Brandi McLendon
Tucson,AZ
Summary
Insightful healthcare professional with experience directing and improving operations through effective strategies and strong policy enforcement. Proficient in best practices and regulatory requirements of billing, coding, and charging. Talented leader with analytical approach to business planning and day-to-day problem-solving.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Manager, Revenue Integrity
R1 RCM
09.2024 - 09.2025
- Assists with assessment, training, and onboarding of new-hires.
- Suggests plans, assignments, and directions with Offshore Leadership for revenue integrity projects and compliance.
- Led a team of revenue integrity specialists to identify opportunities for revenue enhancement and process improvements,
- Collaborated with cross-functional teams including Finance, Coding, and Clinical Documentation Improvement to address root causes of revenue discrepancies.
- Managed revenue integrity projects from conception to implementation, driving sustainable improvements in revenue capture and financial performance for the customer.
- Maximized performance by monitoring daily activities and mentoring team members.
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Director of Revenue Integrity
Santa Barbara Cottage Hospital
09.2018 - 10.2023
- Oversees all aspects of the Charge Description Master (CDM) and is a key contributor to fee schedule formulation(s), review and maintenance to optimize revenue generation and compliance with third party payer requirements. Established strategic direction of service lines and work teams to ensure charging and coding compliance across the organization. Served as a technical expert on CDM, charge capture, payor requirements, reimbursement, and federal/state compliance requirements.
- Maintenance and development of policies and procedures related to patient status, level of care, post anesthesia recovery, and charging. Spearheaded change through multiple projects to improve AR days and billing/reimbursement timelines. Implemented new services within revenue cycle to provide charge transparency and rate modeling for a growing organization.
- Worked within core team to streamline business processes and internal controls, resulting in scalable and detailed set of procedures.
- Hired, trained and managed revenue department team members and developed engaged, high-functioning performers.
- Identified issues regarding delayed or incomplete payments and followed through to resolution.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
Revenue Cycle Consultant
HIMagine Solutions & Harmony Health Care
03.2015 - 09.2018
- Multiple roles within Facility Revenue Cycle include Coding Manager, Regional Director of Health Information Management, and Senior Revenue Integrity Analyst. Each engagement brought new opportunities in leadership of large teams (up to 45) in both on-site and remote environments. Team engagement included productivity monitoring, auditing, and mentoring in areas of coding, billing, and documentation integrity. Process improvement initiatives included provider documentation, charge reconciliation, and education of Federal and State billing and coding guidelines. Engagements were both on-site and remote for Cancer Treatment Centers of America (AZ) and Christus Health System (TX).
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Monitored and guided revenue cycle operations.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
Corporate Compliance Analyst
University of Maryland Medical Systems
01.2014 - 03.2015
- As a member of HCCA, Certified in Healthcare Compliance, I reviewed and analyzed claims data against medical record documentation for accuracy of reimbursement, and appropriateness of supporting clinical documentation. Served as a contributor in the execution and analysis of the Corporate Compliance Monitoring Plan for a 12- hospital system including Johns Hopkins Medical Center.
- Stayed current with latest changes to applicable regulatory standards and company procedures.
- Supported and trained customers on compliance-related issues.
- Assisted investigation and risk management teams with fraud investigations and risk identification.
Manager of HIM Coding
Tucson Medical Center
06.1996 - 01.2014
- Managed 20 HIM staff members including Coders, Cancer Registry and Administrative staff. Provided education to staff and physicians on coding and regulatory changes. Performed both clinical and technical appeals for services provided to multiple payors. Developed corporate and departmental policies related to coding and medical record documentation. Other positions held during my time with Tucson Medical Center include Revenue Integrity Coordinator, Billing Analyst, and Phlebotomist.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Cross-trained existing employees to maximize team agility and performance.
Sr. CDM Consultant
Med Assets
11.2010 - 11.2012
- Charge Description Master (CDM) reviews for multiple clients throughout the U.S.
- Provided charging and coding education based on federal and state guidelines to all levels of the organization.
- Auditing, monitoring, and charge restructure projects to include both time and procedure based charging.
- Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
- Developed effective improvement plans in alignment with goals and specifications.
- Devised and implemented processes and procedures to streamline operations.
Education
Bachelor of Science - Health Care Administration
Purdue University
West Lafayette, IN 4790610-2022
Skills
- Healthcare Management
- Change Management
- All Microsoft Applications
- System Expertise in EPIC, Cerner, Optum, 3M, Vitalware, Craneware
- Business Administration
- Policy Implementation
- Staff Development
- Strategic Planning
Certification
COC, Certified Outpatient Coder American Academy of Professional Coders February 2006
Member ID : 01042896 | Exp.: Feb 2026
Timeline
Manager, Revenue Integrity
R1 RCM
09.2024 - 09.2025
Director of Revenue Integrity
Santa Barbara Cottage Hospital
09.2018 - 10.2023
Revenue Cycle Consultant
HIMagine Solutions & Harmony Health Care
03.2015 - 09.2018
Corporate Compliance Analyst
University of Maryland Medical Systems
01.2014 - 03.2015
Sr. CDM Consultant
Med Assets
11.2010 - 11.2012
Manager of HIM Coding
Tucson Medical Center
06.1996 - 01.2014
Bachelor of Science - Health Care Administration
Purdue University
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