Angela W Jordan
Houston
Summary
Results-focused Health Care professional with strength in Revenue Cycle Management, ability to define problems and demonstrated critical-thinking skills. Proactive leader with strengths in communication and collaboration. Proficient in leveraging multiple projects/initiatives concurrently and ability to make sound decisions to promote and advance knowledge of external and internal drivers affecting the entire Revenue Cycle Operations.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Director National CDM, Revenue Integrity
Conifer Health Solutions
01.2015 - Current
- Manage Revenue Integrity for Pacific Northwest, Midwest, Southeast and Texas Divisions to include 4 direct reports and 20 indirect reports
- Implement National CDM/charge capture and revenue corrective actions for 31 hospitals in Midwest with 2541 beds, 9 hospitals in Pacific Northwest with 1392 beds, Southeast 18 hospitals with 1739 beds, Texas 15 hospital with 1977 beds, average total monthly gross charges $3.4B
- Provide oversight for monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives
- KPIs of 2 day turnaround times for CDM completion and staff 95% quality measures
- Improved operations by working with team members and clients to find workable solutions in areas of CDM Management, Charge Audit/High Risk Reviews, Software Assisted Charge Audit, Late Charge Management, Training & Education and Billing Edit Resolution
- Performed site evaluations, CDM strategic pricing and implementation and team audits as part of quality assurance program
- Established a National CDM teams to develop solutions to standardize processes and workflow's to drive best practice solutions for Epic, Meditech, Paragon and Cerner AR systems and Craneware Trisis/ CMT tool
- Balance $31M daily average edit quality review inventory and overall week to week reduce daily holds by 45%
Assistant Director Revenue Integrity
CHI St. Luke's Health
Houston
12.2012 - 01.2015
- Directed the Charge Capture and CDM functions across the clinical departments, focused on improvement of quality and consistency of charge capture practices and the accurate placement of CDM charges for revenue processing
- Managed the planning, testing, training and/or implementation of technology tools or applications deployed by the organization to augment the functions of charge capture and CDM management
- Interacted extensively with clinical staff, Finance, and Nurse Audit Mangers to identify areas of missing charges and ensure compliance of charging practices
- Coordinated policies, and transfer of expert knowledge of current OPPS rules, CCI/MUE edits, and CMS reporting requirements to Revenue Integrity unit staff
- Directed teams of professionals in special projects and daily operations
- Provided clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources
Revenue Integrity Manager
St. Luke's Health System
Houston
01.2007 - 01.2013
- Maintained comprehensive knowledge of both inpatient and outpatient coding and reimbursement
- Tracked proposed coding or reimbursement changes in assigned departments and directs organized response in SLEHS to proposed changes
- Collaborated with executives, governmental reporting, and risk management
- Assisted with strategic planning initiatives involving reimbursements for new service lines and is involved in the approval process for new order sets
- Received and monitored reports indicating late charges, error rates, and related reports on a weekly basis
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
- Escalated identified risk issues, challenges and trends to senior management and delivered risk-related documents for audit and regulatory exams
- Implemented, maintained and verified compliance to various international quality standards and administered training on standards
Patient Business Services Manager
MD Anderson Cancer Center
Houston
12.1998 - 01.2007
- Responsible for the timely, effective and compliant management of physician billing, collections and follow-up within a high-volume hospital environment with monthly revenue of eighteen million dollars of professional services
- Ensured that the activities of the physician billing operations were conducted in a manner consistent with overall department protocol, and were in compliance with Federal, State, and payer guidelines and requirements
- Evaluated effectiveness of billing and collection workflow's for process improvement opportunities and denial reductions strategies for the centralized unit
- Achieved mutual agreements and cleared up miscommunications by working with all parties to reach win-win solutions
- Developed cost-savings and new solutions to existing problems through persistent research and innovation
- Established and implemented management techniques to increase competency of staff members by assessment and definition of workflow that increased account receivables by twenty five percent (25%)
Reimbursement Manager
American Oncology Resources
Houston
01.1997 - 01.1998
- Traveled to academic physician practices across the US to transition and train on reimbursement policies and procedures
- Worked with clinical staff to perform chart audit reviews to minimize billing and coding compliance risk
- Adhered to corporate confidentiality guidelines and federal regulations in protecting patient data
- Streamlined the department's workflow's by assessing the billing and collections processes and making appropriate changes
Billing and Coding Supervisor
UT Health Science Center
Houston
01.1991 - 01.1997
- Responsible for billing and coding professional fee services for teaching physicians and residents
- Supervised the Organ Transplant academic billing staff
- Streamlined day-to-day office processes to meet long-term goals
Education
Bachelor of Business Administration -
Stillman College
Skills
- Problem Solving
- Strategic Planning
- Adaptability
- Data Analysis
- Epic Implementation
- Vendor Management
Certification
- Certified Professional Coder (CPC), American Academy of Professional Coders
- Epic Charge Master Management
- Certified Revenue Cycle Representative, HFMA
Timeline
Director National CDM, Revenue Integrity
Conifer Health Solutions
01.2015 - Current
Assistant Director Revenue Integrity
CHI St. Luke's Health
12.2012 - 01.2015
Revenue Integrity Manager
St. Luke's Health System
01.2007 - 01.2013
Patient Business Services Manager
MD Anderson Cancer Center
12.1998 - 01.2007
Reimbursement Manager
American Oncology Resources
01.1997 - 01.1998
Billing and Coding Supervisor
UT Health Science Center
01.1991 - 01.1997
Bachelor of Business Administration -
Stillman College