Terrica Lee

acrf9c@r.postjobfree.com

Ph: 404-***-****

Professional Summary

Epic Certified Analyst: Resolute Hospital Billing, Single Billing Office, CDM, and Charge Router. I am an Epic application coordinator and training professional with over 4 years of experience supporting inpatient and revenue cycle applications. I have connected implementation, training, and go-live support to create cohesive change with one-on-one coaching for end users of Epic by providing technical assistance and education to physicians, mid-level providers, nurses, and billing office staff. She has also conducted a mixture of EMR implementations tasks such as: dress rehearsals, cut-overs, data migration training and overseeing trainers who spend time in the (at the elbow) supporting and working with new different Epic applications in the inpatient and revenue cycle environment.

Career Highlights:

oCompleted GL build 2 months before build deadline with 100% error free per the Epic IAR

oCompleted GL testing 4 weeks before the testing deadline.

oServed as lead CDM/charge router analyst and team lead of the HB, claims, home health billing and hospice billing teams working on the Wellstar Connect Implementation project.

oSuccessfully completed the 5 hospital implementation in 1 years

oDesigned and maintained the charge master (CDM) with over 18K charge codes (EAP/SUP)

oKennestone hospital revenue met KPI baselines within 5 weeks after 12/1/13 go live

oRecognized as the only HB analyst trained by Epic for Charge Router

oCreated multiple charge router handler tasks for Lab, Cupid, ASAP, PB, and HB.

oData extraction and interface experience

oExtracted account and transaction detail using extract frame editor for the following third party applications:

MedAssets: CCA CDM Revenue and Usage Contract Mgmt Modeler

Emdeon Zirmed: Statement and letters generation

CCI Clear Balance NPAS RevSpring: SBO bad debt collection extended payment plans statements

HIDI: Georgia state IP OP reporting

Lawson and Peoplesoft: General ledger extract

oCompleted HL7 interface testing with Sunquest,Aria, and MUSE

Areas of Expertise:

Epic Ambulatory EpicCare Inpatient Project Managment EMR/EHR Implementation Workflow Re-design Analysis Validation Design Testing Upgrade & Optimization Revenue Cycle Go-Live Support Training Extracts

Education Certifications Licensure

Technical Communications – Chattahoochee Technical College-Marietta, GA, May 2008

HIT-Workflow Redesign Specialist – Atlanta Technical College- Atlanta, GA, October 2012

Certification:

oEpic Resolute Hospital Billing,v2010, (NVT2012, NVT2014, NVT2015)

oEpic Single Billing Office, v2010, (NVT2012)

Epic Build Experience

Baptist Health System - Louisville, KY Nov 2014-Present

Skills: Hospital Billing, Inpatient Charging, General Ledger, and Charge Router, SSD, HSD, EAP, BCC, FSC, BFG, EAF, UCP, VCS, VCT, CER, BWR, BWQ, LPP, LRG, LPG, BDC, HLB, CMP, EPP, EPM, BCB, HAR, EAR, EPT, VCF, ECP, EDP, PAF, RSH, HGX, HGR, CDF, NCC, ETR, CDW, CDQ, CDR, CRE, IDB, IDL, DEP, DRG, SBR, SBP, TXG, GLC, BGL, HSP, HLB, HTT, HTR,

Completed the build for refunds and adjustments: tiered refunds and adjustments workqueues

Allowance discrepancy: built variance workqueues for under/overpayment and allowance discrepancy reports

Organ procurement: updated the workflow to create a seamless workflow to include ADT, HIM, OR, and Billing

Insurance follow up: Built the follow up wqs, system actions, reports, letters, account activities, and billing indicators

Bad debt: Built self-pay follow up wqs, bad debt system actions, and updated policies and procedures to reflect the SBO merger with PB and PFS

Revenue Guardian project: Built and tested revenue guardian checks for Optime, Lab, and HB to check for expected charges after discharge

PeopleSoft GL build: Build and test the GL tables and extract to Peoplesoft.

