Kirstan King 334-***-**** (c) adcnli@r.postjobfree.com

Professional Accomplishments

Talented, opportunist seeking career advancement within healthcare administration to offer over 10 years of experience in both professional & technical healthcare administration.

Coordinate & Manage Business Process Improvements

Provide Strategic Planning and Project Management tools and resolution

Implementation of Epic Software for VUMC to stabilize revenue and volume after Epic Go-Live

Conduct daily new and existing client relations to promote patient satisfaction

Ensure monthly presentations for department(s) with top leadership

attendees: Department Chair(s), Administrative Officer(s) Patient Center Care Administrator(s), Directors, Finance Managers understand in depth analysis around KPI’s involving revenue integrity and compliance.

Education

M.H.A Healthcare Administration

Southern New Hampshire University

CPC Certification

AAPC

CPCO Certification- Continuing Education

AAPC

Experience

Vanderbilt Medical Center October 2017- Current

Senior Revenue Cycle Advisor

Hospital billing revenue cycle advisor monitoring: charge capture, charge lag and late charge volume and revenue matrix

Weekly/Monthly presentations involving charge capture trends or missing revenue

Hospital billing WQ monitoring involving missing device codes, high dollar edits, high quantity edits and date of service out of range charge correction edits

Daily charge variance monitoring using Business Objects/Intelligence and Epic E-star production: Charge Router Reconciliation Report, Open Encounter Report, IP/Outpatient Unreconciled Meds Report and Enterprise Encounter Report, Patient Missing Blood Charge Report, Patient Missing Peritoneal Dialysis Report & OR Log for procedure; time base charges

Working daily with Health IT to add and/or modify billing categories, claim edits and claim logic involving charge capture methods such as: Flowsheet, ProcDoc, Charge Router Charge Entry and OP Time

Working daily with Revenue Management Training team for new employees requiring E-Star training for access to daily reconciliation reports and filters for hospital billing charge capture

Working daily with Professional Revenue Cycle Advisors for conversion of Hospital Base Clinic for VUMC Go-Live ensuring for every PB charge has a respective HB charge unless PB only

Workflow consisting of Revenue Cycle liaison of a few of the following areas: Epic Beacon (MAR used for Oncology Drugs verification qty and administration), Epic Ambulatory (ProDoc used for office visits charge capture), Epic EHR (used for confirming/canceling daily appointment(s), patient chart detailing chargeable Cath lab implants), Epic Cerner (used for lab orders and results) and Interface (used for pulling charges from Aria for Radiation Oncology procedures)

Issac Spine Institute 2017

Interim. Billing Office Manager

Revenue Integrity & Analysis

Credentialing/Provider Relations liaison for all PAR/NON-PAR payers

Interview potential candidates for qualifications

Training and Education for workflow improvement and projects

Weekly touch base with billing office staff

Associates in Gastroenterology 2014-2017

Medical Billing/Coding Manager

Management of a total of 8 billing office staff members

Interview potential candidates for qualifications

Training and Education for workflow improvement and projects including audits and continuing education

Weekly touch base with billing office staff and Office Administrator providing updates, trends and staff progress with workload and assignment

Billing department liaison for third party payors and insurance collectors (Frost Arnett)

Payment Posting/ 2nd /3rd Level of appeals

Medical billing, Coding, Accounts Receivable

Insurance verification specialist

Denial management/ reducing bad debt write off

Attendance of annual billing seminar for education and improvement

Watts Med Internal Medicine 2010-2014

Medical Office Administrator

Management of a total of 6 medical practice staff members

Authorize and approve budget and travel conference

Monthly touch base with Physicians and weekly touch base with office staff

Facilitating training and education for compliance rules and guidelines

Develop & Ensure company policies and procedures specifically for outpatient clinic setting

Interview new physician(s), clinical staff and front office staff

Initiate office weekly/ monthly meetings

Ensure facility maintain leading service, knowledge and satisfaction to our patient’s as healthcare professionals

Payroll/ Staff Benefits/ Provider Credentialing/Report Distribution/ Compliance correspondence

Software/Skills

Advanced- Microsoft (Word, Excel, PowerPoint, Outlook, Skype for Business)

Advanced- Excel Formulas: Text to Columns, Concatenate, V-Lookup & Pivot Tables

Advanced-Craneware (Utilizing CPT updates for new, additional and deleted codes, Guidelines and Resources)

In depth knowledge of CPT/HCPCS/ UB-04, 1500 distinction referencing Professional & Technical billing

Experienced with Claim Diversion and Modifiers

Root Cause Analysis/ GL/ Financial Budgeting/ Escalating and Managing Disciplinary Actions for Performance Review Evaluation

In depth knowledge of payer specific guidelines and policy (Commercial & Government)

In depth knowledge of identifying Rev Codes trends per MCR guidelines

Epic Production Software Experience w/ EAP knowledge/ Chargemaster knowledge

Advanced- E-Star Terminology

Advanced- Business Intelligence/ Business Objects Software for analytic data

Project Management Independently

References

Available upon request.

Contact this candidate