Barbara Sexton
Revenue Integrity Analyst
Cashion,OK
Summary
Seasoned Revenue Integrity Analyst with a proven track record at Ensemble Health Partners, adept in auditing techniques and maintaining HIPAA compliance. Excels in leveraging a continuous learning mindset and detailed knowledge of healthcare revenue cycles to enhance charge capture accuracy. Demonstrated success in fostering strong professional relationships and significantly improving revenue processes. Analytical and forward-thinking Revenue Integrity Analyst known for high productivity and efficient task completion. Specialize in revenue cycle management, compliance auditing, and financial analysis to ensure accurate billing and revenue capture. Excel in problem-solving, teamwork, and communication, leveraging these skills to collaborate effectively with cross-functional teams and optimize financial processes for healthcare organizations. Committed and results-oriented professional willing to go above and beyond to contribute to team objectives. Highly skilled in collections with aptitude for addressing past-due accounts and cultivating satisfaction.
Overview
19
19
years of professional experience
2
2
Certification
Work History
Revenue Integrity Analyst
Ensemble Health Partners
Cincinnati, OH
07.2024 - Current
- Reconciled codes against services rendered.
- Developed strong professional rapport with vendors and clients.
- Reviewed charge capture accuracy and identified opportunities for improvement.
- Identified discrepancies between charges billed versus payments received from insurance companies.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Charge Capture Specialist
Integris Health Inc
Oklahoma City, OK
11.2005 - 10.2022
- Performed comprehensive assessments of patients presenting with a wide range of acute conditions in a high-volume emergency department.
- Facilitated smooth transition of care between ED personnel, physicians, nursing units and departments or other health care providers.
- Maintained open and clear communication with physicians to coordinate effective patient care.
- Facilitated seamless transfer of patients to other units or facilities, ensuring continuity of care.
- Monitored staffing levels within the department to ensure adequate coverage at all times.
- Conducted regular performance reviews for ED staff members ensuring compliance with hospital policies and procedures.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Implemented policies, procedures, goals and objectives related to Emergency Department operations.
Skills
- Claims process
- Auditing techniques
- Revenue cycle
- Strong attention to detail
- Continuous learning mindset
- Healthcare revenue cycle
- Charge capture software proficiency
- Patient account analysis
- Handling denied claims
- HIPAA compliance
- Conducting daily audits
- Medical terminology mastery
- ICD-10 and CPT coding skills
Certification
- COC thru AAPC
- CEDC thru AAPC
Timeline
Revenue Integrity Analyst
Ensemble Health Partners
07.2024 - Current
Charge Capture Specialist
Integris Health Inc
11.2005 - 10.2022
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