Andrea Budd

• Leading a team of 65 employees, comprised of coders, lead coders, and a coding supervisor
• Responsible for meeting organizational CFB goals for 19 inpatient facilities across the region
• Responsible for conducting recruitment and hiring activities
• Successfully led my team through a multi-year, phased implementation of Epic EMR
• Acted as the SME for coding operations workflow design and education
• Developed organization specific best practice workflows, education materials, and provided post go live support
• Negotiated third party vendor contracts with coding support companies to cover vacant positions and meet CFB goals
• Developed staffing models and provided support for vacancy requests
• Successfully lead cross-functional groups that included Quality, Data Abstraction, and Clinical stakeholders to achieve organizational goals and reduce downstream impacts
• Conduct physician education specific to core measures impacted by documentation and coding

• Worked closely with management to provide effective assistance for specific aspects of business operations
• Trained and mentored new employees on industry practices and business operations
• Tracked key business metrics and made recommendations for proactive adjustments to policies and procedures

• Utilized FairWarning and manual auditing to identify/mitigate inappropriate EMR access and investigate internal/external complaints
• Provided privacy education to multidisciplinary audiences
• Knowledge of applicable federal and state laws
• Investigation of privacy issues, including tracking and reporting to leadership
• Breach notification to affected patient(s), Office for Civil Rights (OCR), and the NC Attorney General
• Conducted privacy audits, assessments, and breach risk assessments as applicable
• Assisted management and HR with mitigation activities and policy enforcement
• Monitored areas of risk and reported findings to leadership
• Conducted ongoing departmental and system-wide privacy assessments.

• Reviewed medical records to correctly apply ICD-9-CM, CPT, and HCPCS codes for diagnoses and procedures
• Supported timely, accurate, and complete documentation of clinical information, facilitating modifications to clinical documentation to support services rendered and reimbursement received
• Maintained knowledge of coding rules and regulations by staying current on issues regarding medical coding, compliance, and reimbursement.

• Managed schedules to ensure 24-hour coverage, approved PTO requests, and administered lower-level corrective action
• Coordinated a multi-disciplinary team involved in root cause analysis, reporting, and correction of compromised medical records
• Responsible for creating and presenting reports of system-wide data integrity trends
• Identified areas for end-user performance improvement based on trends
• Successfully coordinated large-scale data cleanup for multiple data conversions and IT projects
• Performed routine auditing and QA review of the EMPI team members
• Monitored daily reports to ensure workflow priority
• Responsible for facilitating, documenting, and organizing multiple system corrections with other users, departments, and facilities
• Responsible for the maintenance of data integrity for all Mission Health EMR systems, Health Information Exchange (HIE), and external systems
• Identified areas of potential concern within the Patient Portal; worked closely with the Privacy Department to create and implement a policy addressing overlay issues discovered within the portal
• Coordinated processes to measure, assess, and improve the quality of the EMPI

· Successfully developed and implemented new hire and current employee data integrity training for system-wide patient access staff

· Developed and assigned Data Integrity LMS Module for all staff responsible for adding/editing patient demographics

· Monitored compliance of LMS module completion and provided follow up to staff/supervisors as appropriate

· Trained new HIM Specialists on the use of the Enterprise Master Patient Index, IBM Initiate Inspector; all systems maintained by Data Integrity

· Created system-wide combine procedure from start to finish

· Monitored data integrity across systems

· Weekly reporting to contributing systems for maintenance of data integrity

· Reported statistics and identified areas for performance improvement

· Performed monthly audits on data capture and analysis staff

· Performed/maintained daily combine audits and change reports

• Served as the liaison between physicians, mid-level providers, patients, and specialty practices or hospitals
• Managed referrals and specialty appointments for a high volume of patients and providers
• Made referrals, scheduled diagnostic tests, and coordinated care
• Educated, trained, and evaluated HIM students
• Performed daily tasks to aid physicians and mid-level providers, ensuring HIPAA compliance and maintaining completeness/accuracy of patient records (in both paper and electronic form)