Principal - Eagle River, WI

EXPERIENCE DEPTH CERTIFICATIONS EXPERTISE

 12 years clinical practice  Epic Resolute Hospital Billing  Software implementation, training
 20+ years experience as healthcare Expected Reimbursement & support – Epic Resolute HB &
IT analyst & consultant; clinical, Contracts v2012, 2014, 2015, PB, Clarity, Ascent®, Payment
financial, decision support and 2017, 2018. 2019 Integrity Compass®, JDA eHealth
process healthcare consultant.  Epic Clarity Data Model Parathon, NTT Optimum
 Currently specializing in selection, Resolute Hospital Billing
implementation & support of Payor v2014, 2015, 2017, 2018, 2019  Data Mining – Crystal Reports,
contract Management Systems.  Epic Clarity Data Model Epic Clarity, UNIX, SQL, MS
Resolute Professional Billing Access. MS Word, MS Excel &
v2014, 2015, 2017, 2018, 2019 proprietary report writers.

CAREER OBJECTIVE
Support healthcare organizations implementation and maintenance of revenue cycle software through project
management and technical expertise.

PROFESSIONAL HISTORY
Bloom Road Consulting Group LLC (BRC) 2001 – Present
Principal & Managing Analyst (Specializing in Payor Contract Management)
Provide remote & onsite payor contract management consulting services to hospitals and clinics across the United States
 Manage small consulting firm; marketing, proposals, projects and accounting.
 Lead teams of technical analysts practicing SCRUM principles.
 Provide remote and onsite healthcare consulting and contracting services: business process
improvement, system implementation, customized training, report writing
 Assist hospitals to maximize their implementation of information systems with a focus on payer
contracting and revenue cycle data mining
 Translate managed care contracts into software business rules for expected reimbursement
calculation.
 Develop and maintain reports for patient clinical and financial reports for single or multiple facilities
with annual revenues from $5M to $4B
 Provided over 100 hospitals and healthcare providers with tools and expertise to improve their use of
software to improve how people use technology for healthcare providers to receive correct
reimbursement
 Trained over 100 individuals in system implementation and report writing
 Maintain website and blog with technical and industry topics. http://www.bloomroad.com

Engagements by Software: Epic Business Consultant and Contract Analyst

 2/2019 -4/2019 Trinity Health – Livonia, MI
o Project Testing Lead
o Epic HB Contracts –Complex commercial interpret written agreements
o Set up components, extensions, component groups, fee schedules
o Test contract results
o Modify Reporting Workbench reports for account research
o Set up tracking documents in Excel for testing

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  1/2013-8/2019 Dayton Children’s Hospital, Dayton OH
o Epic Resolute Hospital Billing (HB)/Professional Billing (PB) Expected Reimbursement
Contracts:
 Coordinate contract build issues
 Build components, extensions & fee schedules for Hospital Billing & Professional
Billing commercial & Medicaid contracts.
 Register patients, drop claims in HB & PB. Troubleshoot errors in work queues. Test
contract calculations
 Set up Reporting Workbench reports for team use
o Epic Clarity Data Model - Resolute Hospital and Professional Billing:
 Write Clarity reports for HB & PB Resolute with focus on Expected Reimbursement
contracts and Claims
 Set up graphs and pivot tables in Excel for data analysis and presentation.

 8/2018-6/2019 Brookdale University Hospital Medical Center, East Brooklyn. NY

o Epic Resolute Hospital Billing (HB) Expected Reimbursement Contracts:
 Design Epic contract build based on gathered contract documents
 Build components, extensions & fee schedules for Commercial & Medicaid
contracts.
 Test build, move to production environment with Data Courier.
 Build Clarity reports for contract analysis and revenue recovery
 Coordinate Managed Care/IT meetings and payor contract build issues
 Contract Modeling for contract payor compliance and negotiation support
o Epic HB Clarity
 Build Clarity reports for Huron revenue cycle extracts
 Use Clarity for account research and payment variance analysis
 Designed and created pivot tables in Excel for payor data analysis
 Extracted data with Excel from Epic Caboodle Cubes
 Taught team members how to set up Excel pivot tables

 1/2018-3/2018 Hospital Sisters Health System

o HB Expected Reimbursement Contracts. Build and Test
 Regulatory Medicare, Workers Comp, Tricare
 Commercial Contracts
 Set up Reporting Workbench reports for team use in payment validation
 Set up tracking documents in Excel utilizing vlookups and pivot tables

 10/2016-12/2017 Memorial University Medical Center, Savannah GA

o HB Expected Reimbursement Contracts:
 Regulatory Medicare, Workers Comp, Tricare
 Commercial Contracts
 Set up Reporting Workbench reports for team use in payment validation
o Payor Contract Modeling for negotiation support
 Designed and created pivot tables in Excel to facilitate model analysis

 1/2016-4/2016 Stanford Healthcare

o Clarity Report Writer: Developed Epic Clarity reports using SQL, Crystal Reports® and
Business Objects WebI
o Extracted data then manipulated in Excel for analysis and end user use.

