Shanakiah McKelphin

Corporate Compliance Consultant @Baylor Scott & White Health

Dallas, TX, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Nov 2024 — Present

Corporate Compliance Consultant @Baylor Scott & White Health

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US

Assists in reviewing compliance incidents and complaints regarding BSWH policies and procedures. May coordinate investigations through completion and appropriate reporting. Follows through to determine implementation of effective corrective actions. Conducts audits and analytical assessments to determine compliance with BSWH policies and procedures, and federal and state laws. Formulates recommendations based on audit findings. Provides written audit and assessment reports. Follows through to determine implementation of effective corrective actions. Maintains the documentation for incident reviews, resolutions and appropriate corrective actions. Monitors audit data and trends to determine deficiencies and needs based on findings. Assesses education and training needs based on audit trends. Manages and develops education and training materials as appropriate; assures that lessons are completed in a timely manner. Analyzes inconsistent and noncompliant processes and recommends resolutions. Reviews and updates procedures and recommends updates in policies. Serves as a compliance resource to BSWH departments and entities on compliance matters.

EDUCATION

2009 — 2011

Delta State University

Masters of Business Administration, Management

N/A

The University of Southern Mississippi

Bachelor of Science - BS, Management Information Systems, General

SKILLS

NonprofitsFundraisingIcd-10-Cm10 KeyMedical BillingHealthcare ManagementMicrosoft OfficeHipaaCustomer ServiceHealth InsuranceMedical TerminologyStrategic PlanningTime ManagementMedical CodingInsuranceMedicareData EntryMicrosoft ExcelPowerpointHealthcare Information TechnologyBudgetsInventory ControlProject ManagementHealthcareMeditechRetailMedical RecordsEmrLeadershipCustomer SatisfactionEvent PlanningHcpcsCall CenterProcess ImprovementNon-ProfitsPayrollHospitalsSpreadsheetsCptMedisoft

ABOUT SHANAKIAH MCKELPHIN

A detail-oriented and results-driven healthcare revenue cycle professional with demonstrated experience in medical billing and coding, data abstraction and entry, medical records analysis, collections, budgeting/finance, and healthcare operations. Strong understanding of ICD-9-CM, ICD-10-CM, and CPT codes. Excels at building, training, and managing effective teams. Leverages strong analytical skills to identify process improvement opportunities and determine appropriate solutions. Proven success in resolving issues, ensuring accuracy and compliance, and achieving goals.American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC)

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Shanakiah McKelphin — Corporate Compliance Consultant at Baylor Scott & White Health in Dallas, TX, US | Unifers