yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx
abc@xyz.com

yyyyyy x. yyyyyy

Senior Management Executive

yyyyyy x. yyyyyy

 

RHIA-certified professional eager to contribute extensive Health Information Management experience toward actively supporting a progressive organization in optimizing performance.  Offering comprehensive background in Teaching, Auditing, Compliance and Health Information Management, with consistent results in achieving organizational objectives. Talent for defining and resolving discrepancies to avoid unnecessary cost expenditures. Strong leader who excels in training and directing top-performing teams. Effectively establish and manage key relationships with decision makers and strategic partners. Proficient in ICD-9 -CM CPT-4 and HCPCS.

 

Quality Assurance Medicare Compliance Staff Management/Training Process Improvement

Healthcare Operations Audit Reviews & Corrective Action Regulatory Compliance

Out Patient Coding Medical Information Systems Budgeting/Reporting Medical Billing Software

yyyyyy x. yyyyyy

 

  Increased revenues by proactively identifying documentation opportunities while controlling costs.

  Successfully strengthened physician awareness and understanding of medical record documentation and coding guidelines through ongoing chart review and the development of educational programs.

  Promptly identify and resolve discrepancies or missed charge opportunities by comparing documentation to billing and prepared a comprehensive written plan of action and standard reporting for management review.

  Applied sharp business acumen toward defining, developing and implementing quality control optimization efforts.

yyyyyy x. yyyyyy

 

Healthcare Consultant - JA Thomas and Associates, Smyrna, GA                                  2007-Present

  Contribute industry expertise and strong attention to detail in auditing physician documentation to ensure critical compliance with all regulations, processes and procedures.

  Design, develop and deliver engaging and educational trainings to Physicians and Staff regarding evaluation and management coding using Medicare guidelines.

  Satisfied all audit requirements by planning and coordinating internal, external and third party payer audits and collaboratively working with Federal and State agencies.

  Consistently completed annual compliance audits on time by applying exceptional prioritizing and multitasking abilities in achieving goals and timelines.

 

Quality Assurance Manager - HCA Patient Account Services, Norcross, GA                   2006-2007

  Exhibited solid leadership qualities in managing all aspects of QA department operations to achieve continuous process improvements.

  Successfully built top-performing personnel vital to supporting enterprise-wide operations by strategically recruiting and effectively interviewing, screening and testing candidates

  Supervised, evaluated and motivated QA Analysts and Team Leads, with strong focus on optimizing productivity and efficiency.

  Conducted comprehensive data review and analysis, reported QA results, navigated remediation plans and served as liaison between QA unit and other PAS departments, further illustrating solid multitasking skills.

 

 

Page 1 of 2

Heather Dunn                                                                                                      Page 2 of 2

yyyyyy x. yyyyyy

 

Career Background continued

 

 

Program Director - Gwinnett Technical College, Lawrenceville, GA                                  2005-2006

  Spearheaded diverse administrative activities ranging from hiring, training and performance evaluation to profit and loss and budgeting.

  Demonstrated advanced communication and interpersonal relation skills in diplomatically negotiating proposals and contracts.

 

Owner, Medical Biller - Medical Coding and Billing Solutions, Loganville, GA                 2002-2006

  Educated physicians and therapists on new insurance laws.

  Proficiently and promptly reconciled denials from third-party carriers and state agencies and expedited resolution of unpaid claims from Insurance Carriers and state agencies.

  Relied upon to lend expertise toward overseeing billing compliance and A/R functions.

 

Senior Access Specialist - Children s Health Care of Atlanta, Duluth, GA                        2001-2005

  Illustrated critical thinking and problem solving skills in reconciling point of service and revenue reports, determining ICD 9cm and CPT codes, and implementing improvements to collections process.

  Optimized productivity and efficiency by proactively enhancing data access and revamping charting and filing system.

 

Medical Billing Coordinator - Office of Otakar Hubschmann, M.D., West Orange, NJ     2000

  Streamlined the collections process and decreased bad debt by training office staff in medical software and managing accounts receivable operations.

  Determined appropriate ICD 9cm and CPT codes to ensure billing compliance, with strong focus on accuracy and timeliness.

 

Practice Manager - C&S Research Corp., King of Prussia, PA                                        1999-2000

  Directly trained Office Managers and Medical Administrators on implementation of physician practice management/medical billing software package, integral to boosting operations.

 

Prior Experience

 

Intern - McKesson, Alpharetta, GA

Office Manager - Saint Barnabas Ambulatory Care Center, Livingston, NJ

Patient Administration Specialist - US Army, Fort Lee, Petersburg, VA

yyyyyy x. yyyyyy

Master of Science Degree in Project Management - University of Wisconsin, Platteville, 2008

Post-Baccalaureate Certificate, Health Information Administration - Medical College of Georgia, 2005

Bachelor of Science Degree in Business Administration; Concentration in Computer Information Systems - Thomas Edison State College, 2002

RHIA (Registered Health Information Administrator) Certified
yyyyyy x. yyyyyy

Microsoft Office Suite; SMS; MMS; GPMS; Horizon Patient Folder; Claim Gear; 3M Encoder; Meditech; Host; Kronos; Lawson; Business Objects