Dynamic Health Information/Credentialing Manager with a proven track record at Select Medical Rehabilitation Services, excelling in quality improvement and teamwork. Demonstrated expertise in healthcare compliance and relationship building, achieving insurance metric goals, and leading a team of 35, including 10 practitioners, to enhance productivity and maintain data privacy.
Overview
11
11
years of professional experience
Work History
Health Information/Credentialing Manager
Select Medical Rehabilitation Services
09.2016 - Current
Collaborated closely with practitioners and their support staff to improve quality of patient records documentation.
Conducted education and training activities for physicians, nursing staff and administrative personnel.
Implemented innovative solutions to streamline workflow, optimizing productivity within the Health Information Management department. Internal company benchmark for documentation requirements in 2016 at 80%. Over past seven years at 95-98% compliance.
Effectively managed release of information requests, safeguarding patient privacy while adhering to legal requirements for disclosure purposes.
Championed a culture of excellence within the Health Information Management department, setting performance expectations for regulatory documentation requirements and providing regular feedback to team members. Resulted in exceeding 90% benchmark over a 6 year period.
Navigated complex regulatory landscapes, ensuring successful completion of audits and compliance reviews by overseeing meticulous preparation efforts.
Collaborated with interdisciplinary teams to establish best practices for maintaining accurate and timely medical records across the organization.
Increased efficiency in handling medical records by transitioning from paper to electronic health records systems.
Ensured compliance with federal and state regulations by staying current on industry standards and updating organizational policies accordingly.
Currently in CMS Review Choice Demonstration initial period. CMS requires 80%. Current results are 97.6% compliance.
Office Manager
UPMC Good Hope Family Physicians
08.2013 - 09.2016
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Managed and provided training to a staff of 35 with 10 practitioners.
Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Met and exceeded insurance metric goals set for quality improvement measures.
Education
Bachelor of Science - Health Information Management
York College of Pennsylvania
York, PA
05.1998
Skills
Quality Improvement
Teamwork and Collaboration
Excellent Communication
Relationship Building
Adaptability
Epic Systems
Accurate Documentation
Healthcare compliance
Data privacy
Timeline
Health Information/Credentialing Manager
Select Medical Rehabilitation Services
09.2016 - Current
Office Manager
UPMC Good Hope Family Physicians
08.2013 - 09.2016
Bachelor of Science - Health Information Management
York College of Pennsylvania
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