SHAWNA S. RAMEY
NE
Summary
Experienced Director with a demonstrated history of working in the hospital & healthcare industry. Skilled in Health Information Management (HIM), Mid-Revenue Cycle, Electronic Medical Records (EMR), Hospitals, and the U.S. Health Insurance Portability and Accountability Act (HIPAA). Strong administrative professional with a bachelor's degree focused on Health Information Management from Western Governors University (WGU). Possess several AHIMA Credentials, including RHIA, CHPS, CCS, and the COMP Tia Project+.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Manager HIM
Great Plains Healthcare
2023.02 - Current
- HIM Release & Deficiency Module EPIC certified Trainer
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Raised employee satisfaction scores to the top percentile per facility.
- Cross-trained existing employees to maximize team agility and performance.
- Created training material and decision trees for HIM base department functions.
- Developed RAC records process including trending data and working with related departments to correct identified issues.
Director HIM
San Juan Regional Medical Center
2018.10 - 2023.01
- Decreased DNFC from 14 Million to between 3-6 Million on average
- Worked with Transcription vendor to reduce turnaround times
- Brought policies and Procedures current
- Developed education plan, Production standards, and recurring Audits for HIM team
- Developed practicum program at hospital that includes multiple departments
- Developed grow-your-own your own coder program
Director HIM
Southwest Memorial Hospital
2018.04 - 2018.09
- Outsourced Coding to a vendor per audit result and lack of resources
- Sat on Senior Leadership with Controller to represent CFO chair
- Identified line item error for Medicaid account claims equal to 3 million dollars
- Reported to board monthly until management Company was able to take over
Assistant director HIM, Coding Manager/ IP Coder
Colorado Plain Medical Center
2015.01 - 2017.01
- Assignment of ICD-9-CM & CPT codes to Outpatient, Inpatient, and Surgery accounts
- Assure that all charges correspond with documentation as well as codes entered
- Work the unbilled report consistently during the week including month-end
- Consistently keep Unbilled Report below .5 day
- Manage team of 5 individuals
- Host monthly Tumor Board meetings
- Host monthly Documentation Review Committee
- Host Monthly ICD-10/Coding meetings
- Kiwi-Tek Coding Management
- Remote Coder
- Assignment of appropriate codes supporting clinical documentation
- Learning new aspects of coding to support the company and clientele
- Assign correct Injection and Infusion charges based on clinical documentation
Director HIM, Management/Coding Manager
Yampa Valley Medical Center
2012.01 - 2015.01
- Assignment of ICD-9-CM & CPT codes to Outpatient, Inpatient, and Surgery accounts
- Assure that all charges correspond with documentation as well as codes entered
- Work the unbilled report consistently during the week including month-end
- Consistently keep Unbilled Report below 1 day
- Manage outsourced coding company (Lexicode)
- Manage an onsite team of 8
- Currently implementing Studer Initiatives
Assistant Director/ In-Patient Coder
Colorado Plains Medical Center, Health Information Management
2011.01 - 2012.01
- Assignment of ICD-9-CM & CPT codes to Outpatient, Inpatient, and Surgery accounts
- Assure that all charges correspond with documentation as well as codes entered
- Work the unbilled report consistently during the week including month-end
- Consistently keep Unbilled Report below 1 day
- Manage team of 12 individuals
- Host monthly Tumor Board meetings
- Host monthly Documentation Review Committee
- Implemented procedures for obtaining Physician Orders upon admission including concurrent scanning
- Implemented use of HMS tracking and deficiency module; eliminating card catalog filing system
Lead Patient Services Representative
Saint Rose Dominican Hospital
2003.01 - 2010.01
- Collected patient demographic and insurance information, co-pay, and or deductible amounts (Bedside registration)
- Explained HIPPA/Demographic packet and retrieved signed documentation prior to discharge
- Adhered to all regulations and rules pertaining to the HIPAA law
- Researched account information for current and new patients to accurately identified duplicate accounts
- Managed end of shift deposits to account for patient information collected
- Provided management with supporting employee productivity reports to prove allotted time spent with each patient
- Transported and locked up personal belongings and valuables for patients to be secured in the hospital safe
- Communicated new or changing policies to all staff members through daily communication
Central Scheduling and Front Office Manager
IHS Therapy Networks
2002.01 - 2003.01
- Collected patient’s demographics, insurance information, as well as copayments and/or deductibles
- Collaborated with billers and payers to provide proper documentation for the accounts receivable
- Assigned ICD-9 and CPT codes for insurance payment and pre-certifications
- Scheduled patients within the correct time frame for their needs and business hours
Office Manager
Center for Spine and Sports Rehabilitation
2000.01 - 2002.01
- Collected patients’ demographics, insurance information, as well as copayments and/or deductibles
- Reconciled daily deposits, credit card batching, and all monies collected
- Assisted collections agency with all delinquent accounts by providing patient information
- Processed all ROI requests
OR Technician
Digestive Disease Specialists
1999.01 - 2000.01
- Collected patients’ demographics, insurance information, as well as copayments and/or deductibles
- Assisted with excess filing and miscellaneous paperwork
- Created patient charts, assignment of account numbers
- Assist in all OR procedures
Physician Charting Room Attendant
Valley Hospital Medical Center
1998.01 - 1999.01
- Responsible for pulling all patient records for physician signatures and/or dictations
- Coordinate the physician appointment with the physician suspension list
- Send memos and courtesy phone calls to physicians regarding chart delinquencies.