Assisted with legacy CDM consolidation, CCAT, cost center, and fee schedule build

Baylor Scott and White Health - Round Rock, TX Aug 2014-Nov 2014

Sr. Epic Consultant Application Coordinator -HB/SBO

Skills: Hospital Billing, HB Charging and Charge Router, SSD, HSD, EAP, BCC, FSC, BFG, EAF, UCP, VCS, VCT, CER, BWR, BWQ, LPP, LRG, LPG, BDC, HLB, CMP, EPP, EPM, BCB, HAR, EAR, EPT, CML, CMK, CMB, VCF, ECP, EDP, PAF, RSH, HGX, HGR, CDF, NCC, ETR, CDW, CDQ, CDR, CRE, IDB, IDL, DEP, DRG, SBR, SBP, TXG, GLC, BGL, HSP, HLB, HTT, HTR, MOD

SBO project: Reviewing SBO model build and current outsource workflows to return self-pay processes in house. (Partial SBO conversion)

oWorkflow/process validation include: system action audit, optimization including work queues (account, guarantor, follow up, credit, etc.), write off processes, letters, outsourcing and bad debt extracts, statement and detail bill processing, self- pay status activities, payment plans, statement skip logic, account activities, statement template build, late fee guarantor policies, combine/uncombined logic

Revenue Guardian project: Built and tested revenue guardian checks for Optime, Lab, L & D, Radiant, Cardiant, and Billing to check for expected charges missing in common scenarios where we failed to charge for services provided to the patient

MedAssets Project: Build and test the CDM extract for MedAssets to use with the current CCA and Revenue and Usage files for accurate billing and charge reimbursement

Claims: Built claim edit for payor specific requirements and BSW location specific NPI/Taxonomy/SER requirements based on PBB and Non-PBB locations

GL rebuild and testing after business merger between Baylor and Scott and White

Built charge router tasks for payor claim submission requirements, provider based depts, Therapy G Code requirements, cost center updates for interfacility scenarios

Reading Health System-West Reading, PA June 2014- Aug 2014

Sr. Epic Consultant Application Coordinator -HB/SBO

Skills: Hospital Billing, HB Charging and Charge Router, SSD, HSD, EAP, BCC, FSC, BFG, EAF, UCP, VCS, VCT, CER, BWR, BWQ, LPP, LRG, LPG, BDC, HLB, CMP, EPP, EPM, BCB, HAR, EAR, EPT, CML, CMK, CMB, VCF, ECP, EDP, PAF, RSH, HGX, HGR

Identified $16M in self-pay accounts pending due to inconsistent SBO workflows resulting from statement skip logic errors, statement processing errors, incorrect agency code mapping, overlapping system actions logic which sent accounts to bad debt and returned from bad debt the next day

SBO workflow optimization including workqueues, write off processes, letters, outsourcing and bad debt extracts, review of lock box process, statement and detail bill processing, self- pay status and follow up level increments, statement skip logic, GL testing to ensure transactions were captured as expected

Created/modified statements and statement hold reports for PFS to identify self-pay accounts that were not incrementing statements level according to system settings

Created the corporate statement template using separate HB/PB templates and dunning messages to generate corporate statements based on patient account details

Assisted the Reading Health Connect team with outstanding RFS tickets ranging from BWQ updates to self-pay workflow optimization

Updated and tested payor contracts to calculate expected reimbursement and contractual adjustments at the time of claims processing to net down AR at billing

Optimized the RAC workflow within Epic to identify accounts with pending/completed audits to correlate the Huron/Stockamp workflow

Created/Updated multiple system actions to assist with end-user productivity related to bad debt processing (send/return from bad debt), write off small credit balances, sending replacement claims, adding/removing stop bills using both nightly processing and batch jobs

Created/updated charge router handler tasks for Beaker go live

Updated all RSH accounts to include the NCT# to populate on the claim for all patients associated with a clinical trial; also included testing with the claims to ensure the NCT # was populating to the claim after updates to the payor specific CDF

Created LPPs/PAFs to identify RAC accounts in Epic for billing end user to prevent the account from being worked and/or closed during the appeals process

Updated end user security templates

Assisted with build inspector checks to determine if the CDM updates were for FY14 were processed according to the Rev Integrity expectations

Created/modified statements and statement hold reports for PFS to identify self-pay accounts that were not incrementing statements level according to system settings

Created the corporate statement template using separate HB/PB templates and dunning messages to generate corporate statements based on patient account details

