Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

VERNITA BICETTE ROBERT

Healthcare Compliance Professional
Rockville,MD

Summary

Experienced with privacy compliance, data protection, and regulatory adherence. Utilizes risk assessment and mitigation strategies to protect sensitive information. Knowledge of industry standards and best practices in privacy management.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Chief Compliance, Ethics & Privacy Officer

United Medical Center Not for Profit Hospital Center (NFPHC)
12.2022 - 08.2024
  • Directed the Corporate Compliance Program with full authority, achieving 98% compliance rate with OIG General Compliance Program Guidelines, the federal and state regulations and laws, and hospital policies and procedures based on accrediting/licensing bodies. Spearheaded compliance program initiatives including education (annual training and initial orientation), increasing staff compliance awareness by 70%. Successfully implemented the OIG 7 elements of compliance and enforced standards to uphold the UMC and District of Columbia 'Code of Conduct'. Achieved 100% compliance during my tenure (2 yrs) with timely annual reporting for the Board of Ethics and Government Accountability for the District of Columbia (BEGA). Developed financial disclosure files for PDF/UMC Board of Directors members and Confidential Financial Disclosure files for CDF/UMC employees of the District of Columbia. Provided ongoing support and resources for adherence to BEGA's Ethics program requirements utilizing information for Ethics Counselors on the Financial Disclosure program from the DC BEGA website, ensuring culture of buy-in and accountability among UMC staff.

Mid Revenue Cycle (MRC) Director

Adventist Healthcare System
12.2021 - 11.2022
  • Led and optimized revenue cycle operations, standardizing procedures and best practices to drive a 30% increase in revenue generation. Spearheaded development programs, designed and implemented patient processes for health information management services (HIMS), charge master description management (CDM), Coding, Contract partners/vendors, Clinical documentation improvement (CDI), Revenue integrity (RI) departments and facilitated external revenue cycle related audits and investigations, ensuring seamless integration with regulatory compliance contractual agreements related to hospital policy and procedures. Provided weekly and monthly reports on Key Performance Indicator (KPIs) for quality and performance and revenue initiatives as outlined in the annual strategic plan. Achieved and sustained a 97%-98% compliance adherence to revenue cycle management goals and objectives as designed by KPIs utilizing industry standard Best Practices (i.e., HFMA). Provided supervision and management for systemwide Mid Revenue Cycle departments (HIMS, Coding, CDI, Revenue integrity and external auditors and contract partners/vendors), enhancing operational efficiency and emphasizing compliance.

Director of Regulatory and Quality Affairs

United States Virgin Islands Department of Health USVI
02.2021 - 12.2021
  • Provided regulatory compliance oversight for federally funded programs and initiatives of the USVI Department of Health, ensuring 100% alignment with local laws (USV Codes) and federal regulations and standards. Developed, implemented and monitored systemwide regulatory compliance program utilizing the General Compliance Program Guidelines (GCPG), the reference guide for the healthcare compliance community and other healthcare stakeholders, along with other resources. Led comprehensive review and update of all compliance related policies to ensure alignment with evolving regulatory requirements. Developed and delivered targeted education and training programs based on Healthcare compliance guidance 7 core elements as outlined by the general compliance program guidance issued by the office of Inspector General (OIG), increasing overall staff buy-in and accountability by 70%, ensuring an informed and engaged DOH staff focused on strengthening adherence to public healthcare compliance mandates.

Director of Behavior Health, Alcoholism and Drug Dependency Services (BHADDS)

United States Virgin Islands Department of Health (DOH) USVI
05.2019 - 02.2021
  • Provided regulatory guidance and oversight for DOH behavior health (BHADDS) programs, achieving 98-100% compliance with territory USV Codes and federal regulations. Successfully implemented DOH approved 5-year Strategic Plan's goals and initiatives improving overall health outcomes for the behavior health homeless population by 78%. Managed multimillion-dollar federal funded budgets efficiently optimizing resource allocation to enhance service delivery. Strengthened collaboration with private healthcare providers, other community-based healthcare facilities, local public hospitals and local and federal government agencies and departments to expand access to comprehensive, coordinated ongoing mental health outpatient services to achieve continuity of care. Spearheaded targeted suicide prevention awareness training program funded by the CDC's Region 2 Community Education Outreach Initiative at Virgin Islands stand 2 responders in the USVI Territory. Achieved 97% compliance with targeted participants and significantly improved during emergencies, crisis intervention and response effectiveness for suicide in the USVI Territory.

