Carla E. Hopkins, CPC
Willow Park,TX
Summary
Experienced Revenue Cycle Supervisor, Practice Manager, AAPC Certified Coder, & Medical Biller desires to continue to be impactful & further her career in healthcare. most recent experience at teaching organizations with a background in urology, anesthesia, pain management, oncology, laboratory, neonatology, obstetrics, inpatient & primary practice coding and billing. Experience in multiple roles including supervising, management, coding, auditing, billing, posting, authorization, & referrals. Knowledge of multiple EMR systems and clearinghouses including Epic, 3M Profee, E-Clinical Works, Greenway Primesuite, Medisoft, Claim Remedi (WayStar), Trizetto, and McKesson. AAPC Certified Professional Coder since 2003.
Overview
15
15
years of professional experience
Work History
Supervisor Enterprise PB Coding
WVU Medicine
10.2022 - Current
- Supervise 30 direct coding reports for inpatient & surgical areas.
- Audit staff monthly for accuracy including level of service & application of teaching guidelines.
- Conduct provider reviews based on requests for audit.
- Manage & report out weekly/monthly productivity for staff.
- Work closely with other departments to ensure reimbursement accuracy in regards to the coding and payor guidelines.
- Perform HR duties including time entry, counseling, performance reviews, & improvement plans.
Supervisor Rev Cycle
UT Southwestern Medical Center
12.2021 - 10.2022
- Supervised nine coding abstractors for the NICU, PICU, & CVICU.
- Audited coding for accuracy and proper level of service.
- Monitored productivity daily.
- Facilitated provider education regarding coding, modifiers, & telehealth guidelines.
- Reviewed & perform charge corrections, claims edits, & CRM requests.
- Performed HR duties including time entry, documented counseling, & performance improvement plans.
Coding Supervisor
Tarrant County Public Health
02.2021 - 12.2021
- Supervised the billing and data entry process for multiple Covid-19 vaccination sites.
- Maintained duties from previous Insurance Specialist role.
- Interviewed and assist with the hiring of new employees and temporary staff.
- Onboarded and train new employees on the processes and procedures of TCPH.
- Managed timecards and HR operations for 65 data entry and billing staff.
- Assisted with questions and concerns regarding vaccine entry and vaccine insurance billing.
Insurance & Coding Specialist
Tarrant County Public Health
05.2019 - 12.2021
- Coded and bill out E&M visits, telehealth, and immunizations for 7 providers across 14 clinics including Public Health events.
- Stayed current on coding guidelines and changes through various webinars and conferences to educate providers on chart streamlining and accuracy.
- Reviewed charts for consent, electronic signature, & other miscellaneous items outside of general code assignment to ensure the quality assurance process is complete before the encounter uploads to the clearinghouse.
- Worked closely with the clinics to educate on procedures and immunizations that are not covered and advise on pricing.
- Audited clinics monthly for chart errors including insufficient or conflicting information and relay to leadership for guidance and education.
- Pulled reports on denied services to advise clinics of revenue collection and/or grant funds to be dispersed.
- Audited clearinghouse outside of billing checks to ensure the proper EDI requirements are included within the digital file that goes to the insurance to avoid denials.
Revenue Cycle Supervisor
Texas Oncology
12.2018 - 01.2019
- Supervised eleven direct reports across two clinics.
- Managed revenue cycle operations for eight physicians.
- 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.
- Worked closely with the practice director to identify revenue concerns in relation to facility expenses and billing.
- Processed payroll, appraisals, and other HR activities for staff.
Practice Manager
Alan B. Hurschman, M.D.
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 revenue prior to my employment.
- 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
Certified Professional Coder -
American Academy of Professional Coders
Salt Lake City, UT05.2003
Associate of Science - Business
University of Phoenix
Tempe, AZ01.2002
Skills
- Training and mentoring
- Goal oriented
- Staff management
- Customer service
- Complex Problem-solving
- Staff development
- Team building
- Process monitoring and improvement
Timeline
Supervisor Enterprise PB Coding
WVU Medicine
10.2022 - Current
Supervisor Rev Cycle
UT Southwestern Medical Center
12.2021 - 10.2022
Coding Supervisor
Tarrant County Public Health
02.2021 - 12.2021
Insurance & Coding Specialist
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
Certified Professional Coder -
American Academy of Professional Coders
Associate of Science - Business
University of Phoenix