Process Improvement Management

Shelly Cooke 859-***-****

*** **** ***., *******, ** 41071 *********@*******.***

Professional Profile

Have developed specialized skills in process improvement regarding Revenue Cycle Management programs. Within the Revenue Cycle Management phase of development focused on front end collection processes, denial management, benchmarking of key elements of revenue cycle including back end collection efforts. Have focused on the utilization of staff reorganization regarding the key functions of setting up billing departments for medical groups. Trained billing staff members while reorganizing 80 percent of the key elements in the billing department. Certified through the coding program: American Academy of Professional Coders (AAPC) and a Historical Information Management (HIM) certification. Has developed the skills to identify record content and value to manage and deliver the record life cycle efficiently.

• Implemented an A/R turnaround program

• Financial Audits

• Pre-certifying procedures implemented

• Clinical review and loss charge analysis

• Record and file retention programs

• Collection programs reengineered

• Process training for billers

• Developed new coding system for physicians

• EMR evaluation & implementation

• Loss revenue correction programs

• Audits of denials and E&M coding

• Developed Employee process improvement plans & Assisted with HR functions

Work History

Supervisor of Billing The Cardiology Center Cincinnati, OH

November 2010 – Current

Financial Clearance Access Coordinator, CPC The Christ Hospital Cancer Center, Cincinnati, OH

July 2009 – November 2010

Medical Billing Specialist, CPC

CVTS, Cincinnati, OH June 2008 – July2009

Business Owner

The Essential Helper, Ft. Thomas, KY

April 2006 – June 2008

OR Tech Health Alliance, Jewish Hospital Cincinnati, OH

August 2005 – April 2006

Team Lead Humana Inc., Cincinnati, OH January 2003 – August 2005

Shelly Cooke

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Education

CPC Instructor Lynn Merz, Newport, KY, American Academy of Professional Coders Inc. October 2008

HIM Southeast Kentucky Community & Technical College (Kentucky Comm. & Tech. College System) May 2011

NKU NKU currently enrolled in the PACE program working on my BA in Organizational Leadership

Professional Accomplishments

Continued education and certification through the AAPC

Records Management Certification through Kentucky Community & Technical College

United Way Champion – The Christ Hospital

Employee of the Month for Humana Inc.

CVTS Bonuses/Employee Incentives

References

References are available upon request.

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