Tolulope Adeseye

• Initiates, executes and manages coding compliance projects associated with acute care inpatient entities initiatives and data integrity
• Provide ongoing support for deployment and compliance monitoring of the company coding processes and policies for complete, accurate, consistent, and timely coding that results in appropriate reimbursement, quality
• Supports the compliance monitoring plan including related on-site support
• Reviews regulations and creates relevant communications and supporting documentation, such as FAQs and alerts via conference calls, e-mail and/or webcasts
• Functions independently in executing projects including prioritization and scheduling, monitoring compliance with project deadlines, assisting with development and deployment of deliverables
• Leads specific coding regulatory projects such as HAC, POA, I-10, Quality Initiatives, etc
• Provide coding compliance support to acute care inpatient entities
• Developed systems to track and monitor compliance with regulatory requirements and internal policies.
• Analyzed data from multiple sources to systematically document work and results.
• Maintained compliance frameworks, policies and documentation to support audits.
• Adhered to deadlines in optimizing regulatory and operational performance.
• Conducted reviews to foster ongoing compliance with federal and local regulations.
• Maintained and revised policy procedures for general operation of compliance program.
• Monitored regulatory developments to communicate risks or opportunities to relevant groups.
• Proactive thinking and recommends actions for improving coding compliance
• Applies knowledge of medical terminology, disease processes and pharmacology as they relate to prospective payment systems and coding guidelines.

• Managed and oversaw continued development and implementation of HLS’s ICD-10 program to clients
• Managed ICD-10 education and implementation for healthcare system clients as outlined in client contract and SOW
• Conducted onsite and remote evaluations to design and plan project details in conjunction with client assigned point of contact and or project team
• Maintained client relationships by communicating progress of projects as well as any modifications and clarifications that need to be made
• Assisted with the creation of ICD-10 educational training materials for consultants and clients
• Performed Mapping and Financial Analysis Projects to include results reporting
• Wrote and disseminated ICD-10 reports to clients
• Provided ICD-10 education and analysis to clients as per assigned SOW and deliverables
• Managed groups, teams, and deliverables for assigned area of responsibility
• Oversaw and directed multiple activities and projects as required

HLS’s CIA Benchmarking/Profiling audits including 500+ records

• Performed exit conferences with Chief Financial Officer, Ethics and the Compliance Officer of facilities as well as Department heads from Admitting, and Case Management
• Maintained current knowledge base of coding guidelines, prospective payment systems, company policies and procedures with focus on those impacting coding, regulatory requirements, compliance alerts as well as industry wide challenges/solutions
• Documentation Improvement over site team member –also, performed monitoring audits of facility Clinical Documentation Improvement (CDI) programs for HCA faciliCFO’s/li>
• Reviewed electronic medical records using Meditech Module, McKesson Horizon Patient Folder (HPF) and Audit Expert Enterprise (AEE)
• Monitored regulatory developments to communicate risks or opportunities to relevant groups.
• Developed and implemented strategies necessary for minimizing risk of non-compliance.
• Analyzed data from multiple sources to systematically document work and results.