Multi-talented Director focused on streamlining operations and increasing team productivity. Fully versed in office functions to meet deadlines. Mentors and coaches staff to optimal levels of productivity and leadership.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Associate Director, Coding & Coding Education
Optum
04.2018 - 12.2023
Managed a team of professional coders for Medicare Advantage Risk Adjustment
Plan, implemented, and delivered, through multiple formats consisting of live, source materials and PowerPoint to align with CMS and Insurance payer guidance
Guide clinical and non-clinical professionals to comply with regulatory standards
Improved processes to ensure timely submissions
Managed coding-end-to-end processes
Collaborate with vendor partners, clinical partners, and CDO management to ensure successful programs
Innovated methods to create efficiencies, improving associate and customer experience.
Monitored budgeting, forecasting, planning and reporting activities of the department.
Maintained positive relationships with stakeholders by responding promptly to inquiries, requests and complaints.
Associate Director of Professional Coding
University Healthcare, MU Health
01.2017 - 02.2018
Successfully led a team of 60 plus academic multi-specialty coders and supervisors
Reduced an 8-month charge lag for unbilled claims to billing within 4 DOS
Increased charges from 2 million to 2/75 million within the first 6 months
Implemented new employee training policies
Improved return results for all Managed Medicare and Medicaid claims
Analyzed CMS and commercial payer policies to continue to provide guidance and education that met requirements
Provided clinical documentation improvement education to physicians, advanced practice providers, residents, and fellows
Prepared training material for physicians, advanced providers, residents, fellows, and coders
Developed written policies for coding practices to provide expectations for the coding team
Provided CEU training courses for internal and external coders
Program Director
McKesson Specialty Health
08.2012 - 12.2016
2016 Peak Performance Award Recipient, The US Oncology Network
Project lead for ICD-10-CM documentation and training
Analyzed CMS and payer policies to align with regulatory standards to successfully lead the coding team for provider Part B Fee-for-Service and DME claims
Provide practice oversight to 40 Network oncology and multispecialty throughout the US to focus on clinical and reimbursement business functions and allocation of budgets
Provide subject matter education to network providers and 20,000 plus business office staff, including coding teams with applicable compliance, billing, and coding-related guidance and updates
Provide coding audits for multispecialty clinics
Responsible for development of reimbursement and coding education materials, data reporting analysis of compliance reports
Provided internal policies and regulations for the network in accordance of state and federal laws and regulations.
Education
Bachelor of Science - Healthcare Management
Colorado Technical University
Colorado Springs, CO
07-2013
Skills
Expense Control
Project Management
Strategic Leadership
Budget Management
Process Improvement
Technical Implementation
Data Collection
Public Speaking
Hiring and Training
MS Office
Onboarding and Training
EMR Experience: Allscripts, Cerner, Practice Management, eClinical works and others