Tiffany Cash
Milton,FL
Summary
Meticulous Quality and Compliance Specialist with an Associate Degree in Health Information Technology and over 22 years of experience in healthcare operations, compliance monitoring, and medical records management. Proven ability to lead audits, improve data accuracy, and ensure adherence to CMS, ACHA, and HIPAA regulations. Recognized for driving performance improvement initiatives, supporting interdisciplinary teams, and ensuring regulatory readiness across all healthcare settings.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Quality and Compliance Specialist
Trinity Health PACE
03.2023 - Current
- Maintains a working knowledge of all Federal, State, and local laws and regulations.
- Support staff education and onboarding in compliance, documentation, and regulatory processes.
- Developed and implemented policies and procedures to improve operational efficiency, streamlined workflows, and enhance patient outcomes.
- Coordinate and schedule Quality Committee, along with preparation of meeting agenda, preparation of minutes, and assistance with committee correspondence and presentation materials.
- Leads performance improvement initiatives/projects as directed. Assist colleagues with project design and measurement of quality improvement projects as needed.
- Oversee infection control program and ensure CMS and state regulatory compliance.
- Ensure timely submission of all required information and documentation to HPMS.
- Initiate, Investigate and follow through on all Level II’s that are reported to HPMS.
- Ensures the grievance, appeals and service determinations are processed timely and complies with all regulations and supports participant satisfaction.
- Leads internal audits, reviews staff documentation and runs reports to ensure continuous compliance and survey readiness across all areas.
- Create and develop annual Quality Improvement plan including FY Quality Report, Quality Plan, and Program Description.
- Attend and participates in staff meetings, in-services, and committees as assigned.
Health Information Management (HIM) Director
Solaris Healthcare
09.2009 - 02.2023
- Directed HIM operations ensuring compliance with State, Federal, and accreditation standards.
- Oversaw ICD-10 coding for new admissions, post-acute, and long-term care patients; ensured accurate documentation.
- Prepared, tracked, and led monthly QAPI meetings, identifying and resolving compliance trends.
- Coordinated record preparation for audits, surveys, and legal requests.
- Educated staff on EMR use, HIPAA compliance, and documentation standards.
- Supported survey readiness for ACHA and JACHO inspections.
- Managed payroll, staff evaluations, scheduling, and departmental administration.
- Coordinated provider credentialing and recredentialing processes in compliance with CMS, NCQA, and organizational standards.
- Verified practitioner qualifications, licenses, certifications, and malpractice histories to ensure regulatory compliance.
- Conducted internal audits of credentialing files to maintain accuracy and compliance readiness.
Education
Associate Degree - Health Information Technology
DeVry University
10-2018
High School Diploma - undefined
Woodham High School
Pensacola, FL01.1998
Skills
- Quality & Compliance Monitoring
- Regulatory Audits
- Policy Development
- Electronic Medical Records (EPIC, Truchart, Matrix, LG)
- ICD-10 Coding
- Data Analysis
- Process Improvement
- Performance Metrics
- Interdisciplinary Collaboration
- Leadership
- Staff Education
- Communication & Problem-Solving
- Compliance monitoring
- Internal auditing
- Compliance oversight
Certification
- Certified Nursing Assistant (CNA) – Florida, valid through May 2027
- Basic Life Support (BLS) Certification – valid through May 2027
Timeline
Quality and Compliance Specialist
Trinity Health PACE
03.2023 - Current
Health Information Management (HIM) Director
Solaris Healthcare
09.2009 - 02.2023
High School Diploma - undefined
Woodham High School
Associate Degree - Health Information Technology
DeVry University