CAREER SUMMARY
Versatile and results-oriented Charge Integrity Analyst with 12+ years of diverse experience and knowledge in aspects of clinical and business functions. Recognized for professionalism, positive mental attitude, commitment to excellence, and demonstrated ability to communicate and interact effectively with management and staff.
EXPERIENCE
BUSINESS OPERATIONS COORDINATOR
Advocate Aurora Healthcare, Milwaukee, WI / Aug 2021 - Present
• Ensures supplies and procedural changes are processed efficiently.
• Ensures proper utilization, profitability, and reduction of costs for supplies to maintain proper inventory levels.
• Reviews, verifies, assigns, and processes patient charges incurred by the department (s) to ensure appropriate and accurate charge capture.
• Collaborates with physicians, departmental leadership, vendors regarding process and implantation of new products.
• Serve as the primary liaison between the revenue cycle and clinical leaders throughout the organization.
• Responsibilities of this position will include assisting clinical leadership and staff with charge reconciliation, identifying denial, and missed charge trends, charge reporting, and charge troubleshooting.
• Comprehensive understanding of charging processes and the business needs being addressed.
• Identifies potential compliance concerns and opportunities for revenue generation, and provides appropriate investigation, follow-up, and resolution.
• Researches and analyzes applicable regulatory, coding and billing rules and educates the department on regulations, processes, and medical necessity requirements.
ENDOSCOPY TECHNOLOGIST II
Advocate Aurora Healthcare, Milwaukee, WI / Oct 2015 - Aug 2021
• Gather information about case needs within Epic and Care Everywhere.
• Scheduling and documenting surgical procedures within Epic.
• Aid physician(s) in performing endoscopic procedures basic and advanced procedures offered in the procedural area.
• Collect and verify specimens collected for cytology, microbiology, and pathology.
• High-level disinfect endoscopes and procedural equipment following established infection control procedures.
• Generate and complete daily high-level disinfection (HDL) scope logs.
MEDICAL ASSISTANT
Advocate Aurora Healthcare, Waukesha, WI / Apr 2013 - Jan 2016
• Collaborated with medical and administrative personnel to support a patient-focused, engaging, and compassionate environment.
• Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
• Completed and submitted prior authorizations to insurance for prescriptions, medical examines and medical treatment.
• Maintained detailed records of test results by entering data and patient information into the computer.
EDUCATION
WAUKESHA COUNTY TECHNICAL
COLLEGE
Pewaukee, WI
Medical Coding Specialist Diploma
(March 2022)
Awards & Honors
• Phi Theta Kappa Member
(Academic excellence)
WAUKESHA COUNTY TECHNICAL
COLLEGE
Pewaukee, WI
Certificate- Communication-Writing
Emphasis (Jan 2022)
WAUKESHA COUNTY TECHNICAL
COLLEGE
Pewaukee, WI
Associate Degree of Applied Science Health
Information Technology (December 2022)
Awards & Honors
• Phi Theta Kappa Member
(Academic excellence)
Additional Skills
EHR Proficiency (Epic, Cerner, etc.)
CPT/HCPS proficient
ICD-10-CM and ICD-10-PCS Proficient
Chart Audits and Corrections
In Depth Knowledge and Understanding
of the Revenue Cycle Process and
regulations
Workflow Process and Improvement
Microsoft Office
In Depth Knowledge and Understanding
of Medical Terminology
In Depth Knowledge and Understanding
of Anatomy and Physiology
.