Martha Bradley
Roseville,USA
Summary
Allied healthcare professional with over 13 years dedicated to improving operational efficiency and regulatory compliance. Successfully coordinated audits and compliance training initiatives that strengthened patient care and facilitated adherence to HIPAA regulations across multiple departments.
Overview
1
1
Certification
16
16
years of professional experience
1
1
CPT00009303
1
1
NHA Billing & Coding License
Work History
QUALITY COMPLIANCE Coordinator Emergency Department
Sutter Roseville Medical Center
Roseville, USA
06.2023 - Current
- Conducted and supported investigations into privacy incidents reported through our Compliance Hot Line, and/or written Employee/Patient complaints while collaborating with Compliance leaders, team members, and Legal as appropriate.
- Coordinated audits and investigations within compliance privacy monitoring program, ensuring thorough follow-up and resolution of findings.
- Supported development and implementation of HIPAA and other federal and state privacy policies and procedures, enhancing compliance across the organization.
- Created and delivered system-wide and targeted compliance training initiatives on privacy matters, improving staff awareness and understanding.
- Supported the HIPAA Privacy function with projects and programs, including data review and analysis.
SUPERVISOR OF OPERATIONS – Patient Services
Quest Diagnostics
Northgate Sacramento, USA
05.2020 - 05.2023
- Analyzed operational trends, payer issues, and workflow gaps to identify opportunities for process improvement and stronger departmental performance.
- Daily utilization management skills while building provider relations to support strategic managed care initiatives.
- Developed and maintained reporting tools to monitor productivity, track payer-related issues, and support informed decision-making by leadership.
- Strengthened coordination by improving communication pathways between clinical, operational, and business teams, reducing delays in managed care administration and resolving risk management concerns.
- Proactively identified potential problems before they escalated, addressing them swiftly and effectively to minimize negative impact on daily operations.
- Evaluated staff performance across 7 outpatient sites, providing constructive feedback to foster professional growth.
- Facilitated communication between unit staff and organizational leadership to enhance transparency and operational alignment.
- Partnered with cross-functional teams conducting quarterly audits to ensure regulations and HIPAA laws are followed.
SUPERVISOR OF OPERATIONS
Saint Agnes Medical Center
Fresno, USA
03.2010 - 01.2020
- Managed Lab Clinical Office staff to ensure accurate registration from outpatient physician offices, capturing diagnoses, CPT, and DRG codes for timely billing.
- Led staff training and performance oversight for administrative team members, improving consistency, accountability, and service delivery across managed care functions.
- Developed and implemented training programs for new hires, enhancing team productivity and performance through targeted skill development.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and salary increases.
- Built highly efficient administrative team through ongoing coaching and professional development opportunities.
- Achieved high levels of customer satisfaction with consistent attention to detail in Risk Management functionality, and effective communication skills.
- Analyzed operational trends, payer issues, and workflow gaps to identify opportunities for process improvement and stronger departmental performance.
- Developed and maintained reporting tools to monitor productivity, track payer related issues, and support informed decision-making by leadership.
- Improved communication pathways between clinical, operational, and business teams, strengthening coordination and minimizing delays in managed care administration.
- Partnered with cross-functional teams including finance, contracting, utilization management, and provider relations to support strategic managed care initiatives.
Education
Certified Billing and Coding Specialist -
University of Phoenix
Phoenix, Arizona04-2026
BS - Biology, Allied Health Business Administration
University of Phoenix
Fresno, CA08-2015
Skills
- Regulatory compliance
- Quality assurance
- Quality control
- Clinical documentation
- Risk assessment
- Process improvement
- Data analysis skills
- Team collaboration
- Training facilitation
- Time management
- Problem solving
Certification
- Laboratory Management LMS(ASCP)-American Society for Clinical Pathology Board of Leadership and Management.
- Completed ICD-10 and CPT coding program with Certification.
- Phlebotomy Technician Certification (PBT) - American Society for Clinical Pathology (ASCP).
- CPR/AED Certification
- Basic Life Support Certification (BLS)
- Six Sigma Training
Accomplishments
- Supervised team of 62 plus staff members
- Regulation/policy experience which led to no deficiencies during CAP and Joint Commission audits.
- 13 years of supervising quarterly audits
- Experienced in guidelines with CMS & HIPAA.
- Problem solved for denied claims & RA
- Professional CBCS (Certified Billing & Coding Specialist).
- Used Microsoft Excel to develop inventory tracking spreadsheets, and daily/weekly metrics for monthly reporting
References
Available upon request
Leadership Experience
Successfully lead a team that constantly met metrics and productivity while finding innovative ways to perform job functionalities that exceeded expectation.
Timeline
QUALITY COMPLIANCE Coordinator Emergency Department
Sutter Roseville Medical Center
06.2023 - Current
SUPERVISOR OF OPERATIONS – Patient Services
Quest Diagnostics
05.2020 - 05.2023
SUPERVISOR OF OPERATIONS
Saint Agnes Medical Center
03.2010 - 01.2020
Certified Billing and Coding Specialist -
University of Phoenix
BS - Biology, Allied Health Business Administration
University of Phoenix