Wellstar Health System-Atlanta, GA Jun 2012 – Apr 2014

Epic Application Coordinator Team Lead for HB/Charging Intergrated workgroup

Skills- Hospital Billing, HB Charging and Charge Router Lead, SSD, HSD, EAP, BCC, FSC, BFG, EAF, UCP, VCS, VCT, CER, BWR, BWQ, LPP, LRG, LPG, BDC, HLB, CMP, EPP, EPM, BCB, HAR, EAR, EPT, CML,CMK, CMB, VCF, ECP, EDP, PAF, RSH, HGX, HGR, NCC

Hospital Billing Experience

Actively participated in all phases of the revenue cycle implementation including but not limited to: analysis, design, build, and testing

Responsible for managing multiple HB projects simantaneously by providing project plans and objectives via meetings, presentations, and/or status reports to the Sr. project manager, VP of Rev Cycle, and the Epic AM/AC

Created and reinforced project deadlines by meeting with team members and setting daily goals to compile weekly status reports

Lead and managed HB workflow build, testing, and go live post go live issue resolution for all HB focus areas

Worked closely with the clinical application leads to improve business processes while providing great patient care

Partnered with operational leaders to create and/or revision billing policies and procedures in compliance with healthcare regulations and the organizations guidelines such as charge generation and reconciliation, late charges, self pay & insurance follow up, customer service, WellStar Connect end user accountability

Advised the senior project manager of potential project issues/risks, pros/cons, action items, and status updates for the HB focus areas

Facilitated meetings with current and new vendors to identify business needs for new implementation, project deliverables, and post go live maintenance

Responsible for system build in one or more areas as the primary workflow owner or co-owner.

oHospital Billing: Payments adjustments Insurance Follow-Up Denials Management Late Charge Processing Contract Management Charge Generation and Reconciliation Claims Charge Testing Third Party/Vendor Testing SBO: Customer Service Bad Debt Self Pay Follow-Up Statements

oHome Health Billing: Payments Adjustments Insurance Follow-Up Denials Management RAP Contract Maintenance Charge Generation and Reconciliation Claims Charge Testing Third Party/Vendor Testing SBO: Customer Service Bad Debt Self Pay Follow-Up Statements

Inpatient Charging Experience

Served as CDM lead analyst for the HB team and the billing lead for the integrated charging workgroup

Designed and maintained the CDM and Charge matrix for 5 hospitals with over 15,000 new EAP builds and updates.

Designed, tested, and maintainted 5 cost center assignment tables

Created and maintained over 300 cost centers (BCC) across 5 hospitals.

Created and maintained all fee schedules (FSC/BFG) for 5 hospitals which including multiple pricing levels using the different pricing mechanisms (unit, tiered, timed, DRG)

Completed 100% charge testing of 18,895 EAPs for rev code, CPT/HCPCS, price and cost center.

Completed the revenue guardian build to help prevent lost revenue for high revenue areas such as OR, EKG, ED and Immunization/Vaccinations services.

Assisted with PRCT testing with rapid charge error build updates to pass claim scenarios.

oThis effort lead to an avg 95% clean claims rate

Lead charge testing and validated all clinical revenue generating areas successfully passed integrated, application, and charge testing

oThe hospital met the KPI baselines within 5 weeks after the 12/1 go live

oCompleted HL7 interface testing with Sunquest and MUSE

Professional Go Live Experience

St. Francis Health System - Tulsa, OK May 2014-June 2014

Epic Go Live Support

Skills – Ambulatory, Cadence, ADT-Prelude

Supported end-users on site during go-live events; supported coordination of third party vendors with Epic software (RTE, Onbase, & Credit card processing).

Primary resolution point for all issues regarding ADT/Prelude, Cadence, and Ambulatory within the Ortho Sport practices

Responsible for troubleshooting and reporting any error messages, printing issues, security problems, and enhancement suggestions.

Assisted with charge review and reconciliation issues within the Ortho Sport practices and the PFS billing offices

Identified and reported workflow and/ or system configuration improvements.

Supported front office staff with timely registration, scheduling, and cash drawer duties.

John C. Lincoln – Phoenix, AZ May 2012 – Jun 2012

Epic Go Live Support

Skills – Ambulatory, Cadence, ADT-Prelude

Supported end-users on site during go-live events; supported coordination of third party vendors with epic software (RTE & Credit card processing).

