Professional Qualifications

I am a highly qualified and enthusiastic individual with extensive diversified experience, education, and passion. Determined with eagerness to share my skills and expand my knowledge.

Computer/Technical

All Microsoft, Greenway, Allscripts, Misys Tiger, RealMed/NAVINET, Practice Insight, Gateway, Medical Manager, Medics Elite, IDX/UNIX, Kronos, ADS, Visionary, CHCS, AHLTA, CCE, DMRSI, Micro-MD (IT/PM/EMR).

Employment

CONTRACTOR, Fairfax/Arlington, VA

Northern Regional Instructor/Senior Coding Analyst, CPC-ICD-10-CM Dec. 15 – Oct. 21

●Contractor educating all personnel of full billing /revenue cycle, rules, regulations, compliance, mandatory auditing for inside/outside documentation and fraudulent claims, lost revenue, and reimbursement deficiencies.

●Variance reporting on statistics and logistics revenue, over/under coding on all specialties, medical necessity, analyses, and organizational success. Educated all staff of aspects, coding, and full billing revenue cycle.

●Identification on trends Implementation documentation, system implementation, identification on trends and documentation, educated new, deleted, and revised CPT and ICD9 codes, transition of ICD9 to ICD10, reimbursement, informatics in all specialties, to include MS-DRG severity of illness “three tiered systems CC, Non CC, MCC”.

●Leader in recognition and implementation with EMR systems. Initiated and inspired management, and teams to achieve measurable successes.

●Probability analysis, compliance, reorganized management structure, collaborative business development, negotiations of purchases, logistics, and strategic planning.

Contractor educating all personnel of full billing /revenue cycle, rules, regulations, compliance, mandatory auditing for inside/outside documentation, fraudulent claims, lost revenue, reimbursement deficiencies, including all other aspects of health care.

Develop policies, procedures, processes, and educational material.

RDD BILLING & CONSULTING, LLC., Northern VA

Director of Business Intelligence, CPC/ICD-10-CM, (PT) Jun. 03 – Aug. 20

●Maintenance of a desired level of quality in a service or product and attention to every stage of the process of delivery or production.

●Prevention of mistakes and defect avoiding problems when delivering solutions or services to customers; part of quality management focused on providing confidence that quality requirements being fulfilled and preventing quality failures.

●Monitoring and advising the performance of a quality management system, producing data, and measuring quality operations against set standards.

●Developing a workflow for product inspection, tracking improvement, quality and safety standards being met.

●Instructed/Managed Business Intelligence included issues for clients from entering in database, coding documentation all specialties inpt/outpt, data entry, complete revenue cycle management, auditing, goals, training, growth and development of the business office and appeals.

●Audit documentation, reports for correct billing and coding, increased revenue, decreased expenses, as well as mandated compliance and regulatory issues, and gave educational seminars.

●Data integrity, data management, quality data, and mining databases. Statistics of quality information in strategic planning, logistics, probability analysis, and assessing environments.

●Usage of life cycle and creation of operational budgets, identification on trends, implementation, credentialing, variance reports, and contract negotiations.

●Compliance, reorganized management structure, collaborative business development to include public speaking, writing articles, and negotiations of purchases.

CONTRACTOR, Bethesda/Quantico/Ft. Belvior, VA

DFA-CPC/ICD-10-CM, MA Oct. 12 – Oct. 14

●Vitals, call in RX, guide patients prep for procedures, PT HX, prep for Dr.’s, immunizations, injections, scheduling, calls, prior authorizations, etc.

●Monthly management contractor as the Director of Financial Accounts, Medical Assistant, CPC/Auditor for all specialties inpt/outpt and A-Z healthcare.

●Vitals, call in RX, guide patients (rooms, prep for procedures, go over patient history, prep for Dr.’s, immunizations, shots, etc.

●Data management, quality data, and mining databases. Statistics of quality information in strategic planning and assessing environments. Usage of life cycle and request for proposals on documentation of patients with specific diagnosis during a specific timeframe.

●Manage full billing and revenue cycle, charge posting, clearing house issues, coding all specialties inpt/outpt, appeals, posting revenue, collections, statements, claims, all reports, data analysis, and benchmarking.

●Business intelligence included issues for clients from entering in database, entering in charges, submission of claims to clearing house, complete revenue cycle management, accounts receivable including goals, and appeals.

MED-STRATEGIES, INC., Ashburn, VA

Director Operations, CPC, CBS Instructor/Auditor Dec. 12 – Jun. 13

●Six month contract project. Director for clients in all 85 specialties to include development, tracking, variance reports, educational seminars, creation of templates, coding, etc.

●Instructor, develop policies, procedures, processes, RVU implementation, and educational material.

●Implement coding protocol, compliance manuals, and consulting, random audits, implementation of ICD-9/10, Informatics, and codes/templates into EMR/EHR systems.

●Direct 453 onsite employees and 80 managers.

●Educate providers and staff about organization success, compliance, medical necessity, ICD-9/10, Informatics, and significance of changes. Creation and solutions.

SPRINGFIELD-BURKE/VHC, Burke, Virginia

Practice Administrator, MA, CPC Mar. 12 – Aug. 12

●Acquisition contract. Manage expenses, contracts, and controlling resources.