 2/2015-6/2015 St Luke’s Medical Center, Houston TX

o End User Training

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Payment Integrity Compass® (Concuity) – Consulting engagements specializing in complex contracts
 2017 Professional Billing proprietary clients
 2007-2009 Providence Health and Services, Renton WA
 2015 St Luke’s Medical Center, Houston TX
o Onsite End User Training
 2012–2017 Various proprietary clients:
o Troubleshoot interfaces between host systems i.e. Epic and PIC
o Regulatory Institutional and Professional Contracts.
 Build & validate Medicare and Tricare
 Quarterly Maintenance
o Commercial Institutional and Professional Contracts.
 Implementation
 Maintenance
 Interpretation, Build and Validate
 Modeling for Contract Negotiations
 Utilized Excel for variance analysis with vlookups and pivot tables
Parathon – SQL & Crystal Reports
 2010-2014 JDA eHealth, Naperville IL – Contract Position
o Review databases, create Crystal Reports, SQL Reports
o Troubleshoot interfaces and extracts to population JDA database
GE Centricity CPM - Crystal Reports
 2009-2015 East Texas Medical Center, Tyler TX
o Extracted data into Excel pivot tables
NTT Optimum – Contract Management
 2010-2016 NorthBay Medical Center, Fairfield CA

Engagements by Software: Ascent

Ascent: Managing Consultant for BRC engagements

 Payor Contract Management Software technical support
 Multiple (hundreds of) custom reports using Crystal Reports, 5r, SQL and Excel
 Provided remote and onsite consulting for clients to implement and optimize their use of payor
contract management and denials management software. Negotiated, managed and executed the client
engagement.
o 2005-2017 Children’s Medical Center Dayton, OH
o 2001-2016 Methodist LeBonheur Healthcare, Memphis TN
o 2013-2015 Orlando Health, FL
o 2004-2015 NorthBay Medical Center, Fairfield CA:
o 2006-2014 El Camino Hospital, Mountain View, CA
o 2011-2014 University of Arkansas for Medical Sciences, Little Rock, AR
o 2011-2014 Catholic Health West/Dignity Health
o 2011-2013 Thomson Reuters Healthcare, Truven Health
o 2004-2009 Providence Health and Services, Renton WA
o 2003-2007 Sentara Healthcare, Norfolk VA
o 2006 White River Medical Center, Batesville, AR
o 2006 Halifax Health, Daytona Beach FL
o 2005-2006 Seton Healthcare, Austin, TX
o 2001-2005 Health Management Associates, Naples, FL

Jodi R Bloom Professional Resume Page 3

Triad Hospitals and Quorum Health Group, Brentwood TN 2000 – 2002
Sr. Decision Support Analyst
Served as a Decision support analyst for Quorum Health Group’s 23 for-profit hospitals in United
States
 Technical implementation coordinator of the Ascent® Contract Management System in 17
hospitals
 Programmed contracts into system, developed reports, backups, and monitored interfaces
from HBOC Star, Meditech, CPSI, Quadramed Affinity, PSSI, First Coast
 Wrote or modified customized log.
 Evaluated and filled executive, management, and end-user requests for custom reports
including variance reports for Commercial, Medicare and Managed Care accounts
 Developed curricula and trained users at hospitals and corporate offices

Saint Thomas Health Services, Nashville TN 1998 – 2000

Applications Analyst
Served as Implementation Project Manager for Ascent® Contract Management & Quality Management
Systems
 Established processes for contract modeling, returned contractual allowances, and Utilization
Review
 Produced clinical and financial reports with Crystal Reports. Developed audits for data
reliability, and supported end users and operational leaders
Superior Health and Proactive Care 1996 – 1998
Provider Relations coordinator
Served as Case Manager for health plan
 Performed medical necessity review and catastrophic medical case management for health
plan
 Coordinated selection and implementation of claims adjudication and case management
software. Developed Access and Crystal Reports
 Established processes for provider relations, fee schedule development, and credentialing for
a startup Preferred Provider Organization

Howard Young Medical Center, Woodruff WI 1993 – 1996

Clinical Information Analyst
Served as analyst
 Implemented Order Entry software for Patient Care Areas in the hospital
 Chaired the compliance task force to prepare successfully for JCAHO accreditation
 Coordinated search and selection for new hospital information system for multiple facility
functionality

Hospitals & Clinics, Northern WI and IL 1993 – 1996

Registered Nurse
Served as RN in clinical areas of OB, ER, ICU, Home, Health & Physician’s office
 Specialized in Labor and delivery, Patient Education, Policy & Procedure Development
o Eagle River Memorial Hospital, Eagle River, WI 1982-1986, 1988
o Mercy Hospital, Urbana, Ill 1987-1988
o Howard Young Medical Center, Woodruff, WI 1988-1993
o Vilas County Home Health, Eagle River, WI 1986-1987
o North Twin Medical Associates, Eagle River, WI 1986
Jodi R Bloom Professional Resume Page 4
FORMAL EDUCATION

North Central Technical Institute, Wausau WI

 A.D.N. Associate Degree in Nursing 1981
University of Wisconsin, Green Bay WI
 B.S.N. Bachelor of Science in Nursing 1998
Regis University, Denver CO
 M.B.A. Master in Business Administration in Healthcare Management 2005 GPA 3.97

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