CARLA E. HOPKINS
Willow Park,USA
Summary
Accomplished healthcare revenue cycle leader with extensive expertise in coding compliance, financial performance optimization, and high-performing team development.
Proven success across diverse medical specialties including urology, anesthesia, pain management, behavioral medicine, orthopedic surgery, oncology, laboratory, neonatology, obstetrics, inpatient, and primary care.
Experienced in supervisory and management roles spanning coding, auditing, billing, charge posting, authorizations, and referrals.
Advanced knowledge of multiple EMR and clearinghouse platforms as well as Excel. AAPC Certified Professional Coder (CPC) Seeking progressive leadership opportunities to broaden organizational impact and drive revenue integrity excellence.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Supervisor Enterprise PB Coding
WVU Medicine
Remote
10.2022 - Current
- Supervise thirty coding direct reports, including one lead across inpatient and surgical service lines ensuring accuracy, compliance, and productivity standards are met.
- Review & monitor multiple Epic work queues including Claim Edit & Denial for accuracy & efficiency.
- Conduct monthly quality audits for coding staff to ensure accuracy of level of service assignment and proper application of teaching physician guidelines.
- Perform provider-specific coding reviews upon request, delivering detailed audit findings and education to support compliance and reimbursement accuracy
- Monitor, manage, and report weekly and monthly productivity metrics, ensuring staff meet established performance standards.
- Work closely with other departments to ensure reimbursement accuracy across coding and payor guidelines.
- Perform HR duties including time entry, counseling, performance reviews, & performance improvement plans.
Revenue Cycle Supervisor
UT Southwestern Medical Center
Remote
12.2021 - 10.2022
- Supervised nine coding abstractors for the NICU, PICU, & CVICU.
- Directed coding activities to achieve operational plans with regard to backlog resulting in a financial impact to the department/area.
- Audited coding for accuracy and proper level of service.
- Tracked and evaluated daily coding productivity, addressing variances to maintain operational efficiency.
- Facilitated provider education regarding coding, modifiers, & telehealth guidelines.
- Reviewed & perform charge corrections, claims edits, & CRM requests.
- Conducted HR-related responsibilities including timekeeping approval, performance counseling, annual evaluations, and development of corrective action and performance improvement plans.
Coding and Billing Supervisor
Tarrant County Public Health
Fort Worth, TX
05.2019 - 12.2021
- Conducted quality analysis of coding and abstracting to include reviews for accuracy, completion and compliance.
- Supervised the billing and data entry process for the public health clinics and multiple vaccination sites.
- Coded clinical visits, procedures, and telemedicine.
- Interviewed and assist with the hiring of new employees and temporary contract staff.
- Onboarded and trained new employees on the processes and procedures of the organization.
- Managed timecards and HR operations for data entry and coding staff.
- Assisted with questions and concerns regarding vaccine entry and vaccine insurance billing.
Revenue Cycle Supervisor
Texas Oncology
Fort Worth, TX
12.2018 - 01.2019
- Supervised eleven direct reports across two clinics.
- Managed revenue cycle operations for eight physicians, ensuring accurate charge capture, coding integrity, and optimal reimbursement.
- Created a system to track individual provider revenue while identifying revenue waste at the clinic level with the absence of copay, deductible, and co-insurance collection.
- Partnered with the Practice Director to analyze revenue trends, evaluate facility expenses, and address billing-related financial concerns.
- Processed payroll, appraisals, and other HR activities for staff.
Practice Manager
Alan B. Hurschman, M.D.
Fort Worth, TX
03.2011 - 12.2018
- Managed daily operations in the office.
- Coded and billed out E&M, labs, and surgical encounters.
- Reviewed, researched, & collected aged insurance A/R resulting in collection of $300,000 in aged revenue.
- Posted incoming payments with attention to fee schedule.
- Attested for Meaningful Use with attention to the dashboard to assure all perimeters were met & provider received full payment.
- Pursued outstanding claims & denials through reprocessing and appealing, as necessary.
- Preauthorized insurance procedures & appealed authorization denials successfully.
- Negotiated pricing for office supplies, drugs, injectables, and equipment.
- Worked with patients to help them understand their insurance plans & financial responsibilities.
Education
Associate in Arts (A.A.) - undefined
University of Phoenix
12.2005
Skills
- Epic, 3M, Meditech, eClinical Works
- Engagement & Development
- Team Building
- Critical Thinker
Certification
AAPC Certified Professional Coder, 00071599
Timeline
Supervisor Enterprise PB Coding
WVU Medicine
10.2022 - Current
Revenue Cycle Supervisor
UT Southwestern Medical Center
12.2021 - 10.2022
Coding and Billing Supervisor
Tarrant County Public Health
05.2019 - 12.2021
Revenue Cycle Supervisor
Texas Oncology
12.2018 - 01.2019
Practice Manager
Alan B. Hurschman, M.D.
03.2011 - 12.2018
Associate in Arts (A.A.) - undefined
University of Phoenix