Dynamic revenue integrity manager with extensive experience specializing in cardiology and interventional radiology coding. Proven track record in optimizing charge capture workflows and building strong relationships with clinical teams. Adept at identifying revenue leakage and implementing effective solutions to enhance revenue reliability and accuracy.
Manage a professional team to monitor, review, plan, implement and report various revenue management strategies to ensure accurate and optimal revenue capture across the enterprise.
Responsible for revenue optimization, integrity and reliability. Oversee centralized charge capture and revenue practice teams. Identify revenue leakage, develop and implement action plans to respond to issues identified.
Managed the daily operations and HR functions of the CV/IR revenue practice team. Collaborate with staff that are centralized and decentralized with their associated functions including, but not limited to, charge entry, workqueue management, charge capture and audits.
Managed and delegated the daily workload of the CV/IR revenue practice team. Collaborate with staff that are centralized and decentralized with their associated functions including, but not limited to, charge entry, workqueue management, charge capture and audits.
Ensured timely and accurate charge capture for CV/IR service lines by validating documentation supports charges, while ensuring charges/coding are consistent with regulatory and payer guidelines.
Responsible to ensure accuracy and timely charges for appropriate billing through epic workqueues and reporting functionality. Proactively seek out trends in charge capture processes. Work with front end staff to correct charge capture errors and to improve revenue capture.
Managed cath lab inventory. Ensured timely, accurate and compliant charge capture for cardiac cath lab.
Facilitated new cath lab staff orientation. Ensured staff remained current on licensure and certification. Facilitated or taught of monthly education for cath lab nurses and technologists.
Responsible for all aspects of radiologic imaging for invasive cardiology and interventional radiology procedures. Assisted physicians during invasive procedures, monitored patient hemodynamics and documentation of invasive procedures.
Responsible to ensure the accuracy of charges for cath lab and interventional radiology procedures. Assigned appropriate CDMs to supplies. Request CDMs for new cath lab and interventional radiology procedure CPTs.
Cardiology and interventional radiology coding
SME/liasion between clinical staff and revenue integrity
Relationship and team building
Charge capture workflows and automation