Amy Preddy, MHA, MS, CPC
Director, Clinical Transformation at Lumeris- Claim this Profile
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Bio
Credentials
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Certified Professional Coder
AAPC -
Lean Six Sigma Green Belt
Lean Six Sigma Institute
Experience
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Lumeris
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United States
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Hospitals and Health Care
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700 & Above Employee
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Director, Clinical Transformation
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Feb 2021 - Present
🔸 Lead the Clinical Transformation program using Lean Six Sigma methodologies to evaluate people, process, and technology to provide recommendations for improving efficiency, improving stakeholder satisfaction, and reducing process waste; engage physicians, advanced practice providers, and care teams in improving their daily work to achieve high-quality, cost-effective care with satisfied patients 🔸 Lead project manager for development and adoption of technology (with automation) to reduce manual tasking for care teams; resulted in improved efficiency leading to stronger staff onboarding and retention metrics 🔸 Spearhead the development of Standard Work for daily operations, implementation of a dashboard for operational reporting, and compilation of Best Practice Recommendations for meeting quality measures 🔸 Develop Care Continuity delivery models to include processes for transitions of care within a clinically integrated network, i.e., from the Emergency Department into primary and specialty care clinics 🔸 Implement neighborhood networks to manage indirect patient care in a centralized manner 🔸 Create and implement staffing model framework to be used and scaled across programs 🔸 Lead multiple cross-functional committees and sub-committees including Utilization Management, Quality and Risk, and Operational Re-Design Show less
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WakeMed
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United States
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Hospitals and Health Care
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700 & Above Employee
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Director of Revenue Integrity
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Jul 2018 - Feb 2021
🔸 Promoted consistently over 8 year tenure as a result of identifying efficiencies, reducing loss, and optimizing processes to scale for better strategic business operations. Ultimately responsible for process and revenue improvement for an enterprise with a gross patient revenue of $500M.🔸 Oversaw teams that supported over 600 physicians, advanced practice providers, and staff as related to process improvement, charge capture, coding education, Epic education, and insurance credit balances🔸 Directly managed 20 multi-specialty professional billing coders, 5 Epic credentialed Educators, 4 Team Lead Patient Account Representatives working on pre-arrival processes, 2 Coding Educators for all providers and coders within the physician practices, 2 Financial Specialists for insurance credit balances, and 1 Financial Analyst🔸 Performed root-cause analysis and applied performance improvement principles to increase efficiency and reduce waste, resulted in a reduction in pre-AR days by 30% in under 3 months, a reduction in registration denials by 60% in 1 year, and defined strategies for maximum revenue capture🔸 Developed and maintained policies related to revenue cycle functions, and developed educational programs for providers, coders, Practice Managers, and care teams Show less
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Value Stream Manager/Project Specialist
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Oct 2016 - Jul 2018
🔸 Led enterprise-wide initiatives for process improvement throughout primary and specialty care physician practices in the areas of operations management and value stream management🔸 Worked closely with executive leadership to identify opportunities for improvement and developed solutions for implementation; significant focus areas included patient access, denial management, work list management, and identifying opportunities to increase revenue for the health system🔸 Monitored and evaluated value stream effectiveness, investigated trends, and recommended modifications to improve programs; analyzed and tracked metrics to assist with development of enterprise-wide value stream initiatives🔸 Led 8 process improvement events including PDSAs, 5S events, Kaizen events, and Ambulatory Flow workshops🔸 Assisted with onboarding new Practice Managers and served as a mentor to provide ongoing training opportunities Show less
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Senior Practice Manager
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Sep 2013 - Oct 2016
🔸 Responsible for the financial and operational management of 11 primary care and urgent care locations, including revenue cycle management and financial budgeting and analysis🔸 Developed and provided monthly reports for profit and loss, variance, productivity, and overall performance and strategized revenue cycle improvement with Service Line Director (analyzed new service/procedure profitability)🔸 Worked with Service Line Director to develop annual budget, including capital equipment requests🔸 Strategically assessed and addressed issues in workflow across multiple areas, including Epic EHR and IS team, disciplinary procedures, and program implementation🔸 Aided in successful application submission for level 3 PCMH recertification Show less
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Executive Director
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Oct 2011 - Aug 2013
🔸 Promoted as a result of strong operations expertise and leadership skills: oversaw practice management for a multi-specialty group practice consisting of 3 physicians, 2 Nurse Practitioners, and 2 Allied Health Professionals (specialties included Pediatrics, Internal Medicine, and Behavioral Health)🔸 Spearheaded revenue cycle management, including monitoring AR and developing workflows to improve AR processes (collections pre and post visit, improve registration accuracy, send clean claims)🔸 Developed scalable efficiencies through templates, workflows, and best practices, and provided Executive Board with weekly, monthly, and quarterly financial reports🔸 Provided comprehensive training to providers and staff on EHR systems and PQRS measures🔸 Assisted in the establishment of a high complexity laboratory Show less
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Client Services Coordinator
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Apr 2010 - Oct 2011
🔸 Promoted to this position in a company newly developed by the CEO of Phillip’s Pediatrics to direct operations for physician practices. 🔸 Revenue Cycle Management: Oversaw the entire revenue cycle including billing and collections for four accounts with a total of seven providers, responsible for follow-up of all claims until claim closure🔸 Assisted with the establishment of new physician practices🔸 Provided administrative assistance as defined by clients🔸 Established HIPAA and OSHA compliance programs Show less
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Phillip's Pediatrics
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Hinesville, GA
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Administrative Assistant
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Aug 2007 - Apr 2010
🔸 Provided administrative oversight for a pediatric clinic in a Health Professional Shortage Area (HPSA) 🔸 Developed protocol for well-child visits to ensure all components were performed per Medicaid guidelines 🔸 Ordered and tracked vaccines for private payors as well as VFC 🔸 Developed procedures to maintain VFC status 🔸 Implemented after-hours clinic to improve access 🔸 Ordered and tracked medical supply inventory 🔸 Maintained pediatric call schedule for all pediatrics covering at Liberty Regional Medical Center 🔸 Maintained employee files, managed time sheets, trained new employees 🔸 Established HIPAA and OSHA compliance programs 🔸 Prepared daily bank deposits 🔸 Created and managed scheduling templates 🔸 Prepared super-bills for submission to billing team by verifying correct HCPC and ICD-9 codes 🔸 Developed efficient and accurate registration processes 🔸 Developed efficient clinical workflows Show less
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Education
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2011 - 2013
Bellevue University
Masters of Healthcare Administration, Health/Health Care Administration/Management -
2002 - 2004
University of California,Pennsylvania
Master of Science - MS, Athletic Training -
2000 - 2002
Mount Union College
Bachelor of Science - BS, Athletic Training -
1998 - 2000
Heidelberg College
Bachelor of Science - BS, Athletic Training
Community
