Wayne Little
Canton,USA
Summary
Executive-level professional with comprehensive experience in health systems and professional coding and documentation compliance, clinical documentation integrity, and revenue cycle services. Proven ability to lead teams and exceed client expectations under pressure. Effective communicator with strong history in team building and client service.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Principal
Blue & Co., LLC
Indianapolis, USA
06.2024 - Current
- Lead efforts to establish the Clinical Documentation and Coding Compliance and Due Diligence service line
- Lead development of Clinical Documentation and Coding Risk Adjustment Improvement-focused services
- Targeted clients include healthcare law firms, private equity, large integrated delivery systems, academic medical centers, community health systems, physician practices (primary care, specialty, and multi-specialty), behavioral health, substance abuse, rehabilitation, and other medical care organizations
- Development efforts include creating marketing materials, slip sheets, scopes of service, project delivery budgets and professional fee estimates, and project delivery templates and guides
Partner
FORVIS, LLP
Atlanta, USA
09.2015 - 12.2023
- Company Overview: Previously, Dixon Hughes Goodman LLP
- Focused on Healthcare's Regulatory Consulting practice area
- Served as Partner in FORVIS Healthcare's Regulatory Consulting practice area
- Led the Clinical Documentation Integrity (CDI) and Coding Compliance service offerings
- CDI services focused on performance improvement in support of accurate payments and appropriate portrayal of patient acuity for Risk Adjustment in Mandatory and Voluntary Value-Based Care programs and mechanisms with emphasis on the acute care and outpatient/clinic/Accountable Care Organization perspectives
- Coding and Documentation compliance services included ongoing coding and billing compliance assessments and monitoring, defenses of third-party audits and demand letters, voluntary disclosures, statistical sampling, payment error extrapolation, corporate compliance program assessments, and coding and billing compliance in support of transaction due diligence needs
- Clients included large integrated delivery systems, academic medical centers, community health systems, physician practices (primary care, specialty, and multi-specialty), behavioral health, substance abuse, rehabilitation and others medical care, healthcare law firms and private equity firms
- Responsible for $2.34 Million in direct client services revenue delivery with a Net Promoter Score (NPS) of 100 from 10 engagement respondents (2022)
- Previously, Dixon Hughes Goodman LLP
Senior Manager
Dixon Hughes Goodman LLP
Atlanta, USA
04.2014 - 09.2015
- Led the firm's ICD-10 readiness efforts with two large multi-facility health systems including directly advising the Program Management Office for one of these large clients before being admitted to the partnership as a Partner
- Led coding billing and coding compliance engagements including engagements serving as Independent Review Organization for entities operating under Corporate Integrity Agreements
- Created business footprint for establishing a Clinical Documentation Integrity capability for the firm
Director, Regulatory Compliance
KPMG, LLP, Financial Services Assurance
Atlanta, USA
09.2010 - 04.2014
- Led numerous ICD-10 readiness assessment and remediation engagements with multi-facility health systems and academic medical centers nationwide
- Project deliverables included detailed program plans with milestones and program dependencies affecting ongoing remediation steps and timelines
- Directed revenue cycle operational performance improvement projects focused on process redesign to leverage technologies and develop appropriate operating metrics
- Managed annual project delivery portfolio of $1.5 Million in direct project oversight responsibility
- Actual project management responsibility achieved for Fiscal Year 2013 was $2.29 Million
Senior Manager (culminating)
3M Health Information Systems Consulting Services
Atlanta, USA
06.1998 - 09.2010
- Company Overview: 3M HIS acquired Hyatt, Imler, Ott & Blount
- Various roles with increasing responsibilities across the CDI and Coding Compliance landscape including serving as the Service Line Leader for Ambulatory Care Consulting services and CDI Data Monitoring services
- 3M HIS acquired Hyatt, Imler, Ott & Blount
- More details are available if/as desired or requested
Manager (culminating)
Draffin & Tucker, LLP
Albany, USA
01.1992 - 06.1998
- Ascending roles and responsibilities over financial statement audit engagements along with preparing Medicare and Medicaid cost reports and appeals for hospitals and health systems
- More details are available as/if desired or requested
Education
BBA - Accounting
University of Georgia
Athens, GA12.1991
Skills
- Executive leadership
- Business development
- Client relationship management
- Team recruitment and development
- Risk Adjustment mechanisms
- Performance analysis
- Healthcare Compliance
- Project Management
Certification
Certified Public Accountant, Georgia, 01/01/94, Present
American Health Law Association (AHLA), American Institute of CPAs, Georgia Society of CPAs
Timeline
Principal
Blue & Co., LLC
06.2024 - Current
Partner
FORVIS, LLP
09.2015 - 12.2023
Senior Manager
Dixon Hughes Goodman LLP
04.2014 - 09.2015
Director, Regulatory Compliance
KPMG, LLP, Financial Services Assurance
09.2010 - 04.2014
Senior Manager (culminating)
3M Health Information Systems Consulting Services
06.1998 - 09.2010
Manager (culminating)
Draffin & Tucker, LLP
01.1992 - 06.1998
BBA - Accounting
University of Georgia
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