Experience

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  Mission health

  Sept 2009 - Apr 2017

  Research assistant: technical writer, lab technician & regulatory compliance specialist

  Served as co-author and technical writer of clinical training courses/software applications for the American Association for Respiratory Care. Spearheaded laboratory preparations for bi-annual regulatory inspection by updating our quality management program and generating extensive documentation of regulatory compliance. Responsible for troubleshooting lab equipment, conducting quality management activities and analysis of blood samples. Became certified in laboratory inspection by the College of American Pathologists (certificate program). Show less

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  Mission health system inc

  Jan 2013 - Apr 2017

  Certified tobacco treatment specialist

  Wrote and was awarded a grant from the Robert Woods Johnson Foundation 'Culture of Health'​ prize for Buncombe County for the development of digital content for community education. Served on the Great Place to Work Advisory Council, engaged in a think tank-style collaboration to generate actionable ideas to achieve world-class outcomes.Designed and delivered tobacco treatment programs for hospital inpatients. Developed internal and external partnerships to facilitate community outreach programs. Created and delivered engaging presentations for physicians, RNs, LCSWs, and other clinical staff. Provided CEU credits for effective tobacco interventions and correct documentation, to facilitate best practices in patient care as well as regulatory compliance. Show less

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  Four seasons hospice & palliative care

  Apr 2017 - now

  Manages Compliance Program including policy review & development, accreditation readiness, OIG exclusion monitoring, and regulatory analysis. Conducts compliance investigations. Coordinates audit, survey, & ADR response. Provides compliance training for all staff, including creating digital content to deliver compliance training to multiple service lines & geographic locations. Creates reports and offers presentations to the Board of Directors on Compliance & Risk; and leads the Compliance Sub-committee of the Board. Provides leadership and oversight for Compliance Committee. Implemented risk management & risk reporting structure for leadership team. Manages Compliance Hotline. Reviews marketing materials and communication strategies for compliance. Coordinates with QAPI and clinical leadership teams for performance improvement and process redesign. Collaborates with legal counsel to resolve complex issues. Manages HIPAA Privacy and HIPAA Security programs through education, audits/monitoring, investigations and incident response. Certified in Healthcare Privacy Compliance. Drafts, prepares & manages contracts and BA agreements. Coordinates annual review of contracts and business associate agreements. Provides risk analysis, facilitates contract review & FMV analysis. Co-leader of Ethics Committee to provide ethics training programs, and advise clinical teams on complex case management issues. Inspires excellence in others through an absolute devotion to establishing and maintaining a culture of compliance. Show less

  • Compliance Director, HIPAA Officer

    Oct 2019 - now

  • Compliance Manager, HIPAA Officer, Contract Administrator

    Apr 2017 - Oct 2019