Jennifer Richardson, CPC

**** ** **** ******* #*

Kansas City, MO 64154

816-***-****

adb6di@r.postjobfree.com

Employment History

eSolutions, Inc.

April 2019 to Present

Product Analysis

Managing the entire product line life cycle from strategic planning to tactical activities

Conducting market research to identify market needs, product positioning and setting priorities

Keeping abreast of changes to the healthcare regulatory environment to anticipate changes impacting our customers and opportunities for new services

Specifying product requirements for current and future products

Driving a solution set across development teams

Participating in quality reviews and managing relationships with clients during the beta-testing process

Developing and implementing go-to-market plans and working with others to execute

Analyzing potential partner relationships for products

Fulfilling the Product Owner role in an agile development environment using Scrum

Workflow of Revenue Cycle Management to improve product

Medicare Analysis

Product expertise

Liberty Urgent Care

January 2015 to December 2018

Consultant

●Coding and Charge entry

●Proper usage of modifiers

●Electronic claim submission

●Electronic Claim denials

●AR follow up

●Appeals

●Fee Schedules

●Insurance contract negotiations

●Patient phone calls

●Auditing of medical records to ensure proper coding and compliance

●Strong knowledge of ICD- 10 Coding, CPT-4 and HCPCS Coding

●Follow up on MVA, Work Comp claims

September 2015 to March 2017 CDO Squared, Inc.

Revenue Cycle Manager

•Management of Revenue

Cycle

•Hiring and termination of employees

•Advanced knowledge of Vera software practice management and EMR

•Strong communication skills with clients and employees

•Strong knowledge of ICD-9, ICD- 10 Coding, CPT-4 and HCPCS Coding, Modifiers

•Collections

•Charge entry

•Payment posting

•Month-end procedures related to the reporting of each account

•Auditing of medical records to ensure proper coding and compliance

•Review revenue stream, and provide monthly variance analysis

•Days in AR

•Coding knowledge in Family Practice, Orthopedics, Internal Medicine, Urgent Care, Urology, Cardiology, and Dermatology, Pulmonary

•Oversees the timely billing of accounts and maximizing reimbursement for clients • Accurately identifies adjustments/write offs

•Days in AR

January 2006 to June 2015 Pulse Systems, Inc.

Revenue Cycle Management Revenue Cycle Manager

•Management of Revenue Cycle

•Hiring and termination of employees

•Management of 15+ employees

•Advanced knowledge of Pulse Systems software practice management and EMR

•Strong communication skills with clients and employees

•Strong knowledge of ICD-9, ICD- 10 Coding, CPT-4 and HCPCS Coding

•Training all new employees on Pulse Pro Software

•Policy and procedures

•Days in AR below MGMA standards

•Demo Pulse Pro Software for all Sales team to proper demonstrate the product

•Work with development to improve Pulse Pro Product

•Auditing of medical records to ensure proper coding and compliance

•Strong knowledge of insurance companies and plans. Medicare, Medicaid, Commercial, Work comp, MVA

•Review revenue stream, and provide monthly variance analysis

•Coding, charge entry, payment posting

•Days in AR

•Fee Schedules

•Coding knowledge in Family Practice, Orthopedics, Internal Medicine, Urgent Care, Urology, Cardiology, Critical Care and Dermatology

•Oversees the timely billing of accounts and maximizing reimbursement for clients

•Month-end procedures related to the reporting of each account

•Ensure compliance with applicable industry rules and regulations • Accurately identifies adjustments/write offs

Implementation Manager

Pulse Systems, Inc. January 2006 to July 2008

•Supervision of 15+ employees

•Hiring and termination of employees

•Communication with new client’s regarding implementation

•Verify all equipment is orders to implement Pulse Pro Software

•Strong knowledge of Pulse Pro Software

•Great communication and leadership with employees

Education

Credits toward A.S. Executive Secretary, Missouri Western State College, St. Joseph, MO

Certified Professional Coder, American Academy of Professional Coders

Past President of Northland Medical Managers

Member of American Academy of Professional Coders

Member of MGMA-Missouri

ICD-10 Certification

Instructor Johnson County Community College-Prep CPC exam

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