24030
August 2020
Dear Hiring Manager,
I am an experienced, credentialed Health Information Manager with a diversified background of over 30 years’ experience –
· As a coding manager I was responsible for coding and compliance as well as provider/staff education for both acute care and clinical settings, professional fee and facility.
· Business analyst and subject matter expert on two Health Information Exchange government grants and a population health management project.
· Auditor of Evaluation and Management Services, clinical and surgical services.
· Strong HIPAA background.
I am currently looking to work remote on a part time/contract, or as needed basis for auditing, IT projects, or outpatient coding.
Sincerely,
Pat Rennert, RHIT, CCS-P
Pat Rennert, RHIT, CCS-P
patricia rennert, RHIT, CCS-P
Professional Summary
v Over 30 years in Health Information Management that includes 15 years of leadership focused on revenue cycle management, staffing and directing coding departments for hospitals and clinical organizations and provider education.
v Experience with Epic, Cerner, Star, HPF OneContent (McKesson), 3M 360, CAC, and a broad scope of applications for coding, revenue cycle analytics and project management. Advanced skills with Word, Excel, Outlook, Sharepoint.
v Hands on, working coding manager skilled in CPT, HCPCS, ICD-10, NCCI edits, Medicare and Medicaid as well as workers’ compensation.
v Extensive background in managing and implementing auditing processes for coding and documentation, workflow analysis for improving process efficiencies in complex, multi-facility, corporate settings. Identified missed revenue and compliance issues due to coding and/or documentation errors.
v Participated in two federal grants for the automation of medical records as subject matter expert and business analyst.
Professional Experience:
Green Light Cost Management
July 2018 to present
· Part time coding support and consultant
· Analyze pricing of out of network claims
· Review claims for coding accuracy
· Evaluate claims edits
· Work with IT to ensure integrity of processes related to the code sets and edits
Outpatient Coding Manager, Abrazo Community Health Network (Tenet owned)
· August 2014 to February 2018 (retired).
· Manage team of 30 consisting of 25 coders, 2 DNFC coordinators, 1 APC Coordinator and 2 charge analysts.
· Integral part of management team that consistently met corporate goals and viewed as utilizing examples of best practices for six hospitals.
· Hands on manager that trained and educated coders in conjunction with coding auditor, while monitoring productivity and accuracy.
· Liaisons with the various hospital departments to correct edits and errors, ensure timely and compliant account processing while adhering to corporate and AHIMA policies.
Clinical Data Analyst, Population Health Management, Dignity Health
September 2013 to March 2014
· Business analyst to support IT initiatives for PQRS, ACO reporting of quality metrics via dashboard.
· Responsible for data validation, verifying metric definitions
· Developed data flows, requirements and use cases
· Due to department reorganization, this position was eliminated.
Health Information Exchange (HIE) Analyst, Arizona Governor’s Office
July 2011 – September 2013
· Acted as Meaningful Use coordinator for public health, facilitated public health grant funding
· Served as HIPAA policy analyst
· Data analytics for adverse medication effects
· Conducted surveys to ascertain Arizona hospitals’ readiness for meaningful use
· Served on RFP committees for funding of grant programs
· Grant ended February 7, 2014. Offered opportunity at Dignity Health.
Maricopa Integrated Health Services- Coding Manager
June 2010 – July 2011
· Managed a team of 20 coders for inpatient and ambulatory services
· Worked with Epic and McKesson Star systems as well as 3M encoder.
· Presented to residents at monthly meetings
· Served on multiple steering committees and one RFP
· Lead for implementation of a Clinical Documentation Improvement program
· Became Epic certified in their Resolute Charge Capture module.
· Lead department to successfully meet and exceed DNFB goal
· Authored new and updated existing policies and procedures
· Implemented a Recovery Audit Contractor process, and successfully contested two cases
· Left on invitation from governor’s office to participate in second HIE grant
AHCCCS (Arizona Medicaid) – HIeHR Initiative
May 28, 2007 – December 31, 2009
Business Analyst EHR Systems and Services
· Participated in writing use cases and requirements
· SME (subject matter expert) for provider work flows
· HIPAA compliance resource for the project.
· Outreach coordinator for PACeHR project to assist clinics in readiness assessment and EHR adoption.
· Grant funds expired December 31, 2009 and project could not achieve self-sustainability
AHCCCS – Healthcare Group of Arizona
September 19, 2006 – May 11, 2007
Senior Provider Reimbursement Decision Support Specialist
· Data analysis support and review for decision support processes.
· Evaluated high dollar claims, and plan payment processes
· Queried claims data bases utilizing Access
· Offered opportunity by AHCCCS director to move over to the HIE Grant as business analyst and SME.
Concentra Health Services
January 1, 2001 – August 30, 2006
National Director of Coding and Compliance
Responsible for developing a national department of certified coding specialists
· Managed a team of 15 coders that provided coding and compliance support for 350 clinics
· Provider liaison for EMR adoption, coding education and feedback based audit results
· Involved in resolving major payer issues, reducing denied claims
· Revenue improved with one-on-one provider education and group coding presentations
n Supported compliance of providers billing and charging practices through auditing process that was implemented nationally. Facilitated provider presentations in all markets.
n Promoted to National Coding Director after 6 months.
Independent Consultant
July 2000 – June 2007
n Provided on-site consulting services for coding and compliance, provider education.
Tenet Physician Services
Sept. 1998 – July 2000 (Tenet closed this division)
Education Coding Manager
n Provided consultative services to Tenet practices affiliated with hospital acquisitions.
n Facilitated numerous provider coding educations presentations in all markets.
n Recruited and managed coding team of 11
n Organized coding audits and physician training
n Was promoted to Coding Manager after 6 months.
n 1992 – 1998 Medical Business Resource Center
Senior Coding and Training Supervisor
n Developed the modules and taught coding, medical terminology, A/R, fee schedule analysis
n Consultant for physician practices for coding and payer contract negotiations.
1986-1992 Practice Manager
n Five years with orthopedic practice, one year with ENT (family emergency necessitated resignation).
Technical Skills
Proficient in Word, Excel, PowerPoint, and Visio, SharePoint, experience with Access and MS Project. Certified in Epic Resolute Charge Capture module (not current). Extensive experience in working with a variety of Electronic Health Records (EHRs), claims filing, and revenue cycle management systems.
Professional Associations:
American Health Information Management Association (AHIMA) and local chapter – AzHIMA
Education:
Completed three credit course in ICD-10-CM fall of 2013.
Phoenix College – May 2010
Associates of Applied Science in Health Information Technology
University of Phoenix – September 2000
Bachelor of Science/Business Administration
Certifications:
Certifications – CCS-P (Certified Coding Specialist-Physicians- Cert. #CP1669) since 2000, and RHIT (Registered Health Information Technician-Cert. #0003500) since 2010, Certified HIPAA Privacy & Security Expert (CHPSE) July 2012 (lapsed).
Education
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University of PhoenixFall 2017 to September 2000Bachelor of Science/Business Administration
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Phoenix CollegeFall 2007 - Spring 2010Associates of Applied Science in Health Information Technology
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This was necessary to qualify for the RHIT certification.
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Contact Candidate
To contact this candidate email prennert@msn.com