Mary Jo Newland

RCM Coding Supervisor at Radiology Imaging Associates
  • Claim this Profile
Contact Information
us****@****om
(386) 825-5501
Location
US

Topline Score

Topline score feature will be out soon.

Bio

Generated by
Topline AI

You need to have a working account to view this content.
Join now
You need to have a working account to view this content.
Join now

Credentials

  • Radiology Certified Coder
    RADIOLOGY CODING CERTIFICATION BOARD
    Jan, 2004
    - Oct, 2024
  • Certified Professional Coder (CPC)
    AAPC
    Jan, 2000
    - Oct, 2024

Experience

  • Radiology Imaging Associates
    • United States
    • Medical Practice
    • 1 - 100 Employee
    • RCM Coding Supervisor
      • Mar 2019 - Present

      Working remotely in Arizona, train, manage, mentor, and motivate a team of six diagnostic and advanced interventional coders.• Establish short and long-term plans for the department and direct workflow to meet quality and production goals. • Analyze high-volume coding denial trends and implement processes to reduce or eliminate denials. • Collaborate with offshore team managers to assign work and ensure goals are met.• Provide opportunities for education and professional development to staff. • Partner with hospital and outpatient site leadership to troubleshoot and resolve problems. • Develop goals and performance objectives for staff and provide professional growth opportunities.• Monitor coding scorecard, including overall accuracy, RAC denials, and percentage of clean claims.• Establish and implement best practices and policies for coding operations.• Oversee adherence to regulatory requirements, laws, and internal policies. Show less

    • RCM Compliance Liaison
      • Aug 2016 - Mar 2019

      Working remotely, oversaw quality assurance for documentation requirements, coding, and compliance.• Coordinated internal quality audits and partnered with third-party companies to execute external audits; made recommendations to leadership team based on results.• Collaborated with the director of compliance to identify and create action plans for areas of concern. • Established processes and related training to ensure quality and compliance. • Suggested changes to radiologists regarding documentation requirements for dictated radiology reports. • Managed high-level coding inquiries and issues.• Prepared contracts for group billing accounts. Show less

    • RCM Billing Manager
      • Mar 2004 - Jul 2016

      Managed office operations and the billing team of up to 70 employees supporting over 70 radiologists. Directed coding, charge capture, payment and refunds, customer service, support services, accounts receivable, and appeals. • Collaborated on the transition of coding from a manual system to Optum electronic coding software, greatly improving efficiency, accuracy, and confidentiality.• Represented the RCM department as a member of the Banner Project Team to bring on new Banner Health sites. • Key player in RIA’s expansion into Nebraska, including researching laws and regulations, understanding the target market, and process development to ensure a seamless transition of billing activities.• Partnered with the Director of Billing to achieve $700K in savings for collection costs through process improvements and improving efficiency of workflows. • Analyzed full revenue cycle to ensure timely and accurate payment of claims. • Managed workflow and task prioritization to ensure that daily, weekly, and monthly billing goals were met. • Liaised between billing department and providers to answer questions and resolve issues related to billing and coding.• Prepared for roll out of ICD-10 codes through using the Optum coding solution to increase accuracy and productivity.• Partnered with the director of billing to automate billing system interfaces and implement new business ventures. • Collaborated cross-functionally to streamline billing and collections processes and drive process improvements.• Managed employee hiring, scheduling, supervision, performance evaluations, and promotions.• Monitored key performance indicators (KPIs) to ensure successful coding, claims submission, and reconciliation. • Oversaw regulatory compliance with Federal, State, and payer regulations and requirements.• Ensured adherence to department budgetary goals. Show less

    • Supervisor, Charge Entry and Coding
      • Jan 1999 - Mar 2004

      Trained, supervised, and led a team of 15 in charge entry and daily coding activities to meet critical goals. • Maintained communication with radiologists to ensure thoroughness, accuracy, and compliance of dictation. • Assisted team with data entry and coding to meet critical goals.

  • Precedent Health Management, LLC
    • Accounts Receivable Supervisor
      • Oct 1997 - Dec 1998

      Oversaw day-to-day operations for the accounts receivable department supporting 44 physicians in a high-growth Management Services Organization (MSO). • Managed and set performance goals for 16 employees across A/R, customer service, and claims coordinators. • Oversaw claims billing to HMO, PPO, Workers Compensation, auto, and commercial payers. • Liaised between the physician office staff and the MSO to facilitate efficient and accurate billing and quickly resolve issues and concerns. Show less

Education

  • Junipero Serra High School
    High School Diploma

Community

You need to have a working account to view this content. Click here to join now