Michelle Ernst
Summary
Enthusiastic Process Lead with 7+ years of experience validating requests for medical records meet HIPPA-compliance standards to safeguard patient privacy. Ability to manage multiple annual audit projects required by the Centers for Medicare and Medicaid Services to establish medical necessity and ensure quality of care standards of patient care are met.
Overview
14
14
years of professional experience
Work History
HIM Process Lead, Facility Support
02.2023 - Current
- Coordinate with contacted payers and vendors to produce records needed to meet HEDIS and risk adjustment audits onsite and offsite according to CMS established deadlines
- Request and oversee access to Intermountain's EMR for annual onsite audits
- Create patient lists in Intermountain's EMR to allow onsite auditors to identify records needed
- Once the auditors' review is completed, I will pull the records requested and provide them to the auditor
- Function as the primary point of contact for questions, concerns, or other followup needed to successfully conclude the project
- Invoice payers and third-parties at the conclusion of each audit season
HIM Team Lead, ROI
R1 RCM
02.2019 - 02.2023
- Validate records requests for medical and billing records, subpoenas, powers of attorney, guardianships, and advance directives for HIPPA compliance
- Manage the daily error list and redistribute records to the appropriate providers after determining the correct point of contact
- Report misinformation to compliance, registration, and technical support teams for correction
- Coordinate with Intermountain's compliance and privacy teams to research causes of possible breaches and help address patient complaints
- Coordinate with Intermountain's Behavioral Health Units to provide continuation of care documentation to the appropriate follow-up providers
- Manage customer concerns reported to the distribution hotline
- Provide training on FS processes and ongoing coaching to coworkers as needed
- Conduct daily touch base meetings and create weekly schedules to assign tasks and manage coverage in collaboration with the ROI leadership team
- Create and delivery year-end productivity and QA presentations to the ROI team and the HIM department.
Transcription Coordinator
Intermountain Healthcare
05.2010 - 02.2019
- Produced high-quality medical documents from the dictations of medical providers within a 24-hour time frame
- Managed the workflow of the Transcription Services Department by resolving errors or questions and uploading completed documents to the electronic medical record
- Calculated each team member's piece rate earnings every pay period and entered them into the Kronos payroll system
- Handled quarterly payroll audits by maintaining payroll records and supplying the requested documentation
- Served as a resource to the transcriptionists for questions and concerns, either resolving their issue or escalating it to supervisors or technical support
- Helped organize online meetings and webinars to educate transcriptionists on system upgrades, implementation of new processes, and ongoing training to improve production and quality
- Generated weekly productivity reports to verify every transcriptionist met the department's production standards and coached those struggling on techniques to improve
- Assisted supervisors in managing the quarterly bidding for schedules
- Finalized employee schedules
- Organized the annual holiday coverage calendar.
Education
Master of Health Leadership -
Western Governors University
Bachelor of Science, Behavioral Science -
Utah Valley University
Skills
- Leadership trained
- Customer Focus
- Quality Assurance
- Compliance review
- Policy Implementation
- Customer Service
- Compliance Monitoring
- Time Management
- Verbal and written communication
- Documentation preparation
Volunteer Experience
Because We Care Foundation (501), Wrote and was awarded the Carol M White Physician Education grant on behalf of the Because We Care Foundation for the Rocky Mountain Sports Academy in 2005. Oversaw the dispersion of funds throughout the 5-year grand period and collaborated on the end-of-grant assessment.
Timeline
HIM Process Lead, Facility Support
02.2023 - Current
HIM Team Lead, ROI
R1 RCM
02.2019 - 02.2023
Transcription Coordinator
Intermountain Healthcare
05.2010 - 02.2019
Master of Health Leadership -
Western Governors University
Bachelor of Science, Behavioral Science -
Utah Valley University