Brick, New Jersey, United States
25 years of varied healthcare experience including over 10 years of progressive healthcare management as well as over 10 years of consulting experience. Consulting responsibilities include: in depth knowledgeof CPT coding guidelines and the Centers for Medicare and Medicaid Services regulations, charge description master (CDM) reviews, chart to bill audits, charge capture reviews, operational analysis, denial projects and various other revenue cycle activities. Actively involved in Recovery Audit Contractor (RAC) engagements to assist hospitals in preparing for RAC. Specialties: CDM Reviews, CPT coding, RAC, charge capture assessments, chart to bill audits, managed care reviews
Developed a new Revenue Integrity Department to assist the Hospital in identifying missed revenue opportunites and protecting the current revenue stream. During the first year identified over $750,000 in new net revenue opportunites. Organized a new NJ HFMA committee, Revenue Integrity Committee, which focuses on identifying common billing, charging and coding issues within the industry and working collaboratively to develop soultions.
Directed Coding and Chargemaster product line activities including development of strategic goals, sales and marketing plan, budgeting and management of client engagements, management of client relationships and consulting staff
Performed various revenue cycle engagements such as chart audits, chargemaster reviews, managed care denial projects, APC education
AVP patient care services Union Hospital 1996-1998 Director Critical Care and Cardiovascular services 1995-1996 Director Applied Clinical Technology 1990-1995