Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Software
Languages
Interests
Timeline
Intern

April Black

Compliance
Bixby,USA

Summary

Certified Health Care Compliance Officer (CHC, CPCO) with extensive experience in regulatory compliance, risk management, and corporate governance. Proven track record of developing compliance programs that exceed regulatory standards and reduce risk exposure. Expertise in interpreting complex laws and fostering a culture of integrity within organizations. Recognized for delivering credible information that supports quality and compliance objectives across the healthcare sector.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Compliance Officer and Risk Manager

Osage Nation Health System
Pawhuska, OK
06.2024 - Current
  • Analyzed data gathered from multiple sources for possible breaches of law or policy.
  • Investigated potential violations of applicable rules and regulations.
  • Monitored employee adherence to company policies, laws, and regulations.
  • Assessed the effectiveness of existing processes and procedures related to compliance.
  • Identified gaps in existing controls and recommended corrective actions as needed.
  • Responded promptly to complaints received from employees or customers.
  • Developed and implemented compliance policies and procedures.
  • Prepared training materials related to regulatory changes or new policies and procedures.
  • Conducted risk assessments to identify areas of noncompliance or vulnerability.
  • Advised management on best practices in compliance-related matters.
  • Drafted reports summarizing findings from audit reviews and investigations.
  • Maintained detailed records regarding all activities associated with compliance initiatives.
  • Collaborated with other departments to develop comprehensive compliance programs.
  • Conducted regular internal audits to ensure compliance with established standards.
  • Reviewed contracts for compliance with applicable laws and regulations.
  • Monitored regulatory developments to communicate risks or opportunities to relevant groups.
  • Analyzed data to provide insights and recommendations for mitigating conduct risk.
  • Created and managed action plans to mitigate audit discoveries and compliance concerns.
  • Organized training programs to educate company staff on benefits and consequences of complying or defying regulations.
  • Utilized risk management techniques and business knowledge to improve compliance programs.
  • Conducted reviews to foster ongoing compliance with federal and local regulations.
  • Developed systems to track and monitor compliance with regulatory requirements and internal policies.
  • Performed fact-finding research by investigating, collecting and analyzing data and compiling in report format.
  • Analyzed data from multiple sources to systematically document work and results.
  • Conducted extensive research to support regulatory findings and control weaknesses.
  • Maintained and revised policy procedures for general operation of compliance program.
  • Developed and implemented strategies necessary for minimizing risk of non-compliance.
  • Stayed abreast of applicable laws and state or federal regulation to report violations.
  • Used proprietary systems to process applications, filings and registrations.
  • Investigated reported and identified compliance issues against accepted standards.
  • Enforced regulatory policies and procedures across different teams and programs.
  • Reviewed records in cases of potential liability and determined compliance actions.

Adjunct Professor

Oklahoma State University
OKC, OK
01.2018 - Current
  • Evaluated student performance using appropriate assessment techniques and provided timely feedback.
  • Mentored students in the development of their research skills and critical thinking abilities.
  • Integrated technology into the classroom environment to enhance instruction and facilitate communication with students.
  • Engaged in professional development activities such as attending workshops or seminars focused on teaching excellence.
  • Served on committees within the department related to policy changes or program updates.
  • Utilized a variety of instructional strategies to meet diverse learning needs.
  • Developed relationships with local businesses and organizations that offer experiential learning opportunities for students.
  • Participated in departmental meetings to discuss teaching strategies and professional development opportunities.
  • Implemented different teaching styles to meet needs of diverse student population.
  • Designed exams, lecture material and writing assignments.
  • Tutored and coached students to help achieve personal and academic goals.
  • Assessed student performance with integrity.
  • Created lesson plans and developed instructional materials covering required topics and learning objectives.

Risk Auditor

Optum-United Health
Nashville, TN
10.2020 - 06.2024
  • HCC Risk Adjustment Auditor.
  • Collaborated closely with other team members to develop effective audit plans.
  • Ensured timely completion of all assigned tasks within set deadlines.
  • Identified discrepancies in financial documents, investigated causes, and proposed solutions.
  • Interacted regularly with clients to discuss audit progress, findings, and recommendations.
  • Prepared detailed audit workpapers for review by senior auditors.
  • Participated in special projects related to due diligence investigations as required.
  • Drafted reports summarizing audit results while highlighting any irregularities or inconsistencies found during the process.
  • Conducted risk assessments to identify potential areas of fraud or non-compliance.
  • Analyzed financial data and prepared reports outlining findings and recommendations.
  • Worked closely with management to discuss external audit results and action plans.
  • Conducted audits on internal controls and developed reports on findings.
  • Investigated and resolved billing issues to maximize cash flow and minimize liabilities.
  • Presented audit results to management teams, delivering information in non-technical terms for easy understanding.
  • Updated and managed accounts payable databases, employing access controls to protect data.
  • Reduced audit fees by bringing audit processes in-house.
  • Delivered superior level of customer service to small business clients.
  • Complied with Sarbanes-Oxley Act and GAAP principles to maintain complete transparency.
  • Minimized internal accounting department backlogs by updating accounts and generating reports.

