Functional Skills

Process Design / Re-engineering
Compliance and risk
Communications

Software Skills

Microsoft Excel
Microsoft Word
Microsoft Visio
Microsoft Office
Microsoft PowerPoint
Cognos Analytics
Epic EMR

Certifications

CHPSECertified HIPAA Privacy Security Expert

Sector Experience

Healthcare
1
jobs

Jobs Completed

5
hours

Total Hours Logged

15
years

Years of Experience

4/20

Member Since


Fortune 500

Experience

 
Molina Healthcare Corporate Strategy & Development
Sr HIPAA Privacy & HIM Compliance Manager
12/2015 - Present
Serves as a HIPAA ROI expert to ensure compliance with all healthcare privacy laws and regulations to include protected health information (PHI) education and EMR record management. Develop and facilitate privacy processes to ensure compliance across all business units to include workforce training, workflows, patient rights, and Release of Information (ROI) vendor oversight.

Southern Hills Medical Center Operations
HIM Director and Privacy Officer
05/2014 - 12/2015
Updated policies and procedures ensuring patient privacy and health information access.
▪Monitored and executed new Business Associate Agreements (BAA) required under HITECH
▪Led unbilled activities to include physician query follow up, collaboration with facility Directors in monitoring unfilled reports and management of unbilled processes.
▪Served as the custodian of medical records, HIPAA Privacy Official, RAC and ICD-10 Coordinator.
▪Provided Electronic Medical Records operational audits

Apex Start-Up
HIM Consultant
01/2012 - 04/2014
Provided on-going health information management support during Go-Live EMR implementation while creating new processes and workflows related to health information activities.
▪ Educated employees throughout healthcare facilities in document capture and release of information in accordance with HIPAA and state laws.
▪ Processed HEDIS and Payment Integrity Audits through quantitative and qualitative analysis. ▪ Audited medical clinics through EMR chart review

CIOX Management Consulting
HIPAA ROI Operations Manager
02/2010 - 01/2012
• Managed 30 + employees in Release of Information (ROI), RAC audits, and subpoena request processes to include retrieving, scanning, abstracting, and analyzing patient record while maintaining standards of peak performance and improved productivity and turnaround times
• Project manager for client hospitals and clinics to include ROI onboarding, staffing and training
• Monitored and audited release of information, sensitive information, and ROI request validation