SUMMARY Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in compliance and in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through building a culture where finance and quality are equally understood as measured outcomes. Consultant on compliance/HIPAA at physician practices, hospital facilities and have worked for the OIG of NH for the Fraud and Abuse Division. ICD-10 AHIMA certified instructor and a member of HCCA, HFMA, MGMA, AHIMA, and AAPC.

Highlights:

• Billing
• Coding
• Management
• Audit
• Quality
• Documentation
• Policies and Procedures
• Medicare
• Cms
• Health Insurance Portability And Accountability Act