Ronald Dailey
Director, Health Information Management/Privacy Officer
SAN ANTONIO,United States
Summary
An accomplished, motivated, energetic HIM Director with 7 years' experience in Health Information Management. Effective management skills with strong organizational and prioritization abilities. Ability to lead and mentor staff, independent problem solver, who strives to meet HIM and facility goals.
Overview
4
4
years of post-secondary education
16
16
years of professional experience
Work History
Director, Health Information Management
San Antonio Behavioral Healthcare Hospital
San Antonio, TX
10.2014 - Current
- Responsible for successful management of organizational and administrative operation of Medical Records Department. Also accountable for performing, supervising and coordinating activities concerning analyzing, compiling, abstracting, transcribing, coding, indexing and filing of patient records. Comprehensive knowledge of regulatory references, legal requirements, Texas Joint Commission (TJC) standards, accepted coding protocols, principles and procedures of medical records administration and reimbursement plans; requirements of Privacy Act, Freedom of Information Act (FOIA), and Health Insurance Portability and Accountability Act (HIPAA) that govern release of medical information, and automated (electronic) medical record systems.
- Directs overall activities of Medical Record Department. Directs activities of personnel under their supervision.
- Directs essential functions of Medical Record Department, including but not limited to performing internal chart audits.
- Maintains appropriate turnaround time for coding, transcription and release of information.
- Ensures quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems.
- Develops processes to transfer patient records to other health care providers and other facilities and ensure that appropriate requests and authorizations are completed. Codes or supervises coding for all patient types, both in-house and out-sourced.
- Provides sufficient training and sets standards of proper coding to retain maximum reimbursement.
- Directs coding audits as necessary. Maintains specific and necessary controls to ensure confidentiality of patient medical records.
- Stays abreast of regulatory requirements, coding and reimbursement changes.
- Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
- Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.
Program Manager/Immediate Supervisor in Charge
United States Navy, USN
Joint Base Pearl Harbor-Hickam, HI
08.2011 - 08.2014
- In accordance with commands mission, goals, and objectives, direct medical care program for 3,100+ sailors with oversight of 11 different medical departments. Lead and mentored 11 Independent Duty Corpsmen and 22 hospital corpsmen. Aligned with all medical departments to ensure 95% or higher medical and dental readiness. Identify and investigate any discrepancies and report findings to Commanding Officers. Facilitate technical audits and inspections in harmony with operational events and milestones by utilizing departmental Medical Readiness Inspection (MRI) checklist as method of evaluating any threat or impact to mission effectiveness.
Senior Medical Department Representative
United States Navy, USN
Joint Base Pearl Harbor-Hickam, HI
08.2008 - 07.2011
- Senior Medical Representative overseeing medical care of 260 personnel. Department Chief in charge of 13 personnel. Also served as Sexual Assault and Victims Intervention Coordinator, Suicide Awareness Trainer, and Health Promotions Coordinator. Charged with responsibility of promoting, preserving and safeguarding health of personnel and maintaining emergency medical capability. Coordinate medical evacuations (MEDEVAC) as required.
Clinic Manager/Department Leading Chief Petty Officer
United States Navy, USN
New Orleans, LA
08.2005 - 07.2008
- Directed all Naval Ambulatory Care Center (NACC) Health Services activities encompassing $4.1M budget, 3 separate clinics, and 130 employees providing outpatient, wellness, and dental care to 30,000+ individuals. Oversaw 20 staff members as Belle Chasse Clinic Health Services Assistant Chief. Ensured regulatory and organizational compliance. Built collaborative relationships with physicians and healthcare personnel. Developed and implemented organizational strategy and vision. Provided guidance and counseling services to 30+ families as Exceptional Family Member Program Manager.
Education
Master of Science - Health Administration
University of Maryland University College
Adelphi, Md. 03.2013 - 12.2016
Skills
Knowledge of medical terminology; basic and advanced ICD-10-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics
Knowledge of CMS rules and regulations and current coding resources
Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods
Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations
Able to multi-task, prioritize with strong time management skills
Advanced PC skills that includes working with Windows Operating Systems, Microsoft Outlook, Word and Excel as well as ability to use Kronos system
Timeline
Director, Health Information Management
San Antonio Behavioral Healthcare Hospital
10.2014 - Current
Master of Science - Health Administration
University of Maryland University College
03.2013 - 12.2016
Program Manager/Immediate Supervisor in Charge
United States Navy, USN
08.2011 - 08.2014
Senior Medical Department Representative
United States Navy, USN
08.2008 - 07.2011
Clinic Manager/Department Leading Chief Petty Officer
United States Navy, USN
08.2005 - 07.2008