Julie A. Shay
MBA-HIN, RHIA, FAHIMA, ACUE

AHIMA Approved ICD10CM/PCS Trainer

  352-231-3743

  JULIEASHAY@LIVE.COM

CANDIDATE PROFILE

41+ year record of achievement in leadership, management, quality improvement, education, and consulting in the healthcare industry. Critical thinker/logical problem solver/independent learner who is self-motivated with extensive industry and academic experience in healthcare operations and personnel management in inpatient and outpatient settings, technically proficient with Microsoft Office Suite (Word, Excel, and PowerPoint), learning management systems CANVAS, ANGEL, WEB CT; Health Information Technology Program Director who gives oversight to three certificates and one CAHIIM accredited AS degree programs; passionate educator and developer of high-quality online educational courses and programs. Proven track record of maintaining program accreditation status; clear communication with a proven track record in business operations management with the development of best practice leadership processes with measurable results. Industry and academia experience with achievement in operational, and personnel management, proven record in continuous quality improvement in operational leadership processes, education, and consulting experience.

CORE COMPETENCIES

  • Revenue Cycle Methodologies
  • Revenue Cycle Management
  • IP/OP Medical Coding (ICD10CM, PCS, CPT)
  • Pathophysiology and Pharmacotherapy
  • Healthcare Informatics
  • Healthcare Law/Compliance
  • Data Analytics
  • Introduction to HealthCare
  • IP/OP Healthcare site operations (physician, hospital, rehab)
  • Healthcare Business Analytics
  • Healthcare Operations and Personnel Management
  • Managed Care Payer Contract Management
  • Leadership
  • Change Management
  • Continuous Quality Improvement
  • Accreditation (TJC, CARF, CAHIIM, ACBSP)
  • In the classroom and Online teaching
  • Developing and implementing learning outcomes, rubrics, and assignments

EDUCATION & CERTIFICATIONS

Southern New Hampshire University; Manchester, NH

Master of Business Administration/Health Informatics

April 2017

AHIMA Approved ICD-10-CM/PCS Trainer

October 2014

American Health Information Management Association (AHIMA)

Registered Health Information Administrator (RHIA) Certification

October 1995

University Central Florida; Orlando, Florida

Bachelor of Science in Health Information Management

August 1995

PROFESSIONAL EXPERIENCE

SANTA Fe College – GAINESVILLE, FL

Business Programs: Professor/Program Director/Accreditation Lead 2007–Present

Health Information Technology Program; AS Degree; CAHIIM Accredited

Revenue Cycle Management Certificate; PCAP Approved

Data Management Analytics Certificate

ACBSP Business Programs Accreditation Co-Champion-Lead (2019-2021)

  • Plans, prepares, and follows a department-approved program course of study with measurable objectives for each course taught.
  • Creates and curates instructional content, including videos, for students related to current trends and practices in the industry.
  • Integrates established and emerging teaching and learning strategies into the classroom and student interactions.
  • Advises and mentors students and provides instruction and supervision on a regular planned basis in both the seated and online environments.
  • High communication and engagement with students.
  • Participates and leads in robust online discussion forums.
  • Maintains office hours to provide student advisement, participate in recruitment activities, and/or program/curriculum development.
  • Manages program accreditation review process with the Commission of Accreditation for Health Information and Informatics Management.
  • Manages program faculty, conducts periodic instructor observations, and maintains program faculty files.
  • Coordinates practicum externships in collaboration with local community partners.
  • Evaluates and mentors program instructors to ensure top-quality compliance with institutional and program standards.
  • Works collaboratively in a supportive academic environment to provide high-quality academic experiences and support students as they work toward their educational goals.
  • Partners with student advisement and the academic team to ensure that each student has the support, tools, and resources they need to be successful.
  • Manages online curriculum and facilitates communication exchanges with students.
  • Creates, encourages, and maintains an inclusive environment that respects multiple learning styles.
  • Demonstrates strategies that will encourage the acquisition of knowledge, skills, and abilities in a learning-centered environment.
  • Uses current and emerging technologies and alternative delivery methods to enhance student engagement and learning promptly.
  • Participates in College, School, Department, and Program meetings, committees, and activities.
  • Leads faculty in the assurance of maintaining program accreditation; performed continuous program review for the general effectiveness of the health information technology programs.
  • ACBSP Co-Champion/Lead Faculty in obtaining ACBSP accreditation for Business programs; 10 business programs (Bachelors and AS degrees).
  • Collaborated and led efforts in fulfilling initial self-study standards.

