: West Virginia - Area Code: 304
Willing To Relocate:No
Posted By Candidate:1+ Year Ago
Experience:More than 3 years of work-experience
Technical Skills:, LAN/Networking, Project Management
Work Experience:
Professional Experience

ICS, Inc., Rockville, MD; Instos, Inc., Sterling, VA. 2008  *  Present
HIPAA Compliance Specialist
 *  Functions as HIPAA Compliance Specialist and Subject Matter Expert (SME) 
 *  Assists in researching and developing HIPAA policies, procedures and
training materials and drafting compliance related information documents;
 *  Facilitates and documents HIPAA and Privacy Act training for QA staff;
 *  Regularly reviews and assesses policies and procedures;
 *  Recommends appropriate strategies to promote compliance with HIPAA, the
Privacy Act of 1974 and implementing DoD Regulations; 
 *  Monitors the handling of Protected Health Information to ensure compliance
with policies;

AXIOM Resource Management, Inc., Falls Church, VA 2007  *  2008
HIPAA Senior Privacy Analyst 
 *  Functions as HIPAA Senior Privacy Analyst and Subject Matter Expert (SME); 
 *  Coordinates review of HIPAA complaints from the Military Health System,
TRICARE Management Activity. 
 *  Reviews and provides appropriate responses to Privacy Mail. 
 *  Provides executive support, tracking status of outstanding projects,
proofreading/editing of correspondence, customer service, compliance evaluation,
documentation and reporting. 
 *  Assists in researching and developing HIPAA policies and procedures,
drafting compliance related information papers. Regularly reviews and assesses
policies and procedures;
 *  Recommends appropriate strategies to promote compliance; 
 *  Develops systems to evaluate and respond to complaints and problems with
trend analysis using metrics and other tools as necessary. 
 
PAREXEL International, MedCom Services, Centreville, VA 1997-2007
Compliance Coordinator / Senior Quality Manager 2002-2007
 *  Took initiative to develop HIPAA compliance program, processes, policies,
training and documentation 
 *  Conducted training on the corporate    Code of Conduct and Business Ethics  
 and    Patient Confidentiality and Security, HIPAA    for more than 600 Health
Policy employees and    HIPAA Awareness    for approx. 150 Clinical Research
employees 
 *  Established and monitored a Compliance Hotline for reports of potential
privacy issues; investigated and documented Hotline reports
 *  Conducted monitoring of database access for potential security lapses;
investigated and documented unusual activity
 *  Oversaw and coordinated quality planning, management of controlled
documents, development and maintenance of departmental quality manuals, quality
measurement and quality improvement.
 *  Actively participated in various corporate committees: Six Sigma Council,
Learning Management Services Committee, Operational Quality Management Team,
Crisis Management Steering Committee, Quality Documents Committee, Client Survey
Committee, and vendor selection committees for Six Sigma, LMS, and on-line
Compliance Training.
 *  Reviewed and approved Worldwide Standard Operating Procedures, Corporate
Policies, and Business Operating Procedures on behalf of the MedCom Services
division consisting of six companies
 *  Monitored Office of Inspector General, Health and Humans Services Advisory
Opinions, and the Office of Civil Rights, HHS, website to remain current
 *  Reviewed current and proposed programs for Prescription Drug Marketing Act
compliance
Project Specialist 2001-2002
 *  Managed the process and facilitated the development and implementation of
Call Center SOPs related to Phase IV Clinical Trial protocols 
 *  Coordinated process flow, training for various programs: Phase IV Clinical
Trials, Patient Assistance Programs, and Reimbursement Programs. 
Trainer 2000-2001
 *  Trained new Patient Assistance and Reimbursement Analysts and Data Entry
Support Personnel
 *  Developed and Wrote SOPs, presentations and proposals
Reimbursement Analyst 1999-2000
 *  Research funding sources for Oncology Reimbursement Program 
 *  Conducted Quality Control reviews
 *  Preparation of client reports for reimbursement clients
Patient Assistance Analyst 1997-1999
 *  Pre-screened, enrolled, and approved applications for two Patient Assistance
Programs, HIV/Aids and Alzheimer programs
 *  Developed Quality Control procedures and program documentation
 *  Wrote program SOPs on Quality Assurance, Financial Criteria, Reapplication
process

Other Employment 

Canteen Corporation/ The Compass Group, Denver, CO 1996-1997
Supervisor
 *  Supervised staff of 4

Rocky Mountain Healthcare Corporation, Denver CO 1992-1995
Blue Cross/ Blue Shield of Colorado  *  HMO Colorado
Senior Customer Service Representative 
 *  Training of new representatives on HMO benefits and computer database 
 *  Researched billing and claims problems, incorrect coding, charges

 Education
Webster University, Aurora, CO 
 *  Graduate course work in Health Services Management
US Army Medical Field Service School, Fort Sam Houston, TX
 *  Honor  's Graduate, Administration of Army Field Hospitals 
The George Washington University, Washington, DC 
 *  Bachelor of Arts, International Affairs

Professional Development
 *     Understanding the Impact of HIPAA   , Barnett International, 2003
 *     Specialized Knowledge and Application   , Health Care Compliance
Association, 2004

Military Experience
Captain, Medical Service Corps, DCARNG, 115th Combat Support Hospital and USAR
Individual Ready Reserves Detachment Commander, Adjutant, Medical Supply Officer

Tools
 *  MS Word, Power Point, Excel and Visio

 

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