Experienced leader with over 20 years of tenure in healthcare. Twelve years of management experience in hospital settings. Extensive experience hiring, developing and managing staff.
Staff training and development
Relationship and team building
Staffing management ability
Coding edit review
Charge Master maintenance
Aged AR Analysis
Follow up collections
Payer regulations/billing requirements
COC - Certified Outpatient CoderAAPC - American Academy of Professional Coders2012Salt Lake City, Utah
Revenue Integrity Manager Kansas City, MissouriChildren's Mercy Hospital & Clinics/Apr 2014 to CurrentOversee daily department operations with staff of 12 coders. Department responsibilities include coding edit resolution to ensure timely and accurate claim filing. Charge capture and audit review to ensure accuracy of records with charging. Denial analysis and review to reduce all coding related denials. Charge Master maintenance to review and maintain current CPT codes correlating to department revenue. Coding resource and guidance for facility coding within Revenue Cycle and clinical areas.
Patient Financial Services Manager, Commercial Ins. & Specialized AR Kansas City, MissouriChildren's Mercy Hospital & Clinics/Feb 2000 to Apr 2014
Oversee daily operations in the commercial insurance collections/follow up area of Patient Financial Services with a staff of 15. Responsibilities include hiring, training and managing staff. Setting goals and ensuring production benchmarks were met. Ensuring timely claim submissions and reduction of AR balances. Facilitated monthly payer meetings to discuss payer denial trends or payment issues. Review of contractual agreements for transplant billing. Oversight of Medicare renal dialysis billing and liens/legal attorney/client billing.