Barbara Sexton
Cashion,OK
Summary
Accomplished Revenue Integrity Analyst with a proven track record at Ensemble Health Partners, specializing in charge reconciliation and auditing techniques. Known for a meticulous attention to detail and a continuous learning mindset, I have effectively enhanced revenue cycle processes and fostered strong client relationships. My expertise in healthcare revenue cycle management and commitment to HIPAA compliance have driven substantial improvements in charge capture accuracy.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Revenue Integrity Analyst
Ensemble Health Partners
10.2022 - Current
- Reconciled codes against services rendered.
- Developed strong professional rapport with clients.
- Reviewed charge capture accuracy and identified opportunities for improvement.
- Versed in Charge Reconciliation
- 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
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. Entered Physician orders as well as discharge paperwork
- Facilitated seamless transfer of patients to other units or facilities, ensuring continuity
of care. Communications done with House Supervisors for patient placement from ED
- Monitored staffing levels within the department to ensure adequate coverage at all
times.
- Conducted regular performance reviews for ED staff non-clinical front desk 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.
Education
No Degree - CEDC Certification
AAPC
06-2024
No Degree - COC Certification
AAPC
04-2022
Skills
SKILLS
- Charge Reconciliation
- Auditing techniques
- Revenue cycle
- Strong attention to detail
- Continuous learning mindset
- Healthcare revenue cycle
- Charge capture software proficiency
- Patient account analysis
- 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
10.2022 - Current
Charge Capture Specialist
Integris Health
11.2005 - 10.2022
No Degree - CEDC Certification
AAPC
No Degree - COC Certification
AAPC
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