Fraud Investigation Unit- Auditor

Blue Cross Blue Shield of OK, Tulsa
Tulsa, ok
05.2016 - 01.2018
  • Fraud Investigation Unit auditor. I performed multifaceted medical reviews, analysis of statistical data, medical records and financial research to identify trends subject to legal referral and provider action/termination.
  • Followed established auditing processes to meet internal and regulatory requirements.
  • Analyzed data and findings to prepare reports detailing financial information.
  • Prepared working papers, reports and supporting documentation for audit findings.

Sr. Corporate Compliance Officer

Cancer Treatment Centers of America
10.2002 - 05.2016
  • Company Overview: CTCA was a nationwide organization including 5 hospitals, 1500+ employees and 250 providers.
  • Licensed facility and specialty professional coder, then with HCCA compliance certification. I began in the HIM Business Office in 2002. In 2005, my hands-on leadership fostered a promotion into management directing a team oriented environment in Tulsa. In 2010, assuming the role of Sr. Corporate compliance officer, my dream job. I reported to John Steiner, Esq and David Hedges, chief operations, financial controller. My team implemented MDAudit
  • To automate remediation and physician oversight of the audit program nationwide. I also personally delivered provider CDI education to each of the Five hospital locations with quarterly reporting; as well supervised ongoing compliance by empowering my staff through training and development, and the desire to streamline processes through knowledge sharing.
  • CTCA was a nationwide organization including 5 hospitals, 1500+ employees and 250 providers.

Education

Bachelor of Science - Healthcare Administration Information Technology

University of Phoenix
Tulsa, OK
01.2012

Certified Medical Unit Clerk, Coding And Transcription - Medical Unit Clerk Program / HIM Cert Program

Tulsa Technology Center
Tulsa, OK
12-1992

Skills

  • Excellent communication
  • Corporate governance
  • Risk assessment and management
  • HIPAA compliance
  • Accreditation standards
  • Compliance reporting
  • Auditing procedures
  • Root cause analysis and corrective action plans
  • Fraud investigation
  • Revenue integrity and sustainability
  • Process improvement and remediation

Affiliations

  • Oklahoma State University -Healthcare Management Committee
  • AHIMA Member

Certification

  • Certified Professional Compliance Officer (CPCO), 2024, American Academy of Professional Coders (AAPC)
  • Certified Professional Coder (CPC), 2001, American Academy of Professional Coders (AAPC)
  • Certified Professional Coding Instructor (CPC-I), 2005, American Academy of Professional Coders (AAPC)
  • Certified Coding Associate (CCA), 2005, American Health Information Management Association (AHIMA)
  • Certified Practice Manager (CPM), 2006, Practice Management Institute (PMI)
  • Certified Evaluation and Management Coder (CEMC), 2010, American Academy of Professional Coders (AAPC)
  • Certified Professional Medical Auditor (CPMC), 2010, American Academy of Professional Coders (AAPC)
  • Certified Healthcare Compliance (CHC), 2010, Healthcare Compliance Association (HCCA)

Software

Epic

MDAudit

Allscripts

MS365 Office

Languages

English
Native language

Interests

Gardening

Timeline

Compliance Officer and Risk Manager

Osage Nation Health System
06.2024 - Current

Risk Auditor

Optum-United Health
10.2020 - 06.2024

Adjunct Professor

Oklahoma State University
01.2018 - Current

Fraud Investigation Unit- Auditor

Blue Cross Blue Shield of OK, Tulsa
05.2016 - 01.2018

Sr. Corporate Compliance Officer

Cancer Treatment Centers of America
10.2002 - 05.2016

Bachelor of Science - Healthcare Administration Information Technology

University of Phoenix

Certified Medical Unit Clerk, Coding And Transcription - Medical Unit Clerk Program / HIM Cert Program

Tulsa Technology Center

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