Bradley C. Adams, CPA
Collaborated with Medical Director to reduce Reference Lab expenses between $1 and $2 million annually through a combination of contract negotiations, vendor consolidation, and utilization management.
During a clinic audit, identified approximately $588,000 in unbilled charges that would have resulted in $300,000 of reimbursement.
Redesigned the process to map collections from the patient billing system to the general ledger reducing monthly errors and exceptions from approximately $250,000 to $12,000.
Published two articles in Journal of Accountancy, North America’s oldest and most-read accounting journal.
Passed all four sections of the CPA Exam in a single sitting on my first attempt
Routinely complete analysis of large data sets from disparate platforms and information systems using Excel and Microsoft SQL Server.
Experience designing and managing the development of database driven web applications.
Perform information security risk assessments, evaluate controls, and provide recommendations.
University of Tennessee, Knoxville, TN - Master of Accountancy, 2000. Concentration in information systems.
Tennessee Technological University, Cookeville, TN - Bachelor of Science in Business Administration, Cum Laude, 1998. Major in accounting.
Certified Public Accountant, State of Tennessee (license number 18586).
Healthcare Financial Management Association: Helen M. Yerger Special Recognition Award for Improvement (2012).
HFMA Tennessee Chapter President’s Award for Service (2012, 2013, and 2014).
Vanderbilt University Medical Center, Nashville TN (2001-Current)
Academic medical center consisting schools of medicine and nursing, four hospitals with 1,019 licensed beds, 1.8 million outpatient visits at multiple clinics, and research activities with over $472 million in in sponsored research.
Business Intelligence Developer, Diagnostic Labs (2013 - Current)
The Diagnostic Labs provide transfusion services and all anatomic, clinical, molecular, and genetic testing for Vanderbilt University Medical Center and several other community hospitals, long-term care facilities, and clinics. Providing 24-hour coverage requires approximately 350 FTEs and an operating budget of $70 million.
- Develop and maintain a database consolidating information from multiple systems (e.g., patient accounting, laboratory, accounts payment) used to develop and provide utilization reports and additional ad-hoc analysis.
- Managed timeline, assignments, and milestones for laboratory operations leading to the successful implementation of new Laboratory Information System (Cerner).
Senior Auditor, Internal Audit and Institutional Risk Management (2008 - 2013)
Worked as part of a team of six to plan and complete all audits and investigations related to the Medical Center. Areas audited include: Change Management, Chemotherapy Pharmacy and Infusion, Reference Labs, Bad Debt and Charity Care Write-offs, Claims, Denials, and Controlled Substances in Research.
- Identified critical flaw in the patient billing system that was automatically sending the current portion of patients’ account balance to collection agencies if any dollar amount exceeded a set aging criteria.
- Identified an estimated $196 thousand in lost reimbursement from a third party had contract terms been properly monitored and enforced.
- Designed a co-payment analysis methodology, which revealed that 31 percent of co-payments were not collected at the point of service totaling approximately $3 million annually.
- Designed and programmed a database system to track and report institutional risk management to senior executives and the board of trust.
Administrative Office, Division of Hematology and Oncology (2007 - 2008)
The Division is home to over 50 faculty and 70 staff engaged in patient care, basic science research, clinical trials, and teaching with an annual operating budget of approximately $30 million. I led a team of six direct reports responsible for administration, finance, human resources, and information technology.
- Developed a methodology to proactively identify effort changes to federal awards thus reducing the number of cost transfers each year and improving compliance with institutional and federal guidelines.
- Aligned job classification and compensation of administrative positions with actual job responsibilities and revised the organizational structure to establish clear reporting relationships.
Senior Financial Analyst, Vanderbilt Medical Group - Revenue Cycle (2004 - 2007)
Served as the primary analyst for the director of physician revenue and coding. Founded and led VMG Application Development team that develops database driven web applications using ASP.net and SQL Server.
- Oversaw the preparation and submission of the annual operation budget of approximately $20 million.
- Prepared routine and special reports for presentation to senior management focusing on budgets, growth, and financial results and forecasts.
- Redesigned the process to prepare monthly revenue cycle financial reports that decreased hands-on preparation time from approximately 140 hours per month to less than 4 hours per month.
- Identified the flaw in the interface between the patient billing system and general ledger which had prevented the two systems from balancing for over five years.
- Developed a collections forecast methodology to predict monthly cash flow based on average collection rates for each day of the week.
Senior Accountant, Department of Finance (2001 - 2004)
Assisted departments in the school of medicine with annual budget preparation totaling approximately $350 million, accounted for internal program development commitments with annual spending of approximately $25 million, reviewed capital purchase requisitions, and prepared various financial statements and reports.
- Provided departments with an additional 8 days to prepare their budgets by automating the budget template preparation process. Additionally, reduced the time required to consolidate budget templates for senior management reports from one day to one hour.
- Developed a database to store all new faculty commitment letters as well as track and report on the total dollars committed, budgeted, and spent.
