Sumana Chenna
Regional Director Of Health Informatics
Upland
Summary
Healthcare leader with experience in operations and finance of for-profit, nonprofit and academic health systems for more than 16 yrs. Strengths in strategic planning, operations, and physician relations. Strong leadership skills and success in building collaborative teams, motivating staff, and supporting professional development.
Experienced with strategic planning and project management. Utilizes leadership skills to drive team performance and operational excellence. Track record of delivering high-impact results through innovative problem-solving and effective communication.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
13
13
years of professional experience
9
9
years of post-secondary education
10
10
Certifications
5
5
Languages
Work History
Director of Health Informatics
San Dimas Community Hospital
02.2018 - Current
- Responsible for overseeing the planning, organizing and execution of health information management (HIM) services and ensuring standardization for HIM processes for multi-hospital system.
- Instrumental in implementation of various platforms at organization level.
- Actively collaborating with IT to enhance the high-quality data collection. Working on transition planning, testing and education of staff and physicians.
- Develops, maintains and implements policies and procedures; evaluates and improves the effectiveness of policies and procedures and workflow.
- Maintain productivity, quality, and efficiency for all processes within the department. Actively participate in labor management.
- Routinely evaluate productivity levels against staffing levels and make necessary operational adjustment.
- Work collaboratively with risk management, PI, IT, Medical staff to minimize potential risk and resolve any related issues.
- Actively participates in various committees.
- Participate actively in relicensing surveys with various entities (CDPH, JCHO, ACHC, HFAP, CMs).
- Design, perform and appropriately utilize the finding of performance improvement
HIM Manager
San Dimas Community Hospital
08.2016 - 02.2018
- Responsible for directing, planning, coordinating and administering the day-to-day functions of HIM and addressing all staff questions.
- Assures all functions and processes are being completed in a timely manner.
- Performs administrative and budget-related duties to ensure that medical records are complete and accurate, scanned and coded to conform to state standards as well as ICD guidelines.
- Coordinates all CMS Recovery Audit Contractor (RAC) requests to supervise and monitor the release of confidential information in accordance with hospital rules and regulations, federal and state regulations of privileged information.
- Participates in budget and performance improvement and continuous quality improvement (CQI) activities of the department such as record storage, and retention/destruction of records.
- Responsible for maintaining, correcting and submitting the Office of Health Planning & Development (OSHPD) reports.
HIM Supervisor
San Dimas Community Hospital
07.2014 - 08.2016
- Responsible for directing, planning, coordinating and administering the day-to-day functions of HIM and addressing all staff questions.
- Assures all functions and processes are being completed in a timely manner.
- Performs administrative and budget-related duties to ensure that medical records are complete and accurate, scanned and coded to conform to state standards as well as ICD guidelines.
- Coordinates all CMS Recovery Audit Contractor (RAC) requests to supervise and monitor the release of confidential information in accordance with hospital rules and regulations, federal and state regulations of privileged information.
- Participates in budget and performance improvement and continuous quality improvement (CQI) activities of the department such as record storage, and retention/destruction of records.
- Responsible for maintaining, correcting and submitting the Office of Health Planning & Development (OSHPD) reports.
Prime Healthcare Management Inc
10.2013 - 07.2014
- Coordinate interdepartmental functioning and participating in the organization, coordination and implementation of performance improvement initiatives to improve the workflow for all the Prime facilities.
- Maintain the integrity of audit review tracking.
- Coordinating all audit correspondence, conducting oversight of all audit functions, and following all audit activity to closure.
- Develop health education programs that promote, maintain, and improve various health delivery matters including improved performance, quality clinical documentation, and quality control.
- Prepare and distribute health education materials, including reports, bulletins, and visual aids such as films, videotapes, photographs, and posters.
Clinical Documentation Specialist
Chino Valley Medical Center
02.2012 - 10.2013
- Conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance for acute care services provided.
- Experienced working closely with the medical staff and facilitating appropriate clinical documentation of patient care via physician query process. Thus, ensuring accurate depiction of the level of clinical services and patient severity to support appropriate reimbursement and capturing of clinical severity for the level of service rendered to all hospitalized patients.