Front Desk Clerk, Medical Records Supervisor
Fremont Medical Center
1997.01 - 1998.01
- Greeted all patients; checked in for physicians’ appointments
- Collected all demographic information, insurance information as well as patients’ monetary responsibility
- Performed scheduling duties, patient check out
- Some referrals
- Promoted to Medical Records supervisor, responsible for all medical records functions.
Lead Medical Records Clerk
Sierra Health Services
1996.01 - 1997.01
- Responsible for day-to-day operations of department and staff
- Pulling charts for appointments, loose filing, and chart replacement.
Medical Records Filing Clerk
Lake Mead Hospital
1995.01 - 1996.01
- Responsible for assignment of Medical record Numbers to the loose filing
- Responsible for proper placement of loose filing into the correct patient file
- Chart pulls when necessary.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT01.2022
Associate of Science - Health Information Technologies
DeVry University
Villa Park, IL03.2012
Skills
- Team Management
- Team-building & Supervision
- Staff Development & Training
- Production and metrics Management
- Individual &Team Collections Promoting
- DNFC/Rev. Cycle Management
- Records Management & Scanning
- Meeting Planning & Management
- Effective Time Management Skills
Accomplishments
President NMHIMA (New Mexico Health Information Management) 2022
President-Elect NMHIMA(New Mexico Health Information Management) 2021
HIM advisory board member San Juan College
Affiliations
AHIMA (American Health Information Management Association)
HFMA (Healthcare Financial Management Association)
San Juan College
NMHIMA (New Mexico Health Information Management)
Certification
RHIA (Registered Health Information Aministrator)
CHPS (Certified in Healthcare Privacy and Security)
CCS (Certified Coding Specialist)
Comp TIA Project+
Additional Information
Experience serving as AOC
Acting commander for county disaster drill/ San Juan County/ San Juan Regional Medical Center/ 2022
Stood up Incident Command Center and acted as Commander during rotation as AOC for Ransomware attack/San Juan Regional Medical Center/ 2020
Sat in as a financial representative in Senior Leadership, attended Board meetings, and presented data in the absence of CEO and CFO/ Southwest Memorial Hospital/ 2018
Implemented Chart location system and corresponding education/ Meditech/ Colorado Plains Medical Center/ 2013
Successfully navigated being held hostage during a shift as the lead patient access representative in the Emergency Department/ Maintained operations and met goals/ St. Rose Siena Hospital/ 2007
Timeline
Manager HIM
Great Plains Healthcare
2023.02 - Current
Director HIM
San Juan Regional Medical Center
2018.10 - 2023.01
Director HIM
Southwest Memorial Hospital
2018.04 - 2018.09
Assistant director HIM, Coding Manager/ IP Coder
Colorado Plain Medical Center
2015.01 - 2017.01
Director HIM, Management/Coding Manager
Yampa Valley Medical Center
2012.01 - 2015.01
Assistant Director/ In-Patient Coder
Colorado Plains Medical Center, Health Information Management
2011.01 - 2012.01
Lead Patient Services Representative
Saint Rose Dominican Hospital
2003.01 - 2010.01
Central Scheduling and Front Office Manager
IHS Therapy Networks
2002.01 - 2003.01
Office Manager
Center for Spine and Sports Rehabilitation
2000.01 - 2002.01
OR Technician
Digestive Disease Specialists
1999.01 - 2000.01
Physician Charting Room Attendant
Valley Hospital Medical Center
1998.01 - 1999.01
Front Desk Clerk, Medical Records Supervisor
Fremont Medical Center
1997.01 - 1998.01
Lead Medical Records Clerk
Sierra Health Services
1996.01 - 1997.01
Medical Records Filing Clerk
Lake Mead Hospital
1995.01 - 1996.01
Bachelor of Science - Health Information Management
Western Governors University
Associate of Science - Health Information Technologies
DeVry University
RHIA (Registered Health Information Aministrator)
CHPS (Certified in Healthcare Privacy and Security)
CCS (Certified Coding Specialist)
Comp TIA Project+
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