Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Whitepapers
Webinars
Publications
Accomplishments
Blogs
References
Timeline
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Eric McGuire

Eric McGuire

Melbourne,FL

Summary

Results-driven executive skilled in strategic leadership, technological advancement, and operational transformation. Proven track record of delivering exceptional outcomes. Expertise in enhancing model valuation and identifying value-driven opportunities.

Overview

32
32
years of professional experience
4
4
Certification

Work History

Senior Vice President, Corporate Strategy - Coding and Clinical Service Line

AGS Health
Washington, DC
01.2022 - Current
  • Spearheaded the acquisition and integration of EZDI’s CAC and CDI modules into the AGS AI Platform, achieving a 30% increase in operational efficiency and a 20% reduction in error rates.

Vice President, Enterprise PMO and Strategic Initiatives

Envision Healthcare
Nashville, TN
01.2019 - 01.2022
  • Orchestrated the development and oversight of enterprise IT strategy and service lines, leading to a 20% increase in operational efficiency and a 15% reduction in turnaround time.

SCM Program Executive Director

Cancer Treatment Centers of America
Boca Raton, FL and TN
01.2017 - 01.2019
  • Consolidated five clinical SCM instances into a unified system, reducing system maintenance costs by 30% and increasing operational efficiency by 25%.

EAPM Program Leader

Cleveland Clinic Foundation
Cleveland, OH
01.2016 - 01.2019
  • Directed the overhaul of Epic RCM, HIM, and 3M 360 Encompass across multiple hospitals, reducing billing errors by 30% and improving revenue capture by 25%.

Associate Vice President (Interim) and ICD-10 Program Director

Ascension Health (St. John Providence)
Detroit, MI
01.2013 - 01.2016
  • Consolidated two HBOC instances, achieving a 20% reduction in maintenance costs and a 30% increase in operational efficiency.

CBO Development and ICD-10 Program Director

Colorado School of Medicine / University Physicians
Aurora, CO
01.2012 - 01.2014
  • Led the reconstruction of the Central Business Office, achieving $1.8 million in labor reductions through automation and enhanced HIE integration.

RCM Program Leader, EPMO Director (Interim), and Enterprise HIM Senior Director

Mercy Health / Catholic Health Partners
Cincinnati, OH
01.2009 - 01.2013
  • Implemented CAC and CDI programs, improving coding accuracy and reducing denials by 30%.

Education

Business / Macro-Economics (BA) Coursework -

Ohio State University
Columbus, OH

Business Management AA Coursework -

Columbus State Community College
Columbus, OH

Skills

  • Strategic Planning and Execution
  • Strategic Goal Setting and Achievement
  • Budget Preparation and Financial Management
  • Geographic Expansion and Market Penetration
  • Strategic Leadership and Organizational Development
  • Ambulatory Services and Utilization Management
  • AI and Technology Development
  • Product Development and Management
  • Staff Development and Leadership
  • P&L Accountability and Financial Acumen
  • Business Transformation and Operational Excellence
  • ACO and Post-Acute Services Management
  • Operations Management in Managed Services
  • RCM Expertise and Thought Leadership
  • Population Health and Value-Based Care
  • Risk-Adjusted Models and Performance Metrics
  • Business Development and Growth Strategies
  • Mergers and Acquisitions
  • Global Workforce Solutions

Affiliations

  • ACDIS - Association of Clinical Documentation Integrity Specialists, Member, Thought Leader/Conference Speaker
  • AHIMA - American Health Information Management Association, Member, Thought Leader/Subject Matter Expert (SME)/Conference Speaker
  • HFMA - Healthcare Financial Management Association, Member, Certified Revenue Cycle Representative (CRCR), Thought Leader/Subject Matter Expert (SME)
  • HIMSS - Healthcare Information Management Systems Society, Member, Thought Leader/Subject Matter Expert (SME)/Conference Presenter

Certification

  • Certified Revenue Cycle Representative (CRCR) – HFMA
  • Certified Healthcare Financial Professional (CHFP) – HFMA (In Process)
  • PMI Program Management Professional (PgMP)
  • Project Management Professional (PMP)
  • Sandler Sales Training – Weymouth, MA

Whitepapers

  • Optimizing HCC Coding for Accurate Reimbursement in Healthcare, [Link to Whitepaper]
  • Understanding and Demonstrating the Value of Clinical Documentation Improvement (CDI), [Link to Whitepaper]

Webinars

  • Addressing Challenges in Implementing HCC Coding, [Link to Webinar]
  • Risks and Returns: Maximizing HCC Reimbursement in a Value-Based World, [Link to Webinar]

Publications

Risk Adjustment: Seven Critical Factors for a Successful Risk Adjustment Program, For the Record, Fall 2023, [Link to Publication]

Accomplishments

  • Franklin Award presented for outstanding contributions to Catholic Health Partners/Mercy Health.

Blogs

  • (18 publications) Blogs/Articles on LinkedIn Publications and AGS Platform [Link to Blogs]

References

References available upon request.

Timeline

Senior Vice President, Corporate Strategy - Coding and Clinical Service Line

AGS Health
01.2022 - Current

Vice President, Enterprise PMO and Strategic Initiatives

Envision Healthcare
01.2019 - 01.2022

SCM Program Executive Director

Cancer Treatment Centers of America
01.2017 - 01.2019

EAPM Program Leader

Cleveland Clinic Foundation
01.2016 - 01.2019

Associate Vice President (Interim) and ICD-10 Program Director

Ascension Health (St. John Providence)
01.2013 - 01.2016

CBO Development and ICD-10 Program Director

Colorado School of Medicine / University Physicians
01.2012 - 01.2014

RCM Program Leader, EPMO Director (Interim), and Enterprise HIM Senior Director

Mercy Health / Catholic Health Partners
01.2009 - 01.2013

Business / Macro-Economics (BA) Coursework -

Ohio State University

Business Management AA Coursework -

Columbus State Community College

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