Billing, Coding, EMR/EHR, Revenue Cycle Management Solutions; Prepares and plans adequately for effective classroom, clinical instruction, ensuring that the lesson plan and presentation strategies are well prepared, the learning environment is optimal, and the instructional materials are in proper working order *****Follows the standardized curriculum, focusing on the unit objectives or proficiencies; communicates appropriately with the Program Manager regarding any curriculum or lesson plan. *****Demonstrates appropriate presentation/speaking skills including the introduction of a wide ******
iversity of instructional strategies encouraging active student participation.
*****Demonstrates appropriate use of written reference materials as well as audiovisual and other ******
nstructional aids.
*****Utilizes diverse questioning strategies to determine depth and range of student understanding.
*****Ensures that the learning environment is maintained in a neat and orderly manner, and that all ******
quipment is cleaned and returned to its appropriate storage position following use.
*****Maintains administrative records in a well-organized, accurate and timely manner, including *****attendance, academic proficiency evaluations, and curriculum.

Formulated and implemented customized performance improvement of the following service areas: HIM, Charge Capture, Coding Compliance, Accounts Receivable Operations & Strategy, Turnaround Solutions, Regulatory & Disputes, and Restructurings. Travel extensively and solve challenging management problems with close attention to detail.
• Overall responsibility for capturing issues surrounding (DNFB) Discharge Not Final Billed Reports, Change Management, Client Management, Solution Design and implementation and generation of engagement results. Worked with client project leaders and effectively used change management strategies, guides the client through transformation efforts. Responsibilities also included: • Build relationships and managed client relationships while expanding the FTI/Floyd Healthcare portfolio. Manage Project scope, budget, operational performance, and productivity. • Experience with business negotiations and ability to exhibit leadership skills.
• Strong project management and client management expertise. • Managed risks and utilize creative problem solving techniques. • Understand revenue cycle technologies and associated vendors. • Contributed to strong data analysis focused projects. • System environment includes the following hospital software packages: Meditech, HBOC, 3M HIM Systems, Charge Capture/Chare Master, Cerner, McKesson STAR.

Project Implementation/Policy and Procedure Development Developed policies and procedures for ensuring compliance with HSHS applicable policies, procedures, laws, and regulations, provide any new policies and procedures and/or changes in laws or regulations to the Corporate Compliance Committee for review. Monitored and audited the activities of each department to ensure overall compliance through departmental self-monitoring plans as it relates to the HSHS Medical Group Christian Community, and Ethos Partners Best Practice REU/RCU assessments. * Developed new and existing business, evaluating contract agreements for new and existing clients, included preparation of financial reporting, and analyses against proposed reimbursement, operational, and market issues. Manage Project scope, budget, operational performance, and productivity. * Piedmont Heart Institute duties included management of PHI credentialing policy and procedures in compliance with local, state accreditation, such as; NCQA, URAC, JCAHO, and licensures within the state of Georgia. Responsible for providing PHI overall expertise in provider contracting/reimbursement, credentialing methodologies, and proprietary system implementation, which includes data reporting, decision support tools, denial management and revenue cycle management enhancing tools. * Engaged PHI staff by sharing business information, solving problems and identifying solutions as a team. * Assisted with the acquisition of Physician Group and on boarding process with Physicians being employed by the Group. * Oversaw the pre-delegation and audits in compliance with NCQA, URAC, and JCAHO.
* Participated in Committee meetings as requested by the firm to provide leadership and expertise regarding policy and procedure changes, delegation criteria, and functions. * System environment includes the following hospital software packages: Meditech, NexGen, McKesson STAR, Vital Stats Practice Management Systems

Provide support to the Chief Compliance Officer in the area of compliance and policies and procedures, to include:
* Policies and Procedures Management, monitoring new and existing regulations and proposing changes and/or new ethics and compliance policies and procedures as may be required within Revenue Cycle Management and Hospital CBO.
* Serve as the "gatekeeper" for the management of all corporate policies and procedures, client policies and procedures and integration with parent policies and procedures to include the organization of policy and procedures (i.e., assignment of numbers and categories, ensure proper format is used, etc.) * Interacting at a professional level with others. Proficient in federal program requirements and hospital compliance program obligations.
* Excellent writing, communication and organization skills.
* Provide systematic approach to problem solving and troubleshooting.
* Strive to exceed goals and expectations.
* Ability to work under strategic deadlines and juggle multiple projects within a given project engagement.
* Excellent legal research skills and exceptional communication and drafting skills.
* System environment includes the following hospital software packages: McKesson STAR, McKesson Pathways Contract Management System.