Greater Chicago Area
Healthcare Leader developing and managing compliance expectations using a unique combination of health information management coupled with revenue cycle management experienced. As an experienced healthcare leader engaging in many aspects of healthcare management from auditing, coding, charge capture, and denial management from an inpatient and outpatient basis. My overall experience involves the full revenue cycle processes from identifying, analyzing and achieving positive results in day to day challenging operations. While serving as a consultant for clients, my goals are to provide clinical documentation and reimbursement processes for overall improvements. Specialties: Relationship and team building, staff training and development, provider education, revenue cycle processes, project management, strategic planning, denial management, EHR systems EPIC, CERNER, MEDITECH, 3M coding system, ICD-10 CM/PCS, CPT and HCPCS coding. Approved AHIMA ICD10 CM/PCS Trainer
•Educate Providers and non-clinical staff on clinical documentation • Identified and analyzed documentation for appropriate utilization • Review documentation for appropriate diagnosis and procedure assignment • Implement training to staff •Reduced accounts receivable by identifying trends and developing processes to improve reimbursement •Provide reporting for Leadership •Developed communication processes between management and clinical staff
Manager of Health Information Management; taking the medical record to the world of electronics • Develop and managed revenue expectations while decreasing expenses • Liaison for management, clinical staff, and the community to improve communications • Identified and implemented policies and procedures to improve revenue • ICD-10 implementation team • Developed and implemented an internal auditing program • Coordinate committees to improve processes throughout several departments • Established a Provider and non-clinical staff education program with emphasis on documentation and compliance • Coordinate processes to address compliance concerns • Implemented staff training and development • Ensures EHR system implementations • Managed and implemented processes to reduce PRE-AR from 38% to 8% • Developed and implemented processes for release of health information • Developed and implemented processes for patient registration • Launched committees to develop and maintain relationships with internal and external customers
• Maintained an internal review program • ICD-10 implementation team • Educate Providers and non-clinical staff on clinical documentation • Developed communication processes between management and clinical staff • Revised policies and procedures in accordance with compliance • Identified and analyzed documentation for appropriate utilization • Reduced accounts receivable by identifying trends and developing processes to improve reimbursement
While serving as a coder II for 120 bed hospital, duties includes: • Analyzed documentation for appropriate utilization of procedures for optima reimbursement. • Provided education to Clinical staff for appropriate utilization of procedures • Performed chart audits of emergency room encounters • Coded Inpatient, Outpatient, Emergency room, ancillary charts • Monitor trends for denial management Coder assistant duties include: • Assigned icd-9CM/ICD-9PCS and CPT-4 codes to inpatient and outpatient encounters • Assisted with release of information processes
• Develop and managed revenue expectations while reducing expenses • Credentialing of physicians • Implemented policies and procedures in accordance with compliance • Managed reimbursements by improving contracts. • Reduce the overall Accounts Receivable by implementing processing and training staff • Compiled weekly reports to the CFO and CEO on overall finance • Developed processes to improve appropriate ICD-9 and CPT-4 codes for encounters • Implemented staff training and development • Monitor trends for denial management