Compliance

•••••
OBJECTIVE
To obtain a health care employment position that will utilize my training and experience.

SUMMARY OF QUALLIFICATIONS
Positive professional who focuses on details and quality.
Outstanding rapport and communications (oral/written) with people from diverse backgrounds.
Flexible/adaptable; rapidly assimilate new procedures and systems.
Excellent skills in organizing, planning, trouble-shooting and problem-solving.

CORE COMPETENCIES

Building Relationships
Management/Administration
Staff Development
Strategic Planning
Project Management
Coding/Reimbursements
Policy and Program Development
HIPPA, SOX, CMS, JCAHO and OSHA
Quality Assurance
Internal Audits
Fiscal Management
Write and Analyze Reports
Proposal and Grant Preparation
Public Speaking


EDUCATION
UNIVERSITY OF NEW HAVEN New Haven, CT
M.S. degree in Health Care Administration Concentration: Finance and Health Policy (8/•••••)

FLORIDA A&M UNIVERSITY Tallahassee, FL
B.S. degree in Biology Concentration: Pre-Medicine (4/•••••)

CERTIFICATION
Healthcare Compliance Certification (scheduled for •••••/•••••/••••• exam)
HIPPA Privacy Compliance Officer Certification (scheduled for •••••/•••••/••••• exam)

EXPERIENCE
HEALTH AND FAMILY SERVICES, ORANGE COUNTY GOVERNMENT (•••••) Orlando, FL
Compliance and Reimbursement Coordinator
Performed audits to ensure adherence to organizational policies and procedures.
Implemented programs, policies and procedures for resolutions to compliance monitoring.
Managed ••••• FTEs and delegated responsibilities to achieve organizations goal
Assisted in assessing programs needs and developing QA programs for compliance with state and federal regulatory agencies.
Responsible for revising/implementing protocols; preparing weekly reports; assisting with various projects; and maintaining budgets.
Participated in weekly/monthly Medical Quality, Finance Board and Ethics Committee meetings.
Prepared employee-friendly handbooks to ensure full compliance with OSHA and ACHA regulations.
Accomplishments:
Integral role in agency passing regulatory audits.

INTEGRIS CANADIAN VALLEY HOSPITAL (•••••) Yukon, OK
Administrative Resident (Fellowship)
Responsibilities in this ••••• bed hospital entailed monitoring daily operations of ancillary department during the week and assisting with supervision of hospital operations on weekends.
Participated in administrative decision making process as well as project development.
Provided hands-on assistance with implantation of EMR (Electronic Medical Records).
Updated procedural manuals prior to JCAHO inspection.
Assisted in grant writing and development/implementation of Affirmative Action Program.
Prepared Staff Productivity Study for FTEs.
Provided ideas to CQI (Continuous Quality Improvement) Committee to measure operations.
Accomplishments:
Completed internal audit of Medical Surgery Department which uncovered $•••••K deficit of unbilled expenses from prior fiscal year.
Wrote and implemented new policies, contracts and procedures for various ancillary departments.
Involved in preparation of proposal to expand Womens Center which was approved.


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EXPERIENCE (continued)
OMNICARE INC. (•••••) Cheshire, CT
Assisted Living Department Assistant Manager (•••••)
Worked in CT facility from ••••• and in Jacksonville, FL facility from •••••
Managed up to ••••• FTEs and allocated the necessary personnel through weekly scheduling.
Processed payroll and prepared all funds.
Maximized reimbursements by ensuring accurate ICD•••••CM and CPT coding as well as conducting regular quality audits of providers selected codes compared to chart documentation.
Conducted yearly employee evaluations and prepared resolutions to several problematic issues.
Revamped training orientation and served as Preceptor to new employees.
Involved in ensuring employees complied with regulations and assisted in hiring personnel.

Pharmacy Technician (•••••)
Handled retrieval of prescription orders; counting/pouring/measuring/weighing tablets and medications; mixing medications; selecting of proper prescription containers; creating prescription label; and verifying insurance.
Maintained relationships with outside vendors.
Liaison to physicians and insurance companies.


VOLUNTEER EXPERIENCE
Volunteer (1 years •••••) - St. Raphael Hospital and Yale Hospital
Patient Relations for Oncology and ER entailed ensuring patient care, quality and satisfaction.
Wrote reports and utilized Press Ganey.


COMPUTER SKILLS

Press Ganey
Word
Excel
PowerPoint
Outlook
People Soft
SPSS
Oracle
QuickBooks











Willing to Relocate and/or Travel