Malcolm Hughes
Dallas,Texas
Summary
Proven expertise in conducting in-depth audits and devising successful improvement strategies. Methodically evaluated documents and systems and initiated corrections in compliance with established standards. Superb analytical and communications skills enabled optimum results. My experience in compliance, governance, risk, & privacy has enabled me to be an asset to numerous companies and help drive success.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Compliance & Privacy Auditor (Remote)
ZOLL Medical Corporation
Pittsburgh, PA
08.2022 - Current
- Developed a more efficient internal audit process for our company that resulted in an elevated success rate & better relationships with our stakeholders that we partner with for those audits.
- Supported the Compliance Vice President in conducting annual compliance risk assessments in the business and developed and supported the implementation of mitigation plans.
- Conducted internal audits and monitoring activities according to the annual audit and monitoring plan, including assessments of programs, processes and activities that resulted in mitigated risk in their businesses.
- Supported investigations into Compliance and Privacy related issues, allegations, or identified areas of risk as required.
- Implemented and tracked appropriate and consistent corrective actions for identified compliance issues and assessment activities.
- lead and conducted risk assessments throughout different divisions within our business that resulted in the development of our audit plan for the following fiscal year.
Compliance Analyst (Remote)
Nomad Health
New York, NY
04.2022 - 06.2022
- Supported the process of documenting compliance processes and procedures.
- Reviewed & analyzed documentation to ensure proper clearance for clinician's contract & conducted audits for numerous files for clinicians that resulted in the success of their contract terms.
Compliance Manager
LiquidAgents Healthcare
Plano, Texas
08.2021 - 04.2022
- Collaborated and communicated with other department teams to ensure efficient service towards our healthcare professionals that resulted in the completion of our compliance requirements.
- Trained our new hires on our data system "Labor Edge" and educated them on necessary task and functions on our data system.
- Created reports and provided KPI's to track our healthcare clients satisfaction with our process with getting them compliant for their assignment.
- Provided excellent customer service towards our healthcare professionals and build great rapport with them.
- Communicated with 20 to 30 healthcare professionals and managed numerous documents each week to keep them compliant throughout the duration of their assignment.
- Executed the development of strategic methods to ensure the successful relationship between our clients and team members.
- Revived high pressure/at-risk of cancellation accounts to remain compliant and effective.
- Lead quality improvement activities, discussions, and meetings with and between other departments within the organization and other organizations.
- Modified & updated the company’s compliance program and related policies, and HIPPA.
Health Administrator
Life Time Inc.
Allen, Texas
07.2020 - 04.2021
- Maintained documentation and kept track of client progress for health improvement
- Organize and schedule clients for group or individual coaching sessions for their health success
- Scheduled numerous clients for mental/ physical assessments to come up with positive solutions for their growth
- Received phone calls from clients to discuss and coordinate options for their physical and mental wellness.
Compliance/ Registration Coordinator
Mansfield Methodist Medical Center
Mansfield, Texas
05.2019 - 07.2020
- Reviewed and audit coding, billing, and documentation for compliance based on federal regulatory requirements, The Centers for Medicare and Medicaid Services, and current documentation and coding guidelines; as well as, ensuring compliance with departmental/internal policies and other applicable laws and regulations
- Assisted with investigative reports of compliance concerns and/or violations.
- Maintained knowledge of HIPAA laws and healthcare compliance.
- Reviewed estate inventories and make recommendations on appropriateness of accrued expenses including legal fees and executor fees.
- Processed financial institution forms to effectuate distribution of gifts by beneficiary designation from retirement accounts, investment portfolios, insurance policies and other financial instruments.
- Registered Patients for therapy sessions and create patient profiles
- Data entry for CPT codes.
Compliance Assistant
Green Oaks Physical Therapy
Arlington, Texas
12.2018 - 05.2019
- Assist with tasks to remediate identified risks and vulnerabilities; identify those within the organization responsible for remediation tasks and negotiate dates for remediation to be complete; track progress on remediation of identified risks and vulnerabilities and provide appropriate reporting to key stakeholders
- Review and audit coding, billing, and documentation for compliance based on federal regulatory requirements, The Centers for Medicare and Medicaid Services, and current documentation and coding guidelines; as well as, ensuring compliance with departmental/internal policies and other applicable laws and regulations
- Schedule patients for their PT appointments.
Compliance/ Therapy Intern
Arlington Orthopedic Associates
Mansfield, Texas
08.2018 - 12.2018
- Worked with clinical physical therapist and primary care physicians to review patient progress and update treatment plans
- Developed and updated spreadsheets and databases to track, analyze and report necessary.documentation needed from therapist
- Assisted in rehab treatment with patients.
Education
Bachelor of Science - Kinesiology
University of Texas At Arlington
12.2018
Associates - Business/ Arts -Science
Southeastern Illinois College
05.2015
Skills
- Internal Controls
- Audit Coordination
- Risk mitigation strategies
- Issue Resolution
- Audit Planning
- Report creation
- Internal Auditing
- Compliance standards
- Project Management
Certification
- CompTIA Security + (In Progress)
- Seton Hall School Of Law (United States Healthcare Compliance Certificate Plus Program)
Timeline
Compliance & Privacy Auditor (Remote)
ZOLL Medical Corporation
08.2022 - Current
Compliance Analyst (Remote)
Nomad Health
04.2022 - 06.2022
Compliance Manager
LiquidAgents Healthcare
08.2021 - 04.2022
Health Administrator
Life Time Inc.
07.2020 - 04.2021
Compliance/ Registration Coordinator
Mansfield Methodist Medical Center
05.2019 - 07.2020
Compliance Assistant
Green Oaks Physical Therapy
12.2018 - 05.2019
Compliance/ Therapy Intern
Arlington Orthopedic Associates
08.2018 - 12.2018
Bachelor of Science - Kinesiology
University of Texas At Arlington
Associates - Business/ Arts -Science
Southeastern Illinois College