●Reduce operational budgets, review and analyze facility data (general ledger, income statements, bank account, payroll, timecards) to aid planning, cash, and risk management to improve utilization.

●Manage all aspects of practices and all aspects of billing departments. CPC; instructing on vaccines, coding, audits, RVU’s, Informatics, and implementation of EMR system.

●Direct meetings for statistics, reporting, productivity on proper coding, pricing, value units, negotiations, budget forecast, reimbursement and compliance, development, and variance reports. Consolidate staffing and improve profitability.

CAPTURE BILLING & CONSULTING, LLC., Chantilly, VA

Director of Business Intelligence, CPC, CBS Instructor Oct. 08 – Feb. 11

●Instructor/Coder; business intelligence, business development, HIS implementation of EMR systems, informatics of patients with specific diagnosis and prolonged medications, correct coding, training, variance reports, benchmarking, reimbursement, fees, compliance issues, budget forecasts, bundling issues, reimbursement issues for multi-specialties. Increased 30% net profit.

●Business intelligence included issues for clients from entering in database, entering in charges, submission of claims to clearing house, complete revenue cycle management, accounts receivable including goals, and appeals.

KELSON’s CONSULTING, LLC., Woodbridge, VA

Office Manager, CBS Feb. 05 – Feb. 06

●Renegotiated insurance vendor’s contracts, reorganized payroll, and controlling costs.

●Operational budgets, review and analyze facility data to aid planning, cash, and risk management to improve utilization.

●Manage all aspects of practices and all aspects of billing departments. CPC; instructing on vaccines, coding, audits for all aspects of healthcare, RVU implementation, Informatics, and implementation of EMR system.

●Direct meetings for statistics, reporting, productivity on proper coding all specialties inpt/outpt, pricing, value units, negotiations, budget forecast, reimbursement and compliance, development, and variance reports. Consolidate staffing and improve profitability.

METRO ENT/HEAD AND NECK FACIAL PLASTIC SURGERY, Alexandria, VA

Billing Manager, CBS Instructor Nov. 99 – Feb. 05

●Business intelligence, business development, and administration were performed daily.

●Operational budgets review and analyze facility to aid planning, cash, and risk management to improve utilization.

●Public speaks, writing of articles, while managing all aspects of practices.

●Completed all aspects of billing departments until we grew; however, open effective communication performed daily. CPC; instructing on vaccines, coding, audits A-Z healthcare, RVU’s, Informatics, and implementation of EMR system.

●Direct meetings for statistics, reporting, productivity on proper coding, pricing, value units, negotiations, budget forecast, reimbursement and compliance, development, and variance reports. Consolidate staffing and improve profitability.

●Manage monthly meetings with doctors for productivity, proper coding, reimbursement, compliance issues, budget forecast and variance reports.

●Audits, medical terminology, anatomy, pathophysiology, coding, vitals, medication lists, resources, behavioral health services.

DR. MOGHTADER, ENT/FACIAL PLASTIC SURGERY, Woodbridge, VA

Office Manager Jul. 97 – Nov. 99

●Business operations, intelligence, development, and administration were performed daily.

●Managed, developed, and effectively maintained adequate control of entire practice.

●Posting charges after coding, collections, and managing bank accounts and reports.

DR. JANATI, NEUROLOGIST, Woodbridge, VA

Administrative Assistant Nov. 94 – Jun. 97

●Educated and trained in all departments; finance, appointments, registrations, billing, referrals, medical records, scheduling, depositions, prepping patients, transcription, and phones, MA.

Education & Certifications:

Certified Basic Life Support, BLS, August 2020, Associates in Emergency Care, LLC., Virginia. Certification Number: 071*********

Certificate HIPAA/OSHA Compliance, November 2020, RDD, LLC., Northern Virginia

Certificate Awareness/Compliance, October 2016, Department of the Army, Arlington, Virginia

ICD-10 Proficiency, CPC/ICD-10-CM, March 2014, American Academy of Professional Coders, Virginia. Certification Number: 01117076

Certificate Micro-MD, IT/EMR/PM, January 2013, Med-Strategies, Inc., Ashburn, Virginia.

Certified Professional Coder, CPC, November 2010, American Academy of Professional Coders,

Fairfax, Virginia. License Number: 01117076

Master of Science Health Administration/Informatics, October 2013, University of Phoenix,

Arizona.

Bachelor of Science Health Administration/Health Information Systems, October 2011,

University of Phoenix, Arizona.

Associate of Arts Paraprofessional Education, October 2009, Axia College of University of Phoenix, Arizona.

Certificate Key Coordinator, April 2007, United States Marine Corp, Camp Lejeune,

North Carolina.

Certified Billing Specialist, CBS, March 2004, Professional Career Development Institute

The School of Medical Billing, Norcross, Georgia.

Professional Associations

Member of the national and state chapters of Virginia Medical Group Managers Association

(VMGMA), Medial Group Managers Association (MGMA), Practice Management Association

(PMA), and American Academy of Professional Coders (AAPC). University of Phoenix Alumni. Recognition

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