Data Integrity Program Analyst with experience in behavioral health operations, EHRS systems, and DMH compliance. Proven ability to manage onboarding / offboarding, maintain data accuracy across multiple systems, and support billing and regulatory requirements. Skilled in identifying data discrepancies, improving workflows, and ensuring 100% compliance with licensing and training standards.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Data Integrity Program Analyst
Children's Institute, Inc. (CII)
Los Angeles
07.2021 - Current
Lead onboarding / offboarding processes for new hires and trainees, ensuring providers are fully credentialed and system-ready for timely billing
Ensure accurate provider setup, including NPI, taxonomy codes, and EHRS setup to prevent claim denials and billing delays
Validating practitioner data in NAPPA and NPPES, including FTE hours, locations, and associations to ensure billing accuracy and compliance
Maintain compliance with licensing, training certificates, and documentation requirements to support audit readiness and billing eligibility
Generate and analyze billing-related reports, including eligibility (Covivitas), SIFT, EDI files, and Exym dashboard to support revenue cycle processes
Conduct EHR (Exym) audits and data validation to identify and resolve discrepancies impacting claims
Act as primary DMH liaison for System Access Request (SAR), coordinating staff access to DMH portals.
Assist Billing and Revenue Team with outcome measures, discharges, special projects, and resolution of Exym-related billing issues; provide coverage during staff absences to ensure continuity of operations
Associate Director, Revenue Management
Children's Bureau (All 4 Kids)
Los Angeles, CA
01.2019 - 06.2021
Supported revenue cycle operations by preparing Cost Reports, Negotiation Package, and other county / state reports. This includes validating and reconciling internal data and DMH data
Produced and distributed financial, productivity, and billing performance reports to support program operations and leadership decision-making
Monitored DMH and EDI updates, ensuring timely communication of system changes impacting billing processes
Analyzed billing and financial data to identify discrepancies and improve revenue cycle performance.
HIM Supervisor / EHRS Billing Coordinator
Children's Institute Inc. Cii
Los Angeles, CA
10.2016 - 12.2018
Oversaw front-end billing operations, ensuring timeliness, accuracy, eligibility verification, and proper data entry within EHRS
Collaborated with Behavior Health & Wellness Department leadership to manage client service records, front-end claiming processes, technical reviews outcomes, and chart access
Monitored EDI workflows and claim submission to ensure accurate billing to DMH
Partnered with leadership and EHRS analyst to maintain DMH Integrated Systems and EHRS databases, ensuring data integrity and compliance.
Collaborated with leadership and Quality Assurance & Improvement Team to improve appropriate documentation and billing compliance
Education
Medical Assistant -
North West College
Glendale, CA
Skills
EHRS: Exym
DMH Systems: NAPPA, System Access Request (SAR), DMH Heat, FSP and PEI Outcome Measures, Consumer Perception Surveys (CPS), SRTS, WTS
Data & Reporting: EDI (SIFT), Covivitas, Exym Dashboard
Compliance: Licensing, Credentialing, Training Compliance, Medi-cal Billing
<ul><li>Delivered individualized Applied Behavior Analysis (ABA) therapy to children and adolescents with Autism Spectrum Disorder (ASD) and developmental disabilities.</li><li>Accurately collected, recorded, and analyzed client data to track progress and ensure fidelity to treatment plans designed by the BCBA.</li><li>Utilized evidence-based interventions to increase communication, social, and adaptive skills while decreasing maladaptive behaviors.</li><li>Supervised and trained new RBTs and staff in ABA principles, data collection, and behavior intervention strategies.</li><li>Provided mentorship, feedback, and support to RBT team members to ensure consistency and quality of services.</li><li>Collaborated closely with BCBAs to review data, implement program modifications, and ensure treatment integrity.</li><li>Partnered with parents and caregivers to reinforce ABA techniques and promote skill generalization at home and in the community.</li><li>Conducted parent training sessions and maintained strong communication to ensure family engagement and progress transparency.</li><li>Assisted in program updates and documentation, maintaining accurate session notes and data systems (e.g., Catalyst, CentralReach, Rethink).</li><li>Implemented individualized Behavior Intervention Plans (BIPs) using reinforcement, prompting, and de-escalation strategies.</li><li>Responded effectively to behavioral crises, prioritizing client safety and maintaining a calm therapeutic environment.</li><li>Collaborated with multidisciplinary teams including speech, occupational, and physical therapists to ensure coordinated care.</li><li>Participated in ongoing supervision, professional development, and training to uphold BACB ethical and clinical standards.</li><li>Modeled professionalism, integrity, and high ethical standards in all client and staff interactions.</li></ul> at Essential Behavior Group, LLC<ul><li>Delivered individualized Applied Behavior Analysis (ABA) therapy to children and adolescents with Autism Spectrum Disorder (ASD) and developmental disabilities.</li><li>Accurately collected, recorded, and analyzed client data to track progress and ensure fidelity to treatment plans designed by the BCBA.</li><li>Utilized evidence-based interventions to increase communication, social, and adaptive skills while decreasing maladaptive behaviors.</li><li>Supervised and trained new RBTs and staff in ABA principles, data collection, and behavior intervention strategies.</li><li>Provided mentorship, feedback, and support to RBT team members to ensure consistency and quality of services.</li><li>Collaborated closely with BCBAs to review data, implement program modifications, and ensure treatment integrity.</li><li>Partnered with parents and caregivers to reinforce ABA techniques and promote skill generalization at home and in the community.</li><li>Conducted parent training sessions and maintained strong communication to ensure family engagement and progress transparency.</li><li>Assisted in program updates and documentation, maintaining accurate session notes and data systems (e.g., Catalyst, CentralReach, Rethink).</li><li>Implemented individualized Behavior Intervention Plans (BIPs) using reinforcement, prompting, and de-escalation strategies.</li><li>Responded effectively to behavioral crises, prioritizing client safety and maintaining a calm therapeutic environment.</li><li>Collaborated with multidisciplinary teams including speech, occupational, and physical therapists to ensure coordinated care.</li><li>Participated in ongoing supervision, professional development, and training to uphold BACB ethical and clinical standards.</li><li>Modeled professionalism, integrity, and high ethical standards in all client and staff interactions.</li></ul> at Essential Behavior Group, LLC