Michele Alisa Bouie
Summerville,United States
Summary
Experienced management professional specializing in analytical and problem-solving capabilities aimed at driving efficiency. Established history of success in strategic planning, data analysis, and process enhancement. Notable for cultivating team collaboration and responsiveness to dynamic needs, ensuring effective outcomes. Skilled in stakeholder relations, project oversight, and performance measurement.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Management Analyst/ Health Informatics Personnel
Department of Veterans Affairs
North Charleston, SC, United States
05.2019 - 09.2025
- I participate in the planning, development, setup and implementation of all aspects of the Computerized Patient Record System (CPRS).
- I serve as an effective change agent to enhance computer literacy and promote personal development.
- I analyze and evaluate clinical and administrative processes and service goals relative to clinical information flow.
- I work closely with staff to implement improvement techniques and performance improvement processes to initiate or improve the design, development and analysis of applications to improve organizational performance across service and discipline lines.
- I assess staff education needs related to information technology and initiates/leads implementation of program or service practice changes.
- I manage the functionality of the Clinical Reminders (CR) software package, CPRS and Veterans Health Information Systems & Technology Architecture (VistA) applications and the interrelationships of those applications to the operations for clinical services and clinical practice.
- I lead staff in problem solving techniques to optimize information technology resource utilization.
- I create VISTA files, parameters, menus, user classes, orders, consults and clinical references for clinical users; troubleshoot complex program irregularities and determine appropriate action for correction.
Program Specialist/VERA Coordinator
Department of Veterans Affairs
East Fayetteville, NC, United States
11.2015 - 05.2019
- I am responsible for the analytical studies resulting in the identification of information needed to manage critical elements resulting from Veterans Equitable Resource Allocation (VERA) funding, which accounts for over 90 % of the VA medical center general purpose budget.
- I have developed training, policy and processes used to best capture VERA funding opportunities.
- I have established a facility-wide audit system that captures VERA data and provides the resulting data in a format most useful for Executive Leadership and especially clinical service chiefs.
- I provide various written and data driven reports impacting VERA, along with recommendations for improving identified business practice challenges to front line employees, managers, supervisors, service chiefs and Executive level staff to ensure understanding of the importance of the process as it relates to specific groups.
- I serve as a technical specialist for a Health Administration Service (HAS) for health information related matters, providing advice and guidance on health information management (HIM) program(s) in relation to matters such as electronic health record documentation requirements for coding/billing, Release of Information (ROI), CPRS note retractions, amendment requests, transcription, advance directives, informed consent, scanning processes, contracting, time keeping, payroll issues, patient privacy and confidentiality.
- I function as a subject matter expert for the Health Information Management Section (HIMS) Chief with collaborative duties for clinical documentation improvement, VistA transcription verification, timekeeping approval authority, HIMS contracting, Release of Information (ROI), File Room Scanning and medical record coding.
- I am also the facility Dragon Medical Speech Recognition Administrator. In this role I am responsible for maintaining the Nuance Dragon portal and creating all clinical end user accounts for MSR.
- I assist all end user with set up and technical advice for using the MSR software.
- I provide update training sessions quarterly on software changes to all clinical users and the select trainers for the Fayetteville VAMC enterprise.
Chief, Health Information Management Service/ Alternate Privacy FOIA Officer
Department of Veterans Affairs
Martinsburg, WV, United States
06.2011 - 10.2014
- I provided oversight and management to the following Health Information Management Service (HIMS) departments; Coding, Transcription, File Room, Release of Information and Non-VA Coordinated (NVCC) Care.
- A major responsibility was the monitoring of coding productivity and accuracy recurring reports.
- I also provided oversight and management for the facility Privacy, FOIA, Records Manager and served as the alternate and detail for this position.
- I was the direct supervisor responsible two front line supervisors, one HIMS auditor, the facility Privacy/FOIA/Records Management Officer, 32 front line (HIMS/NVCC) staff and 3 revenue enhancement personnel.
- I reported directly to the Chief Medical Administrative Service (MAS) and served as Acting Chief MAS during her absence.
- In this role I provided oversight and management to both the HIMS staff and the outpatient service departments, Health Benefits staff, Beneficiary Travel staff, Mail room staff, Operators, Medical Support Assistants and Administrative Officers (over 125 employees).
