Dawn Lui
Seattle,WA
Summary
Over 28 years of experience in compliance and auditing. Quality-driven compliance analyst familiar with tracking, documentation, and reporting requirements. A critical thinker and problem solver known for continuous delivery of quality products across diverse business environments. Developed and maintained proprietary database using SQL queries, moving content work from a manual process to a fully automated database. A team leader responsible for managing and planning projects to achieve projected deadlines.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Part Time HIIM College Instructor
Shoreline Community College
Shoreline , WA
2009.12 - Current
- Teach courses for Associate of Applied Arts and Sciences (AAAS) degree to 96-240 students annually
- Develop semester outlines and instructional plans for each class session to comply with stated course objectives
- Create appropriate and engaging lessons for distance learning applications
- Track student progress, frequently checking in with struggling students and identifying root causes of problems
- Improve student performance by defining clear goals and communicating performance metrics
Senior Content and Compliance Analyst
FinThrive
Alpharetta , GA
2004.06 - 2023.12
- Consultant December 2003 - June 2004; Full-time employee June 2004 - December 2023
- Used extensive research and critical thinking to develop and maintain proprietary content database
- Moved content work from complete manual process for compiling and maintaining hundreds of thousands of code pairing and constant changes, creating over 1700 rules that ran automatically looking for changes nightly
- Read and wrote long and complex SQL queries to maintain rules in proprietary database
- Team lead responsible for managing and planning designated projects to achieve projected deadlines
- Strong troubleshooter, analytical and interpretation skills in researching issues, strategic planning, and found quick resolution to ensure little as possible downtime for customers
- Proficient in Microsoft Office, particularly Excel, Word, PowerPoint, OneNote, Outlook, and Edge
- Extensive hospital experience and knowledge of hospital and ambulatory Medicare coding and billing guidelines including usage of medical terminology, CPT/HCPCS code sets, revenue code/CPT/HCPCS relationship, various prospective payment systems, and applicable federal and local regulations
Education
Bachelor of Science - Business Healthcare Management
Western Governors University
Salt Lake City, UT07.2017
Associate of Science - General Studies
City University of Seattle
Seattle, WA12.2005
High School Diploma -
Kings Way Academy
Everett, WASkills
- Database Development and Maintenance
- Read and write SQL
- Project Management
- Strategic Planning
- Quality Assurance Management
- Audits
- Research Proficiency
- Product Performance Metrics
- Product Training Development
- Curriculum Creation
- Medical Coding: CPT/HCPCS, ICD-10-CM/PCS
Additional Experience
Specialty Manager - UW Physicians
- Managed 5 departments for UW Physicians at Harborview, UW Medical Center, Seattle Children's Hospital, and 16 UW neighborhood clinics
- Managed charge capture, insurance billing and collection functions for medical departments
- Collaborated with department managers and chief of staff to discuss service and billing needs and offer available solutions
- Established performance goals for employees, monitored staff performance and provided feedback for improvement
- Implemented two electronic health record applications (Orca and Epic) and trained staff
Quality Assurance Manager - Sourcecorp Healthserve
- Managed company's quality assurance program for over 70 employees, 7 managers, and three states
- Developed and implemented comprehensive quality assurance plans to monitor product quality and adherence to regulatory standards
- Performed root cause analysis to identify and resolve quality issues and defects
- Provide HIPAA training to staff and customers, including physicians and clinical staff
Director of Medical Records - Columbia Lutheran Home
- Managed three departments: Medical Records, Unit Secretaries, and Beauty Shop
- Developed policies and procedures
- Analyzed quality control assessment findings and developed and implemented methods to improve performance
Inpatient Coder/Abstractor - Highline Community Hospital
- Reviewed, analyzed, and managed coding of services and procedures in inpatient, outpatient, emergency, surgical day care, and special procedure medical records
- Communicated with insurance companies to research and resolved coding discrepancies
Certification
- R.H.I.T. Certification
- HIPAA Compliance
- ICD-10-CM/PCS Training
- CompTIA Project+
Community/Volunteer Work
SHIMA Board Member, 2001-2003
WSHIMA Board Member, 2002-2006
Pac West HIPAA Congress, 2002-2003
CHITA HIPAA Board Member 2003-2006
Baseball Coach, 2014-2017
Ski Instructor, 2016-2018
Timeline
Part Time HIIM College Instructor
Shoreline Community College
2009.12 - Current
Senior Content and Compliance Analyst
FinThrive
2004.06 - 2023.12
- R.H.I.T. Certification - 1994
- HIPAA Compliance - 2003
- ICD-10-CM/PCS Training - 2014
- CompTIA Project+ - 2016
Bachelor of Science - Business Healthcare Management
Western Governors University
Associate of Science - General Studies
City University of Seattle
High School Diploma -
Kings Way Academy
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