Lydia Roehl

• Interacted with clients to define and understand long-term goals and strategies.
• Provided onsite change management support at multiple hospital, ambulatory clinic, and specialty care sites.
• Identified and manage project risks around scope, schedule, budget, and quality.
• Developed analysis methodologies and task requirements in tandem with senior management.
• Delivered outstanding service to clients to maintain and extend relationship for future business opportunities.
• Managed multiple deadlines across several businesses to meet dynamic needs of multiple clients.
• Created and developed detailed work plans to meet business priorities and deadlines.
• Lead client working sessions, meetings, and executive sessions. Delivers compelling and high-quality solutions for clients.
• Coached and mentored consultants and senior consultants, providing constructive feedback that fosters a healthy work environment and the individual growth of every team member.
• Partnered with Associate Directors, Directors, and Partners to actively initiate sales activities, grow the practice, and support firm-wide initiatives.

Achievements : Consulting, advising, advocacy, development, implementation, and sustainability planning for a large Accountable Care Organization (MSSP), to include six QROs across the upper Midwest, resulting in a 3.5 million dollar payment within the first CY of implementing tactical change management across the QROs. Tactics implemented surrounded optimization of current AI capabilities, annual wellness visit education and workflow redesign, as well as governance, compliance, and provider education program design.

LPN, LVN Qualified. Advanced NREMT qualified and current. Job Classification 4N071, Air Force Medical Service Specialists work on the ground or in the air to provide quality care, anytime anywhere.

• Integral part of the nursing team.
• Plans, provides, and evaluates routine patient care and treatment of beneficiaries to include flying and special operational duty personnel.
• Organizes the medical environment, performs and directs support activities for patient care situations, including contingency operations and disasters.
• Performs aeromedical evacuation, monitoring of patients in transport.
• Administers medications under supervision of nursing staff.
• Prepares patients for surgery and performs postoperative monitoring.
• Performs a wide array of technical nursing duties involving care and treatment of patients, including immunizations, dialysis and critical care.
• Trains and supervises new Airmen to equip for readiness and proficiency testing.

Achievements :CY 2021 to 2022, Planned and completed five readiness exercises with the 934th AES Wing, in conjunction with the 96th Air Mobility Wing, along with the 133rd Air National Guard Airlift Wing.

• Analyzed all audit results and resolved all compliance issues.
• Conducted coding, billing, and medical policy audits to determine integrity of systems set up in conjunction to current policies, revising and creating new policies as necessary.
• Determined prior authorization utilization for DME and updated medical policy in conjunction with utilization and contract department.
• Assisted corporate training team to incorporate compliance and audit findings into training programs.
• Developed and delivered clinical provider education based upon audit findings.

Achievements: FY 2021 Q1, brought in $300,000 in returned payments from clinics due to audit findings of over payments. Provided compliance, billing, and coding education to specialty clinics in autism, behavioral health, and outpatient EBT.

• Assessed data and patient treatment needed to formulate plan-of-care and diagnose treatment urgency.
• Recognized and treated COVID-19 symptoms according to established policies and practices.
• Communicated clinical data for application in multiple settings.
• Conducted patient intake and triage procedures.
• Collaborated with other healthcare professionals to develop comprehensive care plans.
• Followed all safety protocols and took necessary precautions while providing care.
• Transported patients to medical facilities and provided transportation to follow-up appointments.
• Responded to 911 calls for medical emergencies.
• Assisted physicians with completing medical procedures and treatments.
• Assessed nature and extent of illness or injury to establish and prioritize medical procedures.
• Monitored vital signs and documented details for informational and treatment purposes.
• Delivered emotional support to patients and families.
• Administered CPR, oxygen and other life-saving medical treatments.
• Maintained safe and sterile environment for optimum patient treatment.
• Administered medications and assessed patient responses, adjusting strategies to meet objectives.
• Assessed patient history to identify concerning symptoms, diagnose concerns and develop tailored treatment plans.
• Provided patient families with post-medical care instructions.
• Handled patient transfers from one medical facility to another.
• Maintained detailed records of patient health information in mobile Electronic Health Record.

• Remained highly composed and calm in very fast-paced, stressful and constantly changing environments to provide optimal leadership and achieve desired results.
• Responsible for directing, implementing, and managing programs for all units within clinical documentation integrity, revenue cycle, and coding (inpatient & outpatient).
• Lead strategic initiatives to generate sustainable revenue to support VCUHS operations, and ensure compliance with VCUHS and industry best practices, polices, coding, and billing regulations. Collaborates with Medical Staff, Compliance, Performance and Quality Improvement and Revenue Cycle leadership teams as necessary.
• Provided consultative guidance to five affiliated hospitals and multiple provider based clinics.
• Restructured Coding and Clinical Documentation departments, creating advancement opportunities and new jobs, as well as savings of over 3 million in net revenue per unit.

• Implemented and managed effective compliance policies and procedures to meet regulatory requirements for medical provider, member, and network associates.
• Collaborated with contract team to review client contracts and facilitate personnel compliance training.
• Formulated detailed recommendations based on audit findings to support annual planning and definition of goals.
• Developed compliance training initiatives and materials, educating staff on regulations.
• Delivered subject matter expertise for internal and external customers on compliance best practices and quality control.
• Verified consistency in quality planning, quality control, quality insurance and quality improvement.
• Advised division leaders of regulatory risks in business processed and provided recommendations for improvement.

• Responsible for ensuring the Institution (Vanderbilt University Medical Center) implemented and maintained an effective compliance program.
• Collaborated with internal and external stakeholders, auditors and legal counsel to confirm compliance with applicable laws and regulations.
• Identified, investigated and documented compliance violations and recommended corrective measures.
• Responded to employee inquiries regarding compliance regulations and procedures.
• Managed practical action plans to respond to audit discoveries and compliance violations.
• Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
• Maintained up-to-date knowledge of current and emerging compliance regulations.
• Developed and maintained system for tracking and reporting compliance violations.
• Monitored and assessed compliance risks associated with operational processes and procedures.
• Quarterly reporting developed in conjunction with Compliance Officer and oversight Committee
• Provided regular training of new residents, fellows, nurse practitioners, physician assistants, nursing staff, and all other clinical support staff.