Dynamic Revenue Integrity Analyst with a proven track record at Allegheny Health Network, enhancing coding accuracy and reducing denial rates through effective error resolution and staff education. Skilled in ICD-10 and committed to collaboration, I leverage strong interpersonal skills to optimize billing processes and drive revenue integrity initiatives.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Revenue Integrity Analyst
Allegheny Health Network
05.2023 - Current
Optimized claim submission process by resolving discrepancies before final submission, reducing denial rates significantly.
Collaborated with cross-functional teams to ensure timely and accurate billing for all services rendered.
Enhanced revenue integrity by identifying billing errors and implementing corrective measures.
Improved coding accuracy by conducting regular reviews, providing feedback, and offering targeted education to staff members.
Develop and maintain Quality Audits and associated reporting to identify areas of opportunity and provide ongoing education to departments.
Coder II
Allegheny Health Network Cancer Institute
03.2011 - 05.2023
Work collaboratively with other departments within the network to obtain required documentation for claims submission
Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Verified accuracy of patient information in medical records.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Followed up with medical staff regarding missing information in patient records.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Business Administrator
Pawlowicz Dentistry
12.2005 - 02.2011
Maintain three Doctor's schedules to ensure hightest
level of production
Answered multi-line phone system and enthusiastically greeted callers.
Scheduled appointments and conducted follow-up calls to clients.
Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.
Entered data into system and updated customer contacts with information to keep records current.
Provided exceptional customer service by promptly addressing inquiries and resolving issues professionally.
Contributed to a positive work environment by providing support to colleagues when needed in various tasks or projects.
Managed phone and handled incoming and outgoing mail and faxes.
Managed filing system, entered data and completed other clerical tasks.
Assisted coworkers and staff members with special tasks on daily basis.
Education
Associate of Applied Science - Marketing Management
Butler County Community College
Butler, PA
10.2005
Skills
Records Review
Clerical Support
Coding Error Resolution
ICD-10 (International Classification of Disease Systems)
Medical Billing Code Accuracy
3M Encoder
Claims processing
Denial management
Auditing techniques
Data validation
Medical coding
Charge capture
Auditing procedures
Attention to detail
Certification
- CPC - Certified Professional Coder
- CHONC- Certified Hematology Oncology Coder
Timeline
Revenue Integrity Analyst
Allegheny Health Network
05.2023 - Current
Coder II
Allegheny Health Network Cancer Institute
03.2011 - 05.2023
Business Administrator
Pawlowicz Dentistry
12.2005 - 02.2011
Associate of Applied Science - Marketing Management
Director, Research and Sponsored Program Adm at Allegheny Health Network Of Highmark HealthDirector, Research and Sponsored Program Adm at Allegheny Health Network Of Highmark Health
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