Served as primary resolution point for all issues regarding ADT/Prelude, Cadence, and Ambulatory.

Troubleshot and reported any error messages, printing issues, security problems, and enhancement suggestions

Liaised between the users and the command center for issues and problems resolutions.

Identified and reported workflow and/ or system configuration improvements.

Supported front office staff with timely registration, scheduling, and cash drawer duties.

University Health Care Systems – Augusta, GA Apr 2012 – May 2012

Epic Support

Skills – Ambulatory/ClinDoc, Cadence, Prelude

Responsible for supporting The University Surgical Associates/ Cardiology with registering patients, appointment check-in and check-out workflow, scheduling follow-up and recurring appointment, creating and assigning referrals, making appointment from the wait lists, admitting and transferring to & from internal/external facilities, managing department work queues

Reviewed end user issues, workflow problems, enhancement requests, and provide updates on fixes to known issues and planned updates and upgrades

Assisted physicians and nurses with individual/dual order entry mode, order sets, preference lists, and how to complete encounter documentation within the visit navigator

Assisted physicians with note writing (Prog/H&P/Procedure/Consult/etc.), in basket management, and how to work within specific activity tabs & navigators to update problem lists, allergies, history, chart/results review, order set and smartphrase personalization

Supported physicians and nurses on the proper workflow within the visit navigator on how to and patient education

Cedars Sinai Medical Center – Los Angeles, CA Feb 2012 – Apr 2012

Epic Support

Skills – CPOE/ClinDoc, Inpatient, HOD, Optime/Anesthesia

Provided elbow to elbow support to physicians and nurses in the HOD/Surgical areas using CS-Link and Epic CPOE, Clin-Doc, Inpatient, HOD, and Optime/Anesthesia modules.

Assisted physicians and nurses with individual/dual order entry mode, order sets, preference lists, and how to release held orders upon patient location update/transfer.

Assisted physicians with note writing (Prog/H&P/Procedure/Consult/etc), in basket management, and how to work within specific activity tabs and navigators to update problem lists, allergies, history, chart/results review, admit/discharge patients, and smartphrase personalization.

Supported physicians and nurses on the proper workflow within the admission/transfer/discharge navigators on how to arrive, transfer, and discharge a patient, discharge planning and patient education.

Cone Health Systems – Greensboro, NC Jan 2012 – Feb 2012

Epic Support/Command Center

Skills – ADT-Prelude, Cadence, Radiant

Supported business associates, unit clerks, and front desk clerks with pre-admissions/patient registration, collecting co-pays, worker’s comp claims, etc. during the outpatient/inpatients visits.

Supported coordination of third party vendors with Epic software to register patients, collect payments, and image scanning, etc.

Responsible for supporting the Women's Hospital with registering patients, appt check-in & check-out workflow, scheduling follow-up and recurring appts, creating and assigning referrals, making appts from the wait lists, admitting, transferring, and discharging patients to & from internal/external facilities.

Reviewed end user issues, workflow problems, enhancement requests, and provide updates on fixes to known issues and planned updates and upgrades.

Reviewed issues and trends tracked through ServiceNow tracking system.

Kadlec Regional Medical Center –Richland, WA Oct 2011 – Dec 2011

Epic Support & Help Desk/Command Center

Skills – Inpatient/Ambulatory

Supported KRMC hospital/clinics with Inpatient, Ambulatory, OpTime, ADT-Prelude/Cadence, Resolute, CPOE, and other modules by accessing remotely into the end-user computer to troubleshoot and guide them on how to access patient information, schedule appointments, flow sheets, notes, orders, charge capture to ensure accurate billing, test results, and etc.

Provided Tier 1 support for all end-user issues related to the K-Chart system personalization, workflows, and network infrastructure.

Supported coordination of third party vendors with Epic software such as Obix, J-Point, Accudose, etc.

Identified opportunities to optimize the implementation through communication with end-users; analysis of needs, and development of workflow/procedures.

Supported end-user hardware including workstations, printers, faxes, copiers, and wireless and telecommunication systems.

