Diana Thomas, ATC, PT, CHC

• Developed and managed the Rehab Compliance program, including adherence to internal policies and procedures as well as all CMS and state Medicaid regulations for documentation and billing of rehabilitation services
• Managed and/or completed all compliance investigations for all 184 facilities across 38 states and used root cause analysis to prevent ongoing issues and mitigate risk
• Audited and monitored rehabilitation documentation and billing in skilled nursing facilities and developed training programs to improve skills and compliance with regulations
• Developed an annual compliance plan based on federal and state laws and regulations, incorporating the OIG General Program Compliance and quarterly OIG compliance work plans
• Utilized data analysis tools such as Excel spreadsheets to identify areas requiring improvement
• Assigned, prioritized, and delegated tasks and responsibility to departmental employees
• Utilized strong analytical and problem-solving skills to address issues
• Communicated plans and actions to meet departmental goals
• Mentored and trained new employees on company policies and procedures to set them up for success, and updated all colleagues with annual trainings
• Oversaw multiple projects simultaneously and ensured tasks were efficiently completed
• Fostered positive relationships with clients through proactive communication tactics
• Defended claim denials from all third party payors with 87% success rate across thousands of denials.
• Maintained accurate records of audits and monitoring activity while adhering to all regulations, reflecting attention to detail
• Effectively communicated with line staff, middle and upper management for identifying areas of improvement via data analysis and implementing change management processes where needed
• Collaborated with senior management on special projects involving cross-functional teams including Reimbursement, Clinical, Legal, Rehabilitation Management Internal Audit.

• Managed an area of contracts in Ohio to train, support, analyze and improve clinical delivery of various therapy modalities to optimize patient outcomes
• Implemented training for staff members involved in the delivery of new and current clinical programs
• Coordinated with health care providers and staff to ensure optimal delivery of services
• Managed relationships with each client providing support services for the organization's clinical programs
• Monitored performance metrics to ensure compliance with standards and regulations
• Reviewed operational performance results against established goals in order to assess progress made by each center towards achieving desired results from their respective projects within the framework of an overall organizational strategy concerning its various clinic
• Identified opportunities for process improvement within the client's clinical programs
• Evaluated existing clinical programs for effectiveness in meeting patient needs
• Maintained accurate records of all activities related to the organization's clinical programs
• Assisted senior management in developing strategic plans for improving organizational performance through effective utilization of existing resources devoted towards managing its various clinical programs
• Implemented data-driven methods to analyze clinical operations and identify areas of improvement
• Implemented and developed new programs to improve quality of care or operational efficiency in clinics
• Provided staff training on compliance and care techniques.

• Evaluated and monitored progress of patients during their course of treatment and adjusted plans as needed
• Utilized evidence-based practice standards in the delivery of services
• Managed financial aspects of the department including budgeting and billing procedures
• Facilitated communication between interdisciplinary teams regarding patient care plans
• Created and implemented rehabilitation programs tailored to individual patient needs
• Mentored and supervised physical therapy assistants and interns
• Identified areas for improvement within the department related to staffing levels, equipment utilization, scheduling systems
• Evaluated employee performance against established job expectations
• Developed and maintained positive relationships with staff, patients, families, and other healthcare professionals to ensure quality care
• Collaborated with physicians and other healthcare providers in planning and coordinating comprehensive rehabilitative care plans
• Served as a liaison between management team and staff members regarding any issues that may arise.

Employed as Clinical Director and lead physical therapist. Responsible for evaluation and treatment of a wide variety of diagnoses primarily in orthopedics and sports medicine. Duties also included supervision of staff, marketing and strategic plan, program development, billing and compliance with all government funded payor sources.