Territorial Health Services Administrator (HSA)

Bureau of Corrections/Health Services United States Virgin Islands
08.2012 - 05.2019
  • Provided management and oversight of USVI Correctional Healthcare facilities operations, ensuring full compliance with correctional health standards and regulations. Spearheaded initiatives that improved compliance with the DOJ and ACLU's Settlement Agreement, ensuring independent monitors reducing health services deficiencies by 85% during my tenure. Strategically managed budgets optimizing financial resources to enhance patient care and operational efficiency. Implemented innovative methods that increased workflow efficiency and significantly improved patient experiences, led regulatory compliance efforts, ensuring adherence to evolving NCCHC correctional healthcare standards and ACA regulations (medical, dental and mental health) while fostering culture of safety staff for staff, quality healthcare for patients and continuous performance improvement initiatives.

Director of Health Information Management Services

Governor Juan F. Luis Hospital and Medical Center
03.1997 - 07.2012
  • Directed all aspects of the Health Information Management (HIM) Services department, achieving 100% compliance with local and federal regulations, hospital policies and procedures and accrediting and licensing bodies standards of participation. Through my leadership, medical records turnaround time (ROI) improved by 50%, enhancing process efficiency and improving patient access to clinical information based on industry best practice for ROI process. Managed and trained staff to uphold the highest standards of data and patient information (PHI) accuracy, accessibility, and privacy and security as per HIPAA requirements. Developed and implemented policies and procedures that streamlined HIM department operations, strengthening regulatory adherence, and improved overall HIMS performance. Fostered culture of compliance and continuous improvement, ensuring seamless alignment with current and newly issued healthcare standards and laws related to health information management in the acute care setting.

Education

MLS - Healthcare Law

University of Oklahoma College of Law
Norman, OK
05.2023

Master of Public Health - Health Management & Policy

Capella University
Minneapolis, MN
03.2018

Post-Bachelor Certification - Health Information Administration

Stevens College
03.2011

BS - Health Care Administration

Washington Adventist University
Tacoma Park, MD
12.1992

Skills

  • HIPAA regulations knowledge
  • Incident response strategy development
  • Data encryption methods
  • Data integration mapping
  • Vendor privacy assessments

Accomplishments

  • Documented and resolved [Issue] which led to [Results].
  • Collaborated with team of [Number] in the development of [Project name].
  • Achieved [Result] by introducing [Software] for [Type] tasks.
  • Achieved [Result] by completing [Task] with accuracy and efficiency.

Certification

  • Registered Health Information Administrator (04/2022, AHIMA)
  • Certified Revenue Cycle Representative (CRCR, 2012, HFMA)
  • Certified Correctional Health Professional (CCHP, 01/2017)
  • Lean Six Sigma Green Belt (06/2011)
  • Certified Public Manager (CPM, 09/2020, UVI)
  • Certified Mediator (04/2020, UVI)

Timeline

Chief Compliance, Ethics & Privacy Officer

United Medical Center Not for Profit Hospital Center (NFPHC)
12.2022 - 08.2024

Mid Revenue Cycle (MRC) Director

Adventist Healthcare System
12.2021 - 11.2022

Director of Regulatory and Quality Affairs

United States Virgin Islands Department of Health USVI
02.2021 - 12.2021

Director of Behavior Health, Alcoholism and Drug Dependency Services (BHADDS)

United States Virgin Islands Department of Health (DOH) USVI
05.2019 - 02.2021

Territorial Health Services Administrator (HSA)

Bureau of Corrections/Health Services United States Virgin Islands
08.2012 - 05.2019

Director of Health Information Management Services

Governor Juan F. Luis Hospital and Medical Center
03.1997 - 07.2012

Master of Public Health - Health Management & Policy

Capella University

Post-Bachelor Certification - Health Information Administration

Stevens College

BS - Health Care Administration

Washington Adventist University

MLS - Healthcare Law

University of Oklahoma College of Law
VERNITA BICETTE ROBERTHealthcare Compliance Professional
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