Years of healthcare professional experience
Brittney Calvert
Summary
Senior Provider Educator and Revenue Integrity Manager with senior-level expertise in coding compliance and revenue cycle optimization. Led a cross-functional team to reduce claim denials by 20% across multiple EHR platforms. Designed and delivered provider education programs that improved coding accuracy, documentation integrity, and boosted revenue capture. Seeking to apply deep compliance knowledge and training skills to enhance regulatory adherence and the organization’s financial performance.
Overview
29
29
18
18
Years of medical coding experience
2
2
AAPC Certifications
Work History
Senior Provider Educator/Auditor
Texas Oncology
Dallas, TX
08.2025 - 02.2026
- Functioned as subject matter expert on coding, compliance, auditing, NCCI, and CMS guidelines, supporting regulatory adherence across practices.
- Developed and presented educational materials on audit risk areas, findings, specialty training topics, and coding/billing guidelines to enhance provider knowledge.
- Educated new providers about audits, risk assessments, and focus reviews.
- Review and audit professional E/M documentation for multi-specialty oncology practice.
Revenue Integrity Manager
One GI, LLC
Brentwood, TN
10.2024 - 08.2025
- Led coding denials, trending, and projects as primary contact to enhance KPIs and resolve revenue discrepancies.
- Managed analyst team for coding denial trending and projects.
- Developed and implemented SOPs for revenue and auditing processes to standardize operations.
- Developed and presented coding education materials for revenue cycle.
- Maintained charge master files and coding edits within multiple EHR systems including EPIC, G-Gastro, Cerner, Promed, and E-Clinical Works.
- SME for coding, compliance, and auditing guidelines.
- Managed internal and external audit requests, conducting risk assessments to ensure compliance and accuracy.
- Assisted Revenue Integrity Director and RCM management with claim issues, audits, and coding questions.
- Monitored staff productivity metrics and KPIs to assess performance.
- Developed and completed provider onboarding training and offboarding priorities including claim payment reconciliation and system deactivations.
- Revenue cycle liaison contact for practice management, clinical, and corporate staff.
- Reconciled patient billing complaints and account disputes.
- Approved staff vacation requests and managed coverage requirements.
Revenue Integrity Analyst / Auditor
One GI, LLC
Brentwood, TN
07.2021 - 10.2024
- Researched denial trends to enhance revenue cycle management through improved appeal processes and payer policy compliance.
- Analyzed data and claim EOBs for denial causes and appeals.
- Completed internal audit reviews and educate providers on findings.
- Educated physicians, clinical, clerical staff on coding guidelines, updates.
- Developed internal SOPs and updated the CDM/fee schedule to improve workflow efficiency.
- Implemented charge master data and fee schedule updates.
- Tracked and submitted documentation for external payer audits, including CERT and RAC, ensuring timely and accurate responses.
Medical Coder/Denials
Digestive Health Specialists, PA
Tupelo, MS
04.2008 - 07.2021
- Recouped multiple payer denials, enhancing revenue recovery efforts.
- Assigns appropriate ICD-10, CPT, HCPCS coding to professional and ASC facility claims.
- Experienced coding for E/M, ancillary, laboratory, ASC procedure, infusion therapy, ER, pathology, hospital inpatient/outpatient, anesthesia, and surgery.
- Educated providers and staff on coding guidelines and payer policies to ensure compliance and accuracy.
- EPIC superuser for billing and coding department in creation of claim edits and management of claim editing WQs including denial follow up.
- Applied coding guidelines to accurately abstract medical information from patient records.
- Reconciled patient billing complaints and account disputes.
- Oversaw coding and accounts receivable departments, streamlining workflow efficiency.
- Lead auditor and provider educator.
- Coding and AR departmental provider liaison.
- Collaborated with management to create and revise policies.
Education
AAS - Medical Administration/Transcription
Bevill State Community College
Hamilton, AL05.2004
Associate of Applied Science - Medical Office Administration
Itawamba Community College
Fulton, MS12.1998
Skills
- Medical coding systems: ICD-10-CM, HCPCS, and CPT coding
- Electronic health records management
- Epic and Centricity expertise
- Revenue cycle processes
- Patient dispute resolution
- Compliance auditing practices
- Audit management
- Fee schedule analysis
- CDM maintenance updates
- Standard operating procedures creation
- Data and revenue integrity analytics
- Key performance indicators tracking
- Training material development
- Leadership in team settings
- Collections management
Certification
- Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC), 01061565, 02/01/07
- Certified Professional Medical Auditor (CPMA), American Academy of Professional Coders (AAPC), 01061565, 02/01/23
Timeline
Senior Provider Educator/Auditor
Texas Oncology
08.2025 - 02.2026
Revenue Integrity Manager
One GI, LLC
10.2024 - 08.2025
Revenue Integrity Analyst / Auditor
One GI, LLC
07.2021 - 10.2024
Medical Coder/Denials
Digestive Health Specialists, PA
04.2008 - 07.2021
AAS - Medical Administration/Transcription
Bevill State Community College
Associate of Applied Science - Medical Office Administration
Itawamba Community College