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Skills

  • Proofreading
  • Interdepartmental communication
  • Charge capture accuracy improvement
  • Processing medical claims
  • Charge ticket review
  • Charge reconciliation processes
  • Database management
  • Charge lag time reduction
  • Professional and mature
  • Process equipment

Work Experiences

  • Considerably reduced liabilities.
  • Achieved 30% better compliance.
  • Collaborated with the revenue cycle team to review rejected claims, reducing claim rejections by adjusting incorrect charge codes.
  • Collaborated with technology vendors to troubleshoot charge capture software issues, improving system efficiency and reducing downtime by 52%.
  • Aligned with financial goals.
  • Collaborated with technology vendors.
  • Assisted in the implementation of an electronic charge routing tool.
  • Conducted quarterly audits on Salesforce charge capture processes.
  • Contributed to a 12-member team.
  • Was in charge of document management, which included organizing forms, photocopying, filing records, preparing correspondence, and creating reports.

Summaries

  • Aligned services billed with clinical documentation accuracy.
  • Analytical professional with strong Excel reporting and data analysis skills, routinely delivering actionable insights to leadership to help optimize revenue and prevent charge leakage.
  • Charge Capture Specialist is a multi-talented Charge Capture Specialist who is consistently rewarded for planning and operational improvements.
  • Charge Capture Specialist is a meticulous procedure data entry specialist with 17 years of experience.
  • Systematic when it comes to entering precise data to aid category operations.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Charge Capture Specialist focused on optimizing workflows and training practices, having developed a comprehensive training program that cut training errors by 70%.
  • Charge Capture Specialist with 17 years of successful quality assurance and budget management experience.
  • Addressing and resolving data problems to complete uploads in a well-coordinated and detail-oriented manner.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.

Accomplishments

  • Reduced account touched rate by 51% for high-dollar encounters by creating a more streamlined charge capture process.
  • Developed a monthly reconciliation process between clinical services and billing systems, identifying and correcting missed charges totaling over $$155,000.
  • Designed and enforced standardized charge workflows that reduced denials and underpayments by 17% across multiple sites.
  • Created reporting dashboards for charge processing time and errors, reducing charge submission errors by 25% through regular monitoring and interventions.
  • Formulated action plans for complex patient encounters, ensuring charge capture for procedures exceeded compliance targets by 23% in 2019.
  • Collaborated closely with revenue cycle management teams, reducing the discrepancy rate between charge capture and billing to under 15% over three years.
  • Developed and implemented staff training programs that enhanced charge accuracy, yielding a 46% improvement in first pass rates.
  • Assisted in post-implementation adoption of program, contributing to a 23% increase in departmental efficiency.
  • Trained clinical staff to input charges directly into procedure, leading to a 35% reduction in billing inaccuracies.
  • Documented and resolved category which led to method.

Affiliations

  • Medical Revenue Cycle Audit Taskforce Raleigh
  • International Health Terminology Standards Development Organization (IHTSDO)
  • Healthcare Compliance Association (HCCA)
  • American Association of Healthcare Administrative Management (AAHAM)
  • Rotary International
  • Association of Information Technology Professionals
  • Jaycees
  • National Association for Healthcare Revenue Integrity (NAHRI)
  • National Association of Medical Staff Services (NAMSS)
  • Association for Computing Machinery

Certifications

  • Certified Public Accountant (CPA)
  • Project Management Professional (PMP)
  • Certified Fraud Examiner (CFE) - 2024
  • Certified Coding Specialist (CCS) – Vantage
  • Certified Revenue Cycle Specialist (CRCS) Cedar Works
  • Apple Certified Associate (ACA)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Professional Coder (CPC)
  • ICD-10-CM Proficiency Certificate - AHIMA
  • Billing and Coding Fundamentals - Cedar Works

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