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Skills

  • Process improvement
  • Team management
  • Team building
  • Cashflow improvement strategies
  • Compliance audits
  • Billing error resolution
  • Invoice coding familiarity
  • Data analysis for revenue optimization
  • Account reconciliation processes
  • Budgets

Work Experiences

  • Achieved a $9 improvement in cash flow.
  • Collaborated with IT to develop reporting tools.
  • Monthly expense variances and explanations were collected and reported.
  • Co-created a revenue reconciliation process with the finance team, reducing discrepancies by 29% from 2016 to 2019.
  • Delivered denials reports to senior management.
  • Collaborated with the finance team.
  • Completed a comprehensive review of billing codes.
  • Created and enforced policies for charge capture procedures.
  • Achieved potential savings of $9.
  • Collaborated with the coding team to ensure compliant billing protocols that led to Asana passing all external audits without discrepancies for 6 years.

Summaries

  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • All expenses are meticulously tracked, and accounts are reconciled on a regular basis.
  • Revenue Integrity Specialist with over 10 years of experience managing accounting systems for initiative organizations.
  • Proficient at gAAP, ledger updates, and report writing.
  • Detail-oriented with a broad understanding of cash and record management, as well as comprehensive account reconciliations.
  • Achieved results in 16 months.
  • Achieved a 28% decrease in denials.
  • Achieved operational excellence.
  • Makes a positive impact on business operations by leveraging field expertise, resourcefulness, and diligence.
  • Achieved operational excellence by developing a charge entry policy that eliminated discrepancies and boosted revenue capture by $8 annually.

Accomplishments

  • Presented data-driven insights to senior leadership leading to a 22% improvement in charge lag reduction over 13 months.
  • Managed root cause analysis for revenue variances, successfully mitigating key financial inconsistencies within a 17-month period.
  • Orchestrated the implementation of a new revenue cycle system across multiple departments, boosting net revenue by $16 after optimization.
  • Engaged in multi-departmental initiatives to decrease days in accounts receivable by 10 days through efficient billing practices.
  • Reduced claim rejection rates by 49% through the introduction of proactive error detection and corrected coding protocols.
  • Collaborated closely with coding and billing teams to implement an audit-proof billing protocol, ensuring regulatory compliance for 11 consecutive years.
  • Worked closely with payer contracting team, which yielded a renegotiation of reimbursement rates, expected to improve revenue by $11 annually.
  • Collaborated with team of 10 in the development of initiative.
  • Analyzed and renegotiated vendor contracts after identifying pricing discrepancies, delivering an annual savings of $13 for the department.
  • Led the update of payer contracts database for enhanced reimbursement tracking, resulting in improved cash flow and potential underpayment recovery of $5.

Affiliations

  • Clinical Coding Compliance and Integrity Association
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • National Healthcare Coder and Biller Network
  • Healthcare Business Management Association (HBMA)
  • Society of Women Engineers
  • Association for Healthcare Revenue Integrity (ARI) Forum Membership
  • Financial Management Association (FMA)
  • Healthcare Financial Management Association (HFMA)
  • American Society of Safety Professionals
  • International Council of Nurses

Certifications

  • Managed Care Revenue Analyst Certification - system
  • Certified Coding Specialist (CCS) - AHIMA
  • Certified Professional Coder (CPC) - AAPC
  • Compliance Certification Board (CCB): Certified in Healthcare Compliance (CHC) Dynamics
  • Healthcare Reimbursement Certification (HRC) - process
  • Revenue Cycle Representative Certification (CRC) - category
  • Registered Health Information Technician (RHIT) - AHIMA
  • ICD-10-CM/PCS Trainer Certification - program
  • SHRM Certified Professional (SHRM-CP)
  • Advanced Coding Specialist (ACS) - metric

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