SANTA Fe College – GAINESVILLE, FL

Business Programs: HITECH Grant Co-Director, Grant Coordinator, Professor 2010–2013

ONC Southeast Consortium Region D

Award: $1.75M Grant

  • ONC Health IT Workforce Program Region D Consortium Participant; Program/college recipient of $1.75M grant with the purpose of training 300+ students with emphasis on EHR implementation.
  • 2011–2012 – SF College Health IT Workforce Program was number 1 in Region D to have completed the most students in the region – 400+ completers to complete the program within 6 months.
  • Sustainability: Infused curriculum in the for-credit AS Health Information Technology Program.
  • 2012–2014 – SF College Health IT Workforce Program was number 5 in the nation to have completed the most students – 500+ completers to complete the program within 6 months.
  • Program Metrics: (over 3.5 years)
    • 21 cohorts went through the curriculum.
    • 345 sections of the 20 courses offered by the program were taught by faculty.
    • 566 students graduated from the program, making SF College number 1 in the region for “completers” and number 5 in the country.
    • 952 students participated in the program.
    • 78% pass rate on competency exams.
    • Job assistance was provided to all students.
    • Grant administered by a part-time grant coordinator and two full-time employees supervising the 54 part-time administrative staff and adjuncts who worked for the grant at various times.
  • Lessons Learned:
    • 21 cohorts went through the curriculum.
    • 345 sections of the 20 courses offered by the program were taught by faculty.
    • 566 students graduated from the program, making SF College number 1 in the region for “completers” and number 5 in the country.
    • 952 students participated in the program.
    • 78% pass rate on competency exams.
    • Job assistance was provided to all students.
    • Grant administered by a part-time grant coordinator and two full-time employees supervising the 54 part-time administrative staff and adjuncts who worked for the grant at various times.
  • Best practices:
    • Standard program policies and procedures
      • LMS module set up.
      • Syllabi
      • Reporting
    • Students were exposed to 4 different E H R systems.
    • Incorporated curriculum in AS degree to sustain the educational model.
    • Developed and implemented a statewide standardized internship process.

SANTA Fe College – GAINESVILLE, FL

Business Programs: Adjunct Faculty-Associate Professor 2005–2007

Health Information Technology Program; AS Degree; CAHIIM Accredited

Revenue Cycle Management Certificate; PCAP Approved

  • Effectively prepared and organized lectures and labs by programs and college specifications.
  • Presented course material in a manner that engaged and motivated students to learn and succeed.
  • Maintained and submitted accurate and current reports and records involving student accountability, attendance, performance, and follow-up.
  • Participated in College, Department, and Program meetings, committees and activities.
  • Provided students with appropriate learning activities and experiences in the core academic subject areas assigned to help them fulfill their educational goals.

UF Health – GAINESVILLE, FL

Associate Director/Contract Manager Managed Care Department 1997-2004

  • Successful contract negotiations, operations, and compliance management for the top payers of UF Health System
  • Successful management, and staff development for a team of 5 staff members
  • 7 hospitals/1000+ physician group/10,000+ employees
  • Contract manager for the top three payers of the health system to administer payer relations, issue resolution; and revenue cycle management coordination with a consistent decrease in hospital/physician A/R specific to Managed Care payers.
  • Project manager for the development and implementation of the first managed care department intranet website; was recognized as best practice nationally and as one of the top web pages used by the healthcare system.
  • Revenue cycle management coordination
  • Project manager for the development and implementation of the first managed care department intranet website; was recognized as best practice nationally and as one of the top web pages used by the healthcare system.
  • Project manager for the development and implementation of an issues/resolution database management system
    • Team Approach: Achieved consistent decrease in hospital/physician A/R specific to managed care payers.
  • HIPAA committee participant: assisted with the system-wide education rollout.
  • Developed, maintained, and facilitated system-wide managed care education.
  • Coordinated/facilitated EDI payer capabilities to the health system.

