SUMMARY

• 20 years Healthcare IT experience with large Healthcare Organizations/Hospitals, served as a Consultant and employee.
• Exposure to multiple Billing Applications including Siemens, Cerner, McKesson, GE
• Design and Development using Agile and waterfall methodologies
• Revenue Cycle Management
• Intersystems Cache/Mumps proficient programmer (20 years) 3rd generation Language
• Excellent verbal and written skills

Applications

GE Flowcast, Claim Form processing, revenue cycle (UB04, CMS1500 , CPT, ICD9)

Familiar with Healthcare regulations and security policies

Career

Jul 2010 - Sep 2012 Confidential, Integration Engineer
Austin , TX

Worked with PMS vendors Nextgen, McKesson, GE, Allscripts to integrate claim data including 835/837. Configuration of Server for transfer of data. Unix scripting . Perform unit testing and regression testing.

• Work with PMS Vendors gathering and documenting requirments and file specifications
• Managed individual projects utilizing Salesforce
• Integrated data using in-house ETL tools on Linux platform (Patient/Provider/Payor data)
• Performed Analysis and QA on large subsets of data using SQL
• Research and Analysis for ICD-10
• Update Claim form logic
• Create tables for contract code mapping for individual payors (Based on CPT Codes/Location/Provider)
• Debug and analyze claims that did not value
• Implement Claim Scrubber/Patient portion pricer
• Attend local HIMSS group meeting
• XML and HL7 data / java scripts
• ETL tools, Beyond and Compare, Salesforce, Filezilla
• Cloud computing environment

Aug 2007 – June 2010 Confidential, Senior Business Analyst/Developer (Contract)
Lebanon, PA

Converted Patient/Financial/Clinical data from IDX/HPA to McKesson Horizon Patient Accounting. Wrote design specifications. Worked with users to understand requirements and write functional specs. Perform Regression and unit testing. Day to day support on existing system which included interfaces to State and 3rd parties. Report progress to Senior Management.

• Responsible for Technical Management of the project
• Create screen flow diagrams
• Extract data for CMS1500/UB04
• Develop custom applications for data extract in Intersystems Cache
• Provide daily support to Revenue Cycle group within the Hospital
• Maintain availabilty of interfaces
• Write documentation and createdata flow diagrams using MS Visio

Sept 2007 – Oct 2007 Confidential, Senior Business Analyst/Programmer
Seattle, WA (Contract)

Provide Independent Consulting services to Providence Health System and Sentara Health . Upgrade, build and development

• Add data to existing and created new dictionaries
• Assist in Upgrade from IDX BAR to flowcast
• Perform regression testing
• Work closely with Revenue Cycle group
• Create new screens/fields
• Develop custom batch interface for Claim data

March 2007 – Aug 2007 Confidential, Programmer Analyst
Zurich, CH

Provide 3rd level global support within R&D. Support client server based application for LIS.

• Provide wordwide Support on Cobas LIS application
• Test software against instruments
• Perform QA and Analysis on software enhancements

June 2005 - Feb 2007 Confidential, Senior Programmer
Danville, PA (Contract)

Develop coding solutions in Cache on VMS platform for IDX BAR. Enhance and streamline manual processes, create ad-hoc reporting , develop menus/tools and interface solutions. Developed interface for bad debt system. System performance monitoring, upgrade from IDX BAR 9.0 to flowcast. Setup and maintain data dictionaries. Create screens and menus.

• Work within Revenue Cycle Group providing Application Support
• IDX BAR/Flowcast
• Develop custom tools and applications
• DCL Scripting
• Intersystems Cache/VMS

Dec 2004 – June 2005 Confidential, Programmer Analyst
Philadelphia, PA

Provide support and AES programming to users at UPHS in Philadelphia. IDX Bar application, write user queries and download to MS Access/Excel. Developed code for label printing.

• Provide first line support to Revenue Cycle Group at Hospital
• Develop custom queries in SQL / import to Excel/Access
• Develop/Analyze and test custom enhancements
• Perform regression testing

May 2004 – Dec 2004 Confidential, Senior Programmer Analyst
Pittsburgh, PA

Develop batch interface to exchange/interpret pharmacy data from Caremark. Create functional and design specifications and co-ordinate implementation and post implementation testing.

• IDX Managed Care Application
• VMS platform
• Mumps/Cache Development

Jan 2003 – Dec 2003 Confidential, Programmer
Dallas,TX

Develop custom code for HIPAA and Six Sigma projects on Misys/Antrim code.

• Mumps/Cache programming
• VMS platform
• Develop custom code
• HL7
• Write functional and design specifications
• Unit/System/Regression testing

May 1999 – Oct 2001 Confidential, Programmer Analyst
Dallas,TX

Provide client support and custom AES programming to Hospitals and Medical centers.
Clinical/Magaged Care and Billing Applications. Visit clients to provide training and
Support/enhancements.

• IDX (GE Centricity Business)
• Provide support on Registration/Billing/Payor applications (BAR,TES, SCHED,MANAGED CARE)
• Create custom dictionaries/menus/screens
• Attend User Group meeting

Jan 1999 – May 1999 Confidential, Business Analyst
Plano,TX

Work as part of a team requirements gathering, reporting, gap analysis and documentation.

• Large scale project for Veterans Administration
• Mumps/Vista
• Perform Gap Analysis

Oct 1998 – Dec 1998 Confidential, Support Analyst
London, GB

Provide technical support to UK dealerships on custom application.

Jan 1998 - Oct 1998 Confidential, Programmer/Analyst
Slough, GB

Develop software for bespoke Hotel booking/POS software in Mumps.

Dec 1995 – Dec 1997 Confidential, Programmer
Marlow,GB

Provide software solutions on clinical/financial HISS application. Write standards and
procedures for ISO-9000.

Oct 1992 – Nov 1995 Confidential, Analyst
London, GB

Provide support and IT services to Health Authorities across the UK to users and physician’s
on Clinical/Financial and Registration software. Worked independently to accredit
Physicians software in order to send electronic transactions.

Oct 1990 – Oct 1992 Confidential, Operator
London,GB

Provide support to users on IBM mainframes. Run backups and operations and maintain
System availability. Install new hardware and networks.