The Ohio State University Medical Center – Columbus, OH Sep 2011 – Oct 2011

Epic Lead & Support

Skills – Inpatient, ClinDoc, Obix

Provided elbow to elbow support to all hospital staff in the Ross Heart Hospital & James Cancer Hospital using IHIS.

Provided support to physicians and nurses with clinical documentation through IHIS.

Assisted physicians with in-basket management and how to work within specific activity tabs and navigators for an efficient workflow.

Supported nurses on how to properly work with in a specific navigator on how to arrive and discharge a patient, order entry, modification, & discontinuation, med administration, discharge planning and patient education, etc.

Developed support training curriculum, structured outlines, and script testing.

Identified opportunities to optimize the implementation through communication with end-users; analysis of needs, and development of procedures.

Cedars Sinai Medical Center – Los Angeles, CA Aug 2011 – Sep 2011

Epic Lead & Support

Skills – Inpatient, ClinDoc, Stork

Provided elbow to elbow support to nurses and physicians using OB Stork and Obix (fetal heart rate monitoring).

Provided support to physicians and nurses with clinical documentation through CS-Link.

Training curriculum development, built workflows, structured outlines, and script testing.

Assisted physicians with in basket management and how to work within specific activity tabs & navigators.

Supported nurses on how to properly work with in a specific navigator on how to arrive and discharge a patient, discharge planning and patient education.

NYU Langone Medical Center – New York, NY May 2011 – Jun 2011

Epic Support

Skills – Inpatient, ADT-Prelude, Cadence, and OpTime, J-Point, Patient Secure

Supported end-users on site during go-live events.

Supported coordination of third party vendors with Epic software (J-Point & Patient Secure).

Primary resolution point for all issues regarding ADT/Prelude, Cadence, and OpTime.

Responsible for supporting the many different departments by coordinating projects as well as the implementation of continuous upgrades in the workflow.

Supported users with cut-over from Isis to Epic.

Troubleshoot and report any error messages, printing issues, security problems, and enhancement suggestions.

Liaise between the users and the command center for issues and problems resolutions.

Identify and report workflow and/ or system configuration improvements.

University of Florida and Shands Hospital – Gainesville, FL Mar 2011 – May 2011

Epic Support Analyst

Skills – Inpatient, Clin-Doc, Stork

Provided 1 on 1 support for physician on how to complete med reconciliation.

Supported nurses on how to properly discharge a patient structure care plans and patient.

Troubleshoot and reported all system errors messages, printing issues, and security problems, and enhancement messages.

Structured and managed toolbars for nurses and physicians for easier functionality.

Supported nurses on how to properly document in flowsheet for postpartum, antepartum, and med/surgery patients.

Fairview Hospital – Minneapolis, MN Jul 2010 – Sep 2010

Epic Support Analyst

Skills – Inpatient, ADT-Prelude, Cadence, and OpTime, PEDS, and NICU.

Supported nurses and HUC with ADT and Prelude application in an intense Go-Live environment.

Coordinate interactions and activities of vendors, both on-site and off-site.

Created 15 new training programs for managers and employees. Topics were designed for performance enhancement and skill building.

Coordinate the training logistics (courses, classrooms, registrations, timeframes, etc.) in collaboration with the Training Coordinator. Prepare training materials used during training.

Train newly hired employees as part of their orientation. Maintain system documents.

Responsible for supporting the information management needs of various departments and processes across the organization through project coordination, application implementation, upgrades and ongoing maintenance/enhancements.

Served as team lead for all issues regarding Cadence/ADT-Prelude.

Provided demonstrations of system functionality as necessary for scheduling/registration, inpatient, and OR.

Tracked, updated, and resolved issue with the system or application questions in the command center.

Essentia Health – St. Mary’s Duluth – Duluth, MN Feb 2010 – May 2010

Epic Support Analyst

Skills – Ambulatory Clinics, Support/Training

Worked with family practices and small clinics on workflows and script testing.

Management services for each aspect of a customer’s professional needs in IT Healthcare EMR/EHR environment.

Implementing business modules that ensures each consultant can engage in open dialogue through custom made curriculums and access to exact needs of client through online services.

Pre and post Go-Live support services.

Mentoring, tutoring, and training IT software implementation through online services (post go live).

Updating and maintaining website credentials (end user access)

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