Revenue Integrity & Revenue Cycle Supervisor

RUTHIE M WOODARD

* ***** **** ***** - ******, GEORGIA 31322

Experienced Supervisor specialist with a demonstrated history of working in the hospital & health care industries. Skilled in Healthcare Consulting, U.S. Health Insurance Portability and Accountability Act (HIPAA), Healthcare Information Technology (HIT), Revenue Cycle, and Healthcare Management consulting. Strong professional skills with a Master’s degree focused in Health/Health Care and Business Administration Management.

PROFESSIONAL EXPERIENCE

Senior Revenue Integrity Analyst (remote) – Ensemble Health Partners Blue Ash, OH (6/27/24-3/2/26)

Audits and examines charge capture data and all revenue monitoring functions/reports/work queues for multiple clients. Created and maintained and standardized the department’s training program and developed training material and handouts. Serves as the subject matter expert for the Revenue Integrity team and is responsible for coordinating and conducting training sessions as well as serves as a resource for new hire and existing staff. Conducts monthly quality checks to ensure staff meet the department standards and to identify opportunities for improvement. Conducts charge audits as requested by the clients and management.

Revenue Integrity Analyst (remote) – Ensemble Health Partners Blue Ash, OH (12/1/2020-6/27/24)

Responsible for all acute and non-acute Revenue Cycle analytical needs. Created and maintains scorecards, dashboards, and ad hoc reporting using a variety of source systems and presentation software. Provided analytical insight regarding all reports. Responsible for discovering root causes and as well as developing a corrective action plan. Recommended modifications to established practices & procedures or system functionality as needed to support revenue cycle and then manages implementation of those recommended changes. Worked with internal customers to ensure newly implemented workflows and procedures, supported revenue cycle integrity to achieve revenue cycle’s financial goals. Participated in implementation of new & existing functionality to support revenue cycle processes.

Senior Revenue Integrity Analyst/Edit Coder (remote) – Conifer/Tenet Health Solutions Frisco, TX (9/12/2011-5/29/2020)

Supervised Revenue Integrity Analysts with claim edit inquiries. Trained Analysts in validating insurance claims for correct charging and coding. Analyzed revenue management reports to identify opportunities for improvements. Reviewed medical records, regulations, policies, procedures to formulate the analysts’ s work tasks. Collaborated with clinical and revenue departments to increase hospital revenue in compliance with the Centers for Medicare and Medicaid Services (CMS) regulations.

Revenue Management Analyst - Memorial Health University Medical Center Savannah, GA (5/10/2010 - 9/9/2011)

Analyzed all revenue management reports and information, identified opportunities for improvements, reviewed appropriate material (medical records, regulations, policies, procedures) devised work plans for Revenue Analysts and worked with operational departments and leadership to improve overall revenue management goals.

Customer Service Supervisor / Provider Relations Research Specialist / Claims Processor/Examiner - Cahaba GBA – Medicare Part A/B Savannah, GA (5/1/1989-4/3/2009)

Supervised customer service representatives (CSR). Facilitated weekly/monthly continuing education meetings on policy changes/updates in government healthcare regulations. Submitted articles to update various sections of the Medicare and Medicaid Services website. Liaison for physicians and equipment suppliers with navigating through Medicare and Medicaid policies and procedures. Navigated physicians on how to understand fee schedule changes, remittance notices changes and adjustments, where to find information on appealing denied insurance claims and requirements for submitting claims, explained beneficiary deductibles and coinsurance responsibilities to providers/physicians. Assisted providers and suppliers with determining correct insurance claim submission. Attended and participated in webinars, teleconferences, forums, and comprehensive communication groups on Medicare changes. Provided customer service training. Monitored calls for quality. Assisted CSRs with timesheet submissions. Submitted reports to managers and department directors of CSRs progress. Served as the liaison for software application for the Centers for Medicare and Medicaid Services (CMS). Processed insurance claims. Examined/audited rejected claims for correction.

Human Resources Generalist Chatham Nursing Home Savannah, GA (6/4/1984 - 4/28/1989)

Processed applications. Conducted Orientation of new hires. Prepared salary documents for the accounting department.

EDUCATION

2009–2013 University of Phoenix Savannah, GA - Graduated 5/31/2013

M.H.A., Master of Healthcare Administration

2005–2007 University of Phoenix Savannah, GA - Graduated 5/31/2007

M.B.A., Master of Business Administration concentration in Human Resources

Human Resource Management - Concentration Savannah, GA

2001–2004 South University Savannah, GA - Graduated 12/16/2004

B.A., Bachelor of Business Administration

1997–2000 South College Savannah, GA - Graduated 6/21/2000

A.S., Associate of Science in Accounting

Certifications and Certificates

Healthcare Financial Management Association – Certified Revenue Cycle Representative (June 5, 2023)

Associations/American Health Information Management Association (AHIMA)

PHONE 912-***-**** cell

E-MAIL ********@*****.***

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