MICHELLE SCOTT, CPC

**** ******** ***** ********, ** 92010 858-***-**** acn0so@r.postjobfree.com

B S P

USINESS ERVICES ROFESSIONAL

Eager and passionate professional with over 15 years of practice, and revenue management experience in the healthcare field.

Thrives in challenging environments that demand strict attention to detail, and solid problem solving abilities. Demonstrated

ability to effectively manage projects, including workflow creation, and timeline development. Adept at working effectively in

both independent environments, and within cross-functional teams. Currently seeking a position as Assistant Director,

Revenue Integrity, Director of Operations, or similar position that will allow for leverage of skill set open to senior-level roles,

which will allow for professional development and growth, as well as potential career advancement.

S & C C

KILLS ORE OMPETENCIES

Business Processes Leadership Stakeholder Relations Interpersonal Communication Operational Policies

Customer Service Strategic Planning & Analysis Problem Solving Billing Transaction Editing Payment Notifications

Change Capture Training & Education CPT/ICD Code Provider Relations & Education

Compliance/Quality Assessments Charge Capture Reviews Practice Migration Coding Audits Policy Development

Process Improvements Staff Training & Motivation Supervision & Performance Evaluation MS Office Windows OS

P E

ROFESSIONAL XPERIENCE

U C SAN DIEGO HEALTH S YSTEM, DEPARTM ENT O F SURGERY, S an Diego, CA

Director of Clinical Operations/Assistant Department Business Officer 2008-Present

• Manage clinical business for the seven divisions of surgery, eight ambulatory clinics; includes overseeing the clinical

practice for over 108 Surgeons, mid-level professionals and billable fellows

• Spearhead departmental strategic planning in conjunction with departmental management; includes the need for

outreach clinics, additional faculty, increasing/adding services, and/or the elimination of services

• Complete budget projections for each clinical practice

• Facilitate Physician education initiatives to enhance productivity, increase revenue and improve patient satisfaction

• Liaise effectively between the Department of Surgery, the Medical Center, and the Medical Group

• Proactively identify and resolve departmental issues as they arise

• Develop policies and procedures for new provider practices to ensure proper billing

• Oversee operations for centralized Department of Surgery authorization unit; increase levels of accessibility to help

improve patient access

• Supervise all clinic operations and workflow; work in tandem with Clinic Managers to improve upon business and

management goals; directly supervise all divisional Clinical Administrators

• Direct all aspects of the revenue cycle for the Department of Surgery clinical practice; lead the departmental

improvement process as it relates to patient, physician and employee satisfaction

• Analyze data from Press Ganey Scores, New Patient Availability and HCAHPS

U CSD HEALTHCARE, M ED IC AL GROUP BUSINESS SE RVICES, San Diego, CA

Revenue Manager, Department of Surgery-Division of General Surgery & Trauma/Burn 2006-2008

• Offered guidance, support, and strategic direction to Division Administrators

• Served as primary liaison between the Department of Surgery and the Medical Group; instrumental in the

development of new provider policies and procedures to assure proper billing

• Created a comprehensive quarterly provider education program designed specifically to increase revenue for each

individual provider; the process was then implemented throughout all of the UCSD Healthcare system

• Aided in the design and successful implementation of the PatientKeeper program throughout the Department of

Surgery

• Increased revenue for the Division through identifying, and correcting inaccuracies within the Billing Department, as

well as utilizing and reviewing reimbursement analysis reports to identify and recover lost revenue from Worker’s

Compensation claims

• Identified and resolved departmental issues as needed

MICHELLE SCOTT, CPC

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Q UALITY CARE M EDICAL C ENTER, San Diego, CA

Billing Department Manager 2005-2006

• Managed all clinical operations including billing for over 20 providers within a multi-million dollar practice

• Developed and implemented policies and procedures for the Charge Entry and Billing Departments; analyzed reports

to determine areas of improvement and determine appropriate plan of action

• Analyzed Accounts Receivables trends to use in realigning staff, as well as revising policies and procedures to stay

current with industry best practices

F IRST HEALTH/CCN, P hoenix, AZ and San Diego, CA

Client Services Supervisor/Associate Negotiator-Provider Relations 2001-2005

• Liaised effectively between Inquiry Services Representatives, First Health Management, and clients to ensure smooth

relationships between all parties involved

• Maintained high levels of service, and support through establishing goals, and objectives for the Inquiry Services

Representatives team

• Recruiting, and maintaining the network in Nevada, New Mexico and Hawaii

• Solved issues involving provider's contracts, negotiated rates, assessed market demand and educated providers in

compliance with contract language

E & C

DUCATION ERTIFICATION

Bachelor of Science, Health Care Administration with Health Management Concentration, University of Phoenix (2015)

Certified Procedural Coder, American Academy of Professional Coders-AAPC

H & A

ONORS WARDS

Supervisor Award from the Vice Chancellor of Health Sciences at UCSD (2014)

UCSD Business Officer Institute Attendee (2013)

Recognition of Leadership and Dedication to the Department of Surgery (2012)

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