Early Career History (1999 - 2001)
- Consultant - Catholic Charities of Tennessee (Through LBMC Staffing Services)
- Accountant - Kruse & Associates, LLP (Acquired by Crowe-Horwath, LLP)
- Intern - Deloitte & Touche, LLP
Adams, B. “Discover the Power of Excel 2007.” Journal of Accountancy 205.2 (2008): 60-66. Download Article
Rand, R., and B. Adams. “E-Commerce: Competencies for the Next Millennium.” New Accountant 15.1 (1999): 26-29. Download Article
Rand, R., and B. Adams. “CPA WebTrust: High-Tech Assurance, Frontier Opportunity.” New Accountant 14.3 (1999): 10-13 Download Article
Galbreath, S., B. Adams, and J. Booker. “Sharpen Your Spreadsheet Skills.” Journal of Accountancy 186.4 (1998): 39-49. Download Article
- "Confessions of an Internal Auditor: IT Edition," HFMA Tri-State Institute, Tunica, MS, January 2015. View on SlideShare
- "The Art of Requesting Data and Other Strategies for Healthcare Reporting," South Carolina HFMA Fall Institute, Charleston, SC, October 2014. View on SlideShare
- "Confessions of an Internal Auditor," Florida HFMA Fall Institute, Delray Beach, FL, September 2014. View on SlideShare
- “Using Blogs to Manage Your Chapter Newsletter,”
- HFMA National Leadership Training Conference, National Harbor, MD, April 2014. View on SlideShare
- HFMA National Leadership Training Conference, Anaheim, CA, April 2013. Download Presentation
- “Database Essentials for Healthcare Financial Professionals,” Tennessee HFMA Fall Institute, Gatlinburg, TN October 2014. View on SlideShare
- “What Can Internal Audit Do for You?” Download Presentation
- HFMA Tri-State Winter Institute, Tunica, MS, January 2013.
- Kentucky HFMA Fall Institute, Lexington, KY, October 2012.
- HFMA Region 5 Dixie Institute, Greensboro, GA, February 2012.
- “Meaningful Use Audit Preparedness” Tennessee HFMA Fall Institute, Gatlinburg, TN, October 2012. Download Presentation
- “Executive Education at Chapter Institutes,” HFMA Leadership Training Conference, Fort Lauderdale, FL, April 2012. Download Presentation
- “eXtensible Markup Language and XFRML,” Beta Alpha Psi Southeast Regional Meeting, Atlanta, GA, March 2000 (please note XFRML has been renamed to XBRL).
- “E-Commerce: Changing the Scope of Audit Education,” American Accounting Association Western Regional Meeting, Costa Mesa, CA, April 1999, Invited Panelist.
- “Accountants for the United Way,” Beta Alpha Psi National Meeting, New Orleans, LA, August 14, 1998.
- “CPA WebTrustSM,” Beta Alpha Psi Southeast Regional Meeting, Nashville, TN April 1998 with Richard Rand.
- “Kiss the Pig and Other Fund Raising Ideas,” Beta Alpha Psi Southeast Regional Meeting, Nashville, TN, April 1998.
ACADEMIC TEACHING EXPERIENCE
Lipscomb University, Nashville, TN (2008 - 2012)
Taught accounting information systems at both the undergraduate and graduate levels. Developed online course content which requires no campus presence for students.
Belmont University, Nashville, TN (2005 - 2007)
Taught principles of accounting at the undergraduate level and accounting information systems at the graduate level.
Nashville State Community College, Nashville, TN (2004 - 2005)
Taught principles of accounting and microcomputer accounting applications.
Healthcare Financial Management Association (HFMA)
- Chair, Website Committee (2012 - Current)
- Director, Voting (2011 - Current)
- Chair, Website (2011 - 2015)
- Chair, Newsletter (2015 -Current)
- Chair, Communications for 2016 Region 5 Dixie Institute
- Co-Chair, Spring Institute Committee (2013)
- Member, Fall Institute Committee (2011, 2012, 2013, 2014)
- Member, Spring Institute Committee (2012, 2014)
- Member, Tri-State Winter Institute Committee (2013 - 2015)
- Member, Newsletter Committee (2011 - 2014)
- Member, Website Committee (2010 - 2011)
Nashville State Community College
- Member, Accounting Curriculum Advisory Committee (2004 - Current)
School for Science and Math at Vanderbilt
- Guest Lecturer, 11th Grade (2011 - Current)
- Microsoft Windows
- OS X (Mac)
- Microsoft Office (Word, Excel, PowerPoint, Access, Outlook)
- Microsoft Visio
- Microsoft MapPoint
- Business Objects
- Adobe Photoshop
- Adobe Dreamweaver
- Visual Basic for Applications (VBA)
- HyperText Markup Language (HTML)
- Structured Query Language (SQL)
- Microsoft SQL Server including Reporting Services and Integration Services