EILEEN PAINCHAUD, BS, RHIA 55 Dudley Hill Road Dudley, MA 01571 H 508-949-0098 C 774-312-3377 HIGHLIGHT OF ACCOMPLISHMENTS a Highly experienced

HIM Manager with responsibilities for providing daily healt h information services for the hospital and staff physicians. This includes ove rseeing Acute Care and Long Term Care Hospitals (113-209 beds and up to 24 FTEa s) with Out Reach Programs ICD-9-CM coding of inpatient and outpatient accounts, Joint Commission and CMS departmental compliance, coordination or record proces sing, physician notification and follow-up, transcription oversight, birth certi ficates, tumor registration and release of information. a Provides the hospital with support and management as it pertains to all the re sponsibilities of the HIM department and all related activities generated from t he department of medical records to maintain compliance with Joint Commission, S tate, Federal, and all other regulatory agencies. a Responsible for developing, implementing and administering the privacy complia nce program. This includes overseeing efforts to: establish hospital wide priva cy policies and procedures, and coordinate with the business on policy developme nt and implementation; conduct risk analyses of privacy environment and infrastr ucture; identify best practices and eliminate gaps and inconsistencies; develop metrics to assess performance and improvement; manage privacy and data security breaches; facilitate training, awareness and communication of privacy issues. a Managing health information services including functions of Record Completion in compliance with Medical Staff Rules and Regulations, Record Access and Retent ion functions, Release of Information, Master Patient Index, and adherence to va rious internal and external compliance issues (Medical Staff Bylaws) Rules and R egulations, HIPAA, Conditions of Participation, Department of Public Health, JCA HO, OSHA). Assures that medical records kept confidential, secure, current, aut henticated, legible and complete. a Coordinates training needs of staff and providers with department Director and Medical Staff for improving the quality and accuracy of documentation into the medical record and to improve physician documentation to meet accreditation and licensing standards for quality and timeliness of documentation. a Participates in the development of Health Information Management policies and procedures on release of information, confidentiality, information security, inf ormation storage and retrieval, and record retention. a Accountable for the operational and capital budgets developments for the depar tment. Monitors and tracks expenditures, proposes capital purchases, does cost management, and variance analysis. Ensures the financial budget performance mee ts or exceeds established objectives. a Monitors and analyzes the Health Information Management operations through rev iew of processes, key indicators and reports. Identifies and resolves issues pe rtaining to operational results. a Interacts with the various departments that are impacted by the operations of the HIM department including Patient Registration, Patient Accounts, Medical Exe cutive Committee, Quality Assurance, Case Management, I/S, Finance, and hospital patient care areas. a Held a major role in the review of electronic medical record and implemented b est practices for efficient operating processes using new technology. a Serves as an internal consultant on health information management issues inclu ding release of information, confidentiality, information security, information storage and retrieval, and record retention as well as authorship and authentica tion health record documentation, standardization of medical vocabularies, and u se of classification systems. a Monitors local and national trends in healthcare delivery as well as changes i n legislation and accreditation standards that affect health information managem

ent. COMMITTEED PARTICIPATION a a a a a a a a a a a a a a a a a a a a a a Audit a Billing Compliance Cancer a Chart Review Coding Compliance and Documentation a Cost Containment Data Quality Committee a DNFB Improvement LEAN Project Committee Document Review a Documentation Improvement EMR a EMR & ELR Ethics Compliance a Facility Privacy & Security Facility RAC Team a HIPAA Security Task Force HIPAA Compliance a Hospital Compliance Hospital Forms a Joint Commission Preparation Task Force Joint Commission Accreditation a Leadership Development Medical Records a Patient Finance Performance Improvement a Performance Review PI/Quality Council a Policy & Procedures Privacy a Process Improvement Quality Assurance a Quality Care Quality Improvement a Quality Management RAC Implementation a Record Retention Regulatory Readiness a Revenue Cycle Risk Management a Root Cause Analysis Tumor Board a Utilization Management Vendor Evaluations

REGULATORY EXPERIENCE Meditech, 3M, QuadraMed EDUCATION & CERTIFICATION NORTHEASTERN UNIVERSITY, Boston, MA B.S. in Health Information Management Registered Health Information Administrator