- I was detailed as the facility Privacy FOIA Officer.
- Major functions in this role involved expert knowledge of Privacy and FOIA practices; including, but not limited to securing sensitive electronic health record for review, electronic health record amendments, conducting investigations of sensitive subject matter and presenting findings as appropriate to medical center and VISN leadership.
- I ensured all employees were introduced to the importance of their role in protecting the Privacy of our patients during New Employee Orientation.
- I also monitored the employee annual Privacy training to ensure we were meeting compliance.
- I was responsible for service line fiscal management functions as the MAS Approving Official, managing control point funds and travel functions.
- I was also responsible for handling personnel functions, such as time keeping approvals, workload analysis, performance appraisals and disciplinary actions.
- I was directly responsible for recruitment functions in collaboration with Human Resources.
- THIS included preparation of vacancy announcements, serving as the SME for Title 38 and GS level MAS positions, working with EL/LR for personnel issues and labor issues, working with the HR classification specialist, Retirement/Benefit specialist and serving as a member of the Professional Standards Board for Title 38 positions.
- I served as the primary point of contact for all HIMS and NVCC Congressional inquiries and the subject matter expert for all contracts, policies, SOP's, MOU's and MCM's.
- I was the point of contact for all external HIMS and NVCC audit activities.
Compliance Specialist
Department of Veterans Affairs
Martinsburg, WV, United States
12.2009 - 06.2011
- Working with the Facility Compliance Officer I assisted with the design and coordination of local policies, processes and procedures to keep the Compliance office, Medical Center Director, Medical Center Leadership Team and staff aware of compliance ethics standards and outcomes; all of which are linked to VISN5 and VHA Central Office organizational initiatives, policies and handbooks.
- I served as the Acting Compliance Officer for six months; with overall responsibility for the facility Compliance Business Integrity (CBI) program.
- I was the primary contact for fact finding investigations related to issues or incidents reported to the CBI office and was responsible for maintaining the Compliance Incident Tracking System (CIRTS) software.
- I ensured completion and submission of appropriate causation and corrective action plans (CCAP's) to resolve issues of noncompliance with CBI metrics.
- I served as Chair for CBI Committee meetings and addressed any issues related to business compliance; including creating sub-committees as needed.
- I worked closely with Non-VA Coordinated Care (NVCC) management to prevent separation of duty conflicts and the HIMS/Coding unit for provider training with Evaluation & Management (E&M) coding usage.
- I also developed and performed coding audits for E&M code usage and other revenue and business function areas as needed, such as NVCC.
- I maintained thorough knowledge of all national and facility compliance Medical Center Memorandum's, VHA directives and handbooks.
- I maintained thorough knowledge of coding, NVCC and billing guidelines to effectively perform audits related to those areas.
- I coordinated and provided Compliance training to employees during staff meetings, new employee orientation, National Compliance and Ethics week and annual required training.
- I monitored completion of annual required CBI web-based training and provided feedback and assistance for training deficiencies.
- I managed the development and issuance for the annual CBI Risk Analysis, Training and Education and Auditing and Monitoring documents.
- I reviewed operational links between Federal, corporate and national healthcare policies with VAMC practices to identify and correct systemic issues.
- Analyzed and evaluated on a quantitative and qualitative basis the effectiveness of CBI and other business programs or operations in meeting established goals and objectives.
- I coordinated and compiled the updates for policies and MCM's related to the CBI program.
- I communicated CBI program goals, objectives and achievements to internal stakeholders in leadership meetings and as requested.
- I worked closely with Medical Center Director, Regional Counsel, facility Privacy Officer 5 CBI peers, VISN 5 CBI Officer, Integrated Ethics committee, Research Department, Fiscal Office, Business Office, MAS/HIMS, Clinical Informatics and Revenue Manager on business revenue issues.
- I served as a member of the Administrative Investigative Board (AIB) board and participated as both lead and team member for several boards.
- I participated in professional and educational forums to develop and maintain knowledge of trends, techniques and regulatory practices regarding healthcare compliance, privacy, ethics and business integrity.
