Experience

• 

  Cvs pharmacy

  Oct 2015 - Jun 2016

  Pharmacy technician
• 

  Indiana university health

  May 2017 - Dec 2017

  -Responsible for inputing bed and registration information into Cerner applications and Teletracking applications.-Collaborate with Bed Placement Nurses on the bed placement of direct admit and ED admit patients.-Change bed status and accommodation depending on patient condition and orders (inpatient, outpatient or observation).-Approve all bed transfers within IU Health Bloomington Hospital.-Create referrals and discharge packets for Skilled Nursing Facilities, Hospitals, and Rehab Facilities, etc through Allscripts/ecin.-Obtain acknowledgment from Medicare patients regarding their status (outpatient or inpatient) in the hospital Show less -Create education for physicians and physical therapy departments to promote alternative sub-acute discharge options in order to improve patient care-Create an out-of-hospital DNR standard process for case managers and nursing staff in order to follow the patient's wishes for care and be compliant with all laws associated with advance directives-Assist the Director of Integrated Care Management with scheduling process, rapid improvement events, establishing standard processes and other projects.-Contributed to project improvement collaborations in order to implement new policies and procedures in a healthcare setting Show less

  • Patient Placement Specialist

    Jun 2016 - Dec 2017

  • Project Management Intern

    May 2017 - Jul 2017
• 

  Ankura

  Apr 2018 - Apr 2021

  - Analyze clinical care standards and Medicare regulation guidance (NCD and LCD) so that coverage decisions can be made for large academics medical centers who seek compliance in clinical trial research billing- Evaluate healthcare compliance programs including development, evaluation, and effectiveness assessments- Serve as a project management lead on client engagements. This includes delegating work assignments to the team, tracking progress reports and managing client communications Provide project management support, data analysis, and assistance with preparing certain aspects of client deliverables within the firm’s healthcare compliance and clinical research billing practice. Responsibilities include extracting, analyzing and organizing data from clinical research protocols and associated clinical documents.

  • Senior Associate, Clinical Research Billing

    Mar 2020 - Apr 2021

  • Associate

    Apr 2018 - Mar 2020
• 

  Protiviti

  Apr 2021 - now

  - Develop and implement research compliance programs across a variety of organizations including healthcare providers, academic medical centers, and universities. Project experience includes identification of research portfolios, study team education, development and standardizing of clinical research billing processes including Medicare Coverage Analysis (MCA), auditing of billing practices in accordance with NCD 310.1, human subject protection compliance, international research compliance and grant time and effort reporting. - Assess the overall effectiveness of the structure and function of corporate compliance programs in accordance with relevant regulations and industry standards for a range of client organizations, including academic medical centers. - Conduct HIPAA Privacy and Breach assessments for healthcare providers organizations, which include evaluation of the programs in place for enforcing compliance with the safeguarding of protected health information (“PHI”) and conducting privacy walkthroughs. - Assist with the implementation of compliance workplans, including coding compliance audits, for healthcare organizations and academic medical centers, including serving as Interim Director of Compliance Audit. Show less -Assess the overall effectiveness of the structure and function of corporate compliance programs in accordance with relevant regulations and industry standards for a range of client organizations. -Assist with the implementation of compliance workplans for healthcare organizations and systems, including developing training programs related to regulatory compliance issues and executing compliance audits. -Conduct audits of medical billing and coding departments around CMS fraud, waste, and abuse for provider and payer organizations. Show less

  • Manager

    Jul 2022 - now

  • Experienced Senior Consultant- Healthcare Risk & Compliance

    Apr 2021 - Jun 2022