FLORIDA HOSPITAL HEALTHCARE SYSTEM – ORLANDO, FL

Provider Relations Director 1996 - 1997

  • Successful leader and staff development for a team of 15 members
  • Successful department readiness for CMS site visit; successful approval for Managed Care Advantage D Pilot Program
  • Operations emphasis on managed care relations/education with payers and physicians
  • Responsible for physician credentialing and contracting (1000+ physician network)
  • Developed and implemented department policies and procedures.
  • Developed standard reporting for the department and presented information to the FHHS board monthly.

ORLANDO REGIONAL HEALTH SYSTEM – ORLANDO, FL

Assistant Manager, HIM Department 1996 - 1996

  • Successful management and staff development for a team of 12 members
  • Emphasis on operations management
  • Successfully reduced physician delinquency rate to TJC standard

ORLANDO REGIONAL HEALTH SYSTEM- ORLANDO, FL

Supervisor, HIM Department 1995 - 1996

  • Successful management and staff development for a team of 12 members
  • Participated on TJC Committee

FLORIDA HOSPITAL- ALTAMONTE SPRINGS, FL

Interim Assistant Director, HIM Department 1995 - 1995

  • Successful management and staff development for a team of 25 members
  • Emphasis on operations management
  • NOTE: AT the time, I was UCF student; recruited to fill in while HIM director went on maternity leave.

ORLANDO REGIONAL HEALTHCARE SYSTEM- ORLANDO, FL

Medical Record Technician, HIM Department (PT) 1993 - 1995

  • Emphasis on filing medical records, inputting/tracking physician deficiencies.
  • NOTE: Job while going to school

SOHRAB GERAMI, MD – ORLANDO, FL

Revenue Cycle Manager 1992 - 1994

  • Emphasis on revenue cycle management, Medicare, and group payers

CENTRAL FLORIDA REHABILITATION- ORLANDO, FL

Administrator (PT) 1991 - 1994

  • Emphasis on operational development to include successful marketing to local Central Florida physicians.
  • Responsible for initial preparation for CARF accreditation

NMS REHABILITATION – ORLANDO, FL

Director of Operations 1989 - 1992

  • Emphasis on operations management
  • Successful management and staff development for a team of 4 members
  • Emphasis on operational development and implementation of policies and procedures
  • Development and implementation of reimbursement policies and procedures
  • Marketing representative for two facilities

NMS REHABILITATION, ORLANDO, FL

National Reimbursement Manager 1986 - 1989

  • Emphasis on operations management
  • Successful management and staff development for a team of 4 members
  • Developed and implemented a reimbursement procedural manual to ensure consistency within the department.
  • Conducted state feasibility studies before establishing rehabilitation facilities within an identified state to ensure reimbursement policies for rehabilitation services.
  • Assisted in the development of statistical reports for management review.
  • Effectively managed billing and collections for four rehabilitation facilities in four states: MA, MN, FL, and LA
  • Prepared quarterly and annual reports.

DANIEL J. PAVLIK/NMS REHABILITATION, ORLANDO, FL

Receptionist, X-ray Technician, Billing and Collections Specialist 1982 - 1995

  • Entrepreneurship Opportunity - Assisted with filing paperwork to the SEC in making NMS Rehab public.
  • Refer to this as my “Business Bootcamp” job.
  • 21 Leadership/Volunteer positions
  • 50 National, State, and/or local community presentations
  • 8 awards
  • 3 subject matter expert publication projects
    • Textbook Review – McGraw Hill Publisher – Medical Coding Fundamentals (Authors: Leib, Marc, Goldsmith, Susan) 13 chapters and review exercises
    • Textbook Review – AHIMA Publisher – Management for the Health Information Professional (11 chapters and 6 appendices)
    • 1 publication ICD9CM in a Flash – Interactive CD (Julie Shay – 2009) – Interactive CD where the user can choose categories of questions to enhance their coding ability, as well, prepare for their national certification exam.