WORK EXPERIENCE RADIUS SPECIALTY HOSPITAL 2009 209 Acute Care & Long Term Care Hospital located in Boston & Quincy Director of HIM & Privacy Officer a Provides the hospital with the necessary support and management of information as it pertains to all facets of the responsibilities with the HIM Department an d all related activities generated from the medical record department to maintai n compliance with Joint Commission, State, Federal, and all other regulatory age ncies a Responsible for guiding coding staff as well as performing the appropriate cod ing of diagnoses and procedures using ICD-9-CM and CPT classification and nomenc lature systems. Coordinates coding quality reviews among coders and facilitates physician communication, including chart completion and timely query responses. Assures appropriate use of established coding guidelines for correct DRG assig

nment and hospital reimbursement as documented in patient medical records. a Serving as a resource for JCAHO Management of Information standards as well as those standards pertaining to documentation in medical records, HCFA, Mediqual /Wisconsin Reimbursement Guidelines and Federal regulations. Assists in the pre paration during various inspection and surveys. a Monitors and comments on proposed legislation, and ensures hospital is apprise d of all privacy and data security related legal developments that affect operat ions; works with the hospitalas legal and public affairs teams to represent the hospitalas information privacy interests with external parties. a Works with legal counsel to ensure the hospital maintains appropriate privacy and confidentiality consent forms, authorization forms, and information notices and materials. HARRINGTON MEMORIAL HOSPITAL, Southbridge, MA 113 Bed Acute Care Hospital Director of Medical Records & Privacy Officer 1984-2008

a Serves as a resource on HIM issues including release of information, confident iality, information security, information storage and retrieval, and record rete ntion as well as authorship and authentication of health record documentation, s tandardization of medical vocabularies, and use of classification systems. Main tains strict physician and patient confidentiality and follows state, federal, a nd hospital guidelines for the release of information. a Monitors HIM Systems and sets the healthcare systemas standards for data quali ty and ethical practice. Participates in the development of HIM policies and pr ocedures on release of information, confidentiality, information security, infor mation storage and retrieval, record retention, transcription and documents and enforces the healthcare systemas HIM policies and procedures and updates as need ed. a Provides education and training to the employees in areas relevant to HIM poli cies and procedures. Supports all relevant compliance policies and procedures a s evidenced by in-service attendance and daily practice; notifying management wh en there is a compliance concern or incident demonstrating knowledge of HIPAA Pr ivacy and security Regulations as evidenced by appropriate handling of patient i nformation; promoting confidentiality and using discretion when handling patient information. a Develops strategic/tactical plans for the HIM Department. a Keeps abreast of new legislation and regulations and monitors local, national, and international trends in healthcare delivery and changes in accreditation st andards that affect HIM. a Maintains personal and professional education and growth. a Managing the coding functions, which includes coding for the hospital facility , ambulatory surgical services, outpatient services and clinic based services an d assuring that coding practices meet all the correct coding and compliance stan dards. a Building effective working relationships throughout the organization with mana gers, staff, physicians, customers and suppliers. a Identifying patterns, trends, and variations in coding or claim data submitted and taking appropriate steps in collaboration with the right department to effe ct resolution or explanation of the variance. Performing analysis of coded data to facilitate decision making and to identify risks and gaps. a Conducting appropriate audits and/or responds to findings and recommendations of external compliance assessments and audits as related to coding issues. Prep aring appeals when appropriate. a Designing processes and procedures to capture coded data to assure accurate an d timely retrieval. a Serving as the facility representative for coding and reimbursement and attend ing revenue cycle, chargemaster, compliance and other related meetings. Acting as a resource to physicians on coding issues and provide education to physicians

. a Maintaining current knowledge of coding applications; recommending new functio nality, actively participating in building and implementation of all systems tha t impact coding. a Maintaining current knowledge of regulatory issues and practices related to ar ea of expertise and leading change when needed to ensure compliance. WORCESTER HAHNEMANN HOSPITAL, Worcester, MA 1982 -1984 214 Acute Care Beds Assistant Director, Medical Records Department a Serves as first line supervisor for Medical Records issues including release o f information, confidentiality, information security, information storage and re trieval, and record retention as well as authorship and authentication of health record documentation, standardization of medical vocabularies, and use of class ification systems. Maintains strict physician and patient confidentiality and f ollows state, federal, and hospital guidelines for the release of information. a Provides education and training to the employees in areas relevant to medical records and hospital policies and procedures. Maintains updates and education t o staff on regulations as evidenced by appropriate handling of patient informati on; promoting confidentiality and using discretion when handling patient informa tion. a Works with Director to develops strategic/tactical plans for the Medical Recor ds Department. a Keeps abreast of new legislation and regulations and monitors local, national, and international trends in healthcare delivery and changes in accreditation st andards that affect Medical Records Department. a Maintains personal and professional education and growth. a Managing the coding functions, which includes coding for the hospital facility , ambulatory surgical services, outpatient services and clinic based services an d assuring that coding practices meet all the correct coding and compliance stan dards. a Conducting appropriate audits as necessary for quality and quantity review. a Designing processes and procedures to capture coded data to assure accurate an d timely retrieval. a Maintaining current knowledge of coding applications; recommending new functio nality, actively participating in building and implementation of all systems tha t impact coding. SAINT VINCENT HOSPITAL, Worcester, MA 79-1982 600 Beds Assistant Director, File/Retrieval Medical Records Department 1981-1982 19

a Serves as first line supervisor for Medical Records issues including storage a nd retrieval, and record retention. a Provides education and training to the employees in areas relevant to medical records and hospital policies and procedures. a Maintains personal and professional education and growth. Float Clerk 1979-1981