Consultant

• Nov 2016 - Present

Complete revenue cycle assessments reviewing current operations and conducting key interviews to identify opportunities for improvement. Perform comprehensive assessments of charge capture and reconciliation processes to ensure all services provided are charged. Serve as an advisor to hospitals seeking Revenue Cycle insight and guidance. Conduct audits to assess accuracy and completeness of bills, timely follow-up of AR and actions taken to resolve internal edits. Conduct Charge Description Master audits with a deliverable of updates needed to ensure accurate and compliant charges. Cerner Revenue Integrity Conversion Support advisor to support current state charges/charge capture and future state Cerner conversion. Assist the organization in navigating their Cerner functionality and operational processes to provide revenue cycle and revenue integrity best practice recommendations during the organization’s Cerner conversion. Show less

• Aug 2016 - Nov 2016

Manage cancer patient databases, recording information that may be used to help detect cancer earlier, improve treatments and increase survival rates. Examine medical and pathology records to determine patient eligibility for the cancer registry. Abstract medical records by translating the medical terminology into standardized codes that record the patient's diagnosis and treatment information. Compile and report data regarding patient treatment. Registry patient follow up to track progress and survivorship. Show less

• Jun 2005 - Aug 2016

Coordinate charging and CPT coding for new hospital services, procedures and programs. Maintains hospital CDM with quarterly and yearly updates implemented, including leading meetings and communicating all changes to the departments affected. Perform annual review and meets with Department managers regarding their coding, reimbursement and productivity. Complete Fiscal Year re-pricing analysis updating according to cost and/or reimbursement information as the charge methodology. Serve as an analyst to hospital departments regarding coding, reimbursement and denials, including auditing records for accuracy of charging. Show less

• Aug 1998 - Jun 2005

Lead Outpatient coder during APC implementation responsible for many service areas, including, Emergency Department, GI Lab, Outpatient Surgery and Special Procedures. Participated in process improvement teams. Responsible for denial management for the Outpatient Coding department.

• Feb 1997 - Aug 1998

Order Entry, Scribe and Medical Record Maintenance