- Coordinating all audit correspondence, conducting oversight of all RAC/audit functions, and following all RAC/audit activity to closure.
- High degree of clinical knowledge and hospital coding knowledge (i.e., APR-DRG, MS-DRG, Medicare, Medicaid & Managed Care) in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality, capture severity, assess acuity and determine risk of mortality.
- Writing clinical appeals for Medicare, Medicaid & Managed Care denials.
- Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting the findings.
Education
Master of Public Health - Epidemiology
Loma Linda University
Loma Linda, CA 09.2009 - 03.2012
M.B.B.S. - undefined
J.S.S. Medical College
09.1993 - 03.2000
Skills
- Familiar with recent healthcare regulations
- Strong data analysis and problem-solving skills
- Ability to think independently and troubleshoot problems
- Excellent written and oral communication skills
- Interpersonal skills
- Presentation skills
Certification
CCS-Certified Coding Specialist, 12/18/2012
Affiliations
- AHIMA- American Health Information Management Association
- HFMA- Healthcare Financial Management Association
- ACHE- American College of Healthcare Executives
- Sri Satya Sai Seva Organization
Positioning Statement
Healthcare leader with experience in operations and finance of for-profit, nonprofit and academic health systems for more than 16yrs. Strengths in strategic planning, operations, and physician relations. Strong leadership skills and success in building collaborative teams, motivating staff, and supporting professional development.
Results
- Leading a smooth-running department at regional level, with improved operational efficiency.
- Successfully implemented the migration of EMR from Meditech to EPIC and multiple platforms on transcription.
- Successful in building effective relationships with physicians and all levels of management.
- Fosters a strong working relationship between medical staff, administration and HIM personnel.
- Recognized twice, for exemplary leadership and teamwork.
Volunteer Research Experience
University of Kentucky, Kentucky, 10/2007, 01/2008, I volunteered in a research project where I worked on Quorum sensing molecules based upon whole cell-based biosensors.
Publications
- Oral Presentation, Epidemiology of Cervical Cancer, 05/2010
- Oral Presentation, Nutrition and Health Risks in the Elderly: The Nutrition Screening Initiative, 03/2010
- Poster Publication, Evaluation of perioperative therapy for stage II and III rectal cancer in California, 1994-2009, 06/2012
- Poster Publication, Demographic predictors of Colorectal Cancer Sub site in California, 2001-2008, 09/19-21/2011
Research
- Loma Linda University, Graduate Research Program, 05/2011, 12/2011, Worked on a research project about rectal cancer and different aspects of treatment.
- Loma Linda University, Graduate Research Program, 05/2010, 09/2011, Conducted a detailed analysis of independent roles of age, sex, race/ethnicity, and socioeconomic status (SES) as predictors of anatomic sub site for all invasive colorectal cancer cases in California from 2001 -2008.
- Loma Linda University, Health Promotion, 04/2011, 06/2011, Planned and designed a program for increasing the awareness of the negative effects of hookah smoking among young Arabic Americans in Riverside, CA.
- Loma Linda University, Department of Epidemiology, 01/2011, 03/2011, Conducted a literature review for use in a grant proposal related to religion and BMI.
- Loma Linda University, Department of Epidemiology, 09/2009, 12/2009, Developed and administered a questionnaire to assess the health awareness relating to diabetes among Hispanics in San Bernardino County.
Timeline
Director of Health Informatics
San Dimas Community Hospital
02.2018 - Current
HIM Manager
San Dimas Community Hospital
08.2016 - 02.2018
HIM Supervisor
San Dimas Community Hospital
07.2014 - 08.2016
Prime Healthcare Management Inc
10.2013 - 07.2014
Clinical Documentation Specialist
Chino Valley Medical Center
02.2012 - 10.2013
Master of Public Health - Epidemiology
Loma Linda University
09.2009 - 03.2012
M.B.B.S. - undefined
J.S.S. Medical College
09.1993 - 03.2000
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