Principal - Eagle River, WI

EXPERIENCE DEPTH CERTIFICATIONS EXPERTISE

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

Jodi R Bloom Professional Resume Page 1

  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

Jodi R Bloom Professional Resume Page 2

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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