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Medical Lean Six

Location:
Museo, Seville, 41001, Spain
Posted:
March 13, 2021

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Resume:

Monica Napier

adkvwo@r.postjobfree.com

859-***-****

CERTIFICATIONS

CPC Certified

Lean Six Sigma Yellow Belt

Certified Credentialed Trainer EPIC-CPOE

Credentialed in EPIC Resolute Professional Billing

Certified in EPIC Candance/Prelude

EXPERIENCE

ENSEMBLE HEALTH PARTNERS

REVENUE CYCLE LIASION MANAGER

12/2019-PRESENT

•Served as an Epic go-live support leader for a healthcare system with over 125,000 colleagues, including 7,500 employed physicians and clinicians

•Researches and creates client workflows, training material, and education to better support our clients

•Liaison between the physician central billing office and practices on front end operations to achieve higher productivity, faster payments, decrease rework, & improve patient satisfaction

•Collaborate with leaders at multiple levels to help proactivity address and process workflow opportunities

• Runs projects, determines root cause of issues surrounding, provides resolution and stabilization plan, as well as monitoring status post project.

ENSEMBLE HEALTH PARTNERS

REVENUE INTEGRITY SUPERVISOR

10/2018 – 12/2019

•Worked closely with other internal & external departments to ensure accurate and timely charges are entered into EMR system

•Proactively identified and communicated potential trends and issues with Revenue Managers and leadership

•Participated in client-facing Central Billing Office Assessments to help identify areas of opportunity and potential financial lift

•Served as a liaison for onboarding new clients and associates. Proactively addressed workflow, system and process gaps to ensure a smooth transition of staff and work volume

BON SECOUR MERCY HEALTH

QUALITY ASSURANCE AUDITOR

06/2018-10/2018

•Audited medical record documentation to identify undercoded and upcoded services; prepared reports of findings, developed education materials, and presented to coders and providers

•Researched, analyzed, and responded to inquiries regarding compliance, inappropriate coding, denials, and billable services

•Attended coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations

•Managed vendors for outsourced projects and work volumes

ST. ELIZABETH PHYSICIANS

MEDICAL CODER

04/2014 – 06/2018

•Performed chart reviews, and coding for CPT to determine the completeness of the CPT data documentation/coding.

•Assigned and sequenced coding, based on official coding guidelines, rules and regulations. Including diagnosis coding, as well as procedures when specified

•Educated providers on documentation and coding

•Provided providers and clinic staff on updated guidelines

ST. ELIZABETH HEALTHCARE

EPIC TRAINER

09/2011-04/2014

•Worked with training managers to analyze resource availability including trainers, rooms, and workstations

•Developed and implemented training programs for Epic-CPOE

•Maintained policy and procedure documentation, education material, & tip sheets

•Provided training for provider new hires and current staff

ST. ELIZABETH HEALTHCARE

CLERICAL COORIDNATOR

09/2009-09/2014

•Coordinated hospital services including coverage, supplies, and preparation and distribution of correspondences, meeting materials, and reports

•Assisted as a liaison between medical staff, departments, & outside organizations

•Organize and maintain credentials of medical staff

•Review to internal and external inquiries, provided information, printed materials, and other resources as appropriate

EDUCATION

ASSOCIATE MEDICAL ASSISTING

Beckfield

VOLUNTEER EXPERIENCE OR LEADERSHIP

•Red Devils Cheer Coach

•Wellness Program Organizer



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