- I served as committee member on the Compliance, Governing Board and Executive Council of Operations.
- I used Microsoft Office, CPRS, VISTA, QuadraMed and CIRTS software extensively.
Medical Records Technician-Coder/Biller
Department of Veterans Affairs
Martinsburg, WV, United States
12.2007 - 12.2009
- As a coder/biller I reviewed detailed medical records to abstract medical, surgical, imaging, laboratory, pharmaceutical, demographic, social and administrative data.
- I coded diagnoses, operations and procedures in accordance with ICD-9-CM and Current Procedural Terminology (CPT-4) coding guidelines.
- I ensured that all diagnoses and procedures were supported by clinical documentation to capture accurate insurance reimbursement.
- I created bills based on coded encounters for inpatient and outpatient services, using UB and HCFA forms.
- I responded to and resolved medical documentation compliance questions.
- I assisted with data quality audits for inpatient and outpatient coding.
- I adhered to privacy and HIPPA guidelines due to the sensitive nature of my work.
- I assisted new staff with training.
- I worked on the open encounters committee to assist clinical staff with education to ensure they understood the necessary elements required to properly close an encounter and served as the primary point of contact for inquiries related to closing encounters.
- I maintained an extensive knowledge for all coding and billing guidelines.
Medical Records Technician - Coder
Department of Veterans Affairs
Baltimore, MD, United States
05.2003 - 12.2007
- I reviewed detailed medical records to abstract medical, surgical, imaging, laboratory, pharmaceutical, demographic, social and administrative data.
- I Coded diagnoses, operations and procedures in accordance with ICD-9-CM, Current Procedural Terminology (CPT-4) and HCPCS coding guidelines.
- I ensured that all diagnoses and procedures were supported by clinical documentation to ensure accurate insurance reimbursement.
- Responded to and resolved medical documentation compliance questions from health care professionals.
- Attended compliance committee forums to evaluate documentation trends and provide input for documentation compliance guidelines.
- I assisted with data quality audits for inpatient and outpatient coding.
- I provided coding updates and guidance to clinical staff during orientation and periodically at staff meetings to assist clinicians with coding questions.
- I adhered to privacy and HIPPA guidelines due to the sensitive nature of my work.
Education
High School or equivalent - College Preparatory Liberal Arts
Baltimore City College High School
Baltimore, MDSkills
- Excellent Attention to Detail
- Fast Learner
- Highly Dependable
- Internal and External Customer Service/Recovery
- Public Speaking
- Staff Education
- Data Entry
- Microsoft 11 Office Software (Outlook, Word, Excel, Power Point)
Affiliations
- Member of American Academy of Professional Coders (AAPC)-Certified Professional Coder
- Toastmasters International Member/Mentor
- Certified Department of Veterans Affairs Mentor (Fellow level)
- Certified Alternative Dispute Resolution (ADR) Mediator
- Completed Health Care Data Analytics (31-hour introductory online course)
- Completed Health Informatics 101 online modules
- Leadership Berkeley 2010-2011 – Graduate
- Participant VA MD Leadership Academy – Graduate
- Former Co-Chair for Compliance Committee
- Former Member of Equal Employment Opportunity Committee and Special Emphasis Coordinator
- Former Member of Risk and Threat Assessment Team
Languages
English
Personal Information
- Available: Full time/Part time
- Availability: Full time/Part time
Accomplishments
- Toastmasters
- VA Leadership Academy
- Alternative Dispute Resolution Mediator
Certification
- Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC)
Timeline
Management Analyst/ Health Informatics Personnel
Department of Veterans Affairs
05.2019 - 09.2025
Program Specialist/VERA Coordinator
Department of Veterans Affairs
11.2015 - 05.2019
Chief, Health Information Management Service/ Alternate Privacy FOIA Officer
Department of Veterans Affairs
06.2011 - 10.2014
Compliance Specialist
Department of Veterans Affairs
12.2009 - 06.2011
Medical Records Technician-Coder/Biller
Department of Veterans Affairs
12.2007 - 12.2009
Medical Records Technician - Coder
Department of Veterans Affairs
05.2003 - 12.2007
High School or equivalent - College Preparatory Liberal Arts
Baltimore City College High School