OBJECTIVES
Seeking a position with a growing organization to make a positive impact on revenues and experience long term career growth within the Health Care Industry as an Administrator, Manager of Patient Access/Coding and Billing department.
EDUCATION
Colorado Technical University
February 2010 MBA in Healthcare Management
EXPERIENCE
Chicago Heart and Vascular 2525 S Michigan Ave
Registration/Billing Manager January 2012 – August 2014
• Oversee Cardiology Practice Registrars/Coders/Billers/AR representatives and Payment Posters.
•Maintain the daily functions of daily/month end billing, registration, insurance verification, co-payments.
•Update physicians on financials of CHVC.
•Review daily charge reports for missing charges, duplicate entries, failed/suspended entries and/or missing entries. Review medical records when necessary to update charge record accordingly.
•Maintain referrals/pre-certifications for cardiac procedures.
Northwestern Memorial Physicians Group 680 North Lake Shore Drive
Registration/Charge Entry Manager October 2010 – May 2012
•Manage staff of 8- 10; direct responsibilities include: interviewing, hiring, training, progressive discipline, dismissals, performance appraisals, and employee relations.
•Oversee the charge activity of 15 plus medical offices and inpatient hospital services.
•Develop policies and procedures as needed to support charge services.
•Ensure staff has access to necessary policies, procedures, training and other resources necessary to complete their responsibilities, and that policies and procedures are updated as necessary.
•Review daily charge reports for missing charges, duplicate entries, failed/suspended entries and/or missing entries. Review medical records when necessary to update charge record accordingly.
St. James Hospital and Health Center 1430 Chicago Road
Code Based Reimbursement Analyst November 2008 – October 2010
•Conduct audits of physician charts to compare with billing.
•Review and audit the APC/LMRP rejection reports to make sure that correct CPT/HCPCS codes are captured as well as modifier usage and diagnosis coding.
•Document billing and coding error trends; educate staff and physicians on how to properly apply CPT/ICD-9 codes to patient accounts.
•Hold bi-weekly meeting with Charge Auditor Nurses to provide coding resources and updates.
On Target Staffing 1000 Butterfield Road
(Temp Business Associate) February 2008 – August 2008
•Audited charts in Radiation Oncology to make sure charges were captured.
•Entered in missing CPT/ICD-9 codes after audit review.
•Informed Finance of any major discrepancies during charge capture in billing.
•Assisted in the validation process of patient’s accounts, performed Insurance verification and performed other duties as required or assigned.
Springfield Service Corporation 8030 West 76th Street
(Temp Coder II) February 2007 – December 2007
•Assigned CPT and ICD-9 codes to Radiology Reports.
•Corrected CPT codes that have not been documented properly documented during the billing process.
•Compared charges on accounts with the procedures coded and identify any discrepancies.
•Reviewed all accounts returned for medical necessity diagnoses issues and multiple procedures to validate the clinical significance for modifier application.
Watermark Physician Service 7000 West Cermak Road
(Temp Coder II) March 2006 – January 2007
•Assigned ICD-9 code numbers to each diagnosis and procedure documented in the patient’s medical record.
•Compared charges on accounts with the procedures coded and identified any discrepancies.
•Reviewed and identified any Local Medicare Review Policy (LMRP) issues with outpatient accounts and rectified these issues.
•Reviewed all accounts returned for medical necessity diagnoses issues and multiple procedures to validate the clinical significance for modifier application and aided physicians in the completion of their records.
Northwestern Memorial Hospital 500 East Ontario
Revenue Analyst October 2004 – October 2005
•Reviewed system generated CCI Edits, APC and LMRP reports to correct and/or complete inaccurate or missing data on a timely basis. This included obtaining documentation, reviewing and coding the service, assigning accurate and appropriate ICD-9 codes, CPT and Modifiers.
•Produced informational reports for management identifying corrections to any area within the department for the specific clini...
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