Hi, I’m
Cynthia Tetreault
Clarksville,TN
Summary
Knowledgeable healthcare professional with extensive experience, correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment, while excelling in coding accuracy and compliance. Proven track record in training and mentoring teams, enhancing operational efficiency, and ensuring HIPAA compliance. Skilled in ICD-10 coding and conflict resolution, driving high-quality patient care and fostering collaborative environments.
Overview
25
years of professional experience
1
Certification
Work History
Tennova Healthcare
Lead Coder
01.2025 - Current
Job overview
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Generated reports to identify coding trends and discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Followed exact procedures for handling transfers and other releases of medical records.
- Researched and resolved medical record discrepancies.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Assisted in preparation of medical reports for external parties.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Two Rivers Surgical Associates
Practice Manager
07.2016 - 12.2024
Job overview
- Oversaw accounting, budgeting, and financial reporting.
- Boosted staff morale by offering constructive feedback and specific direction.
- Supervised team of 12 office personnel.
- Developed close working relationships with front office and back office staff.
- Addressed and remedied all patient or team member issues.
- Ordered all office supplies and kept check on inventory levels.
- Consulted with healthcare professionals on business decisions.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Successfully negotiated client contract renewals to create increased revenue.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Handled all claim filing and posting, to include coding for office procedures, radiology, and surgeries.
- Created and implemented organizational policies and procedures.
Mid-Cumberland Infectious Disease Consultants
Practice Manager
05.2011 - 06.2015
Job overview
- Supervised team of 7 office personnel.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Boosted staff morale by offering constructive feedback and specific direction.
- Created and implemented organizational policies and procedures.
- Developed close working relationships with front office and back office staff.
- Addressed and remedied all patient or team member issues.
- Ordered all office supplies and kept check on inventory levels.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Successfully negotiated client contract renewals to create increased revenue.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Responsible for all claim processing and posting.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Developed and implemented strategies to improve patient access, satisfaction and care quality.
Pediatric and Adult Urology
Medical Billing Manager
03.2001 - 06.2015
Job overview
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Performed billing, collection, and reporting functions for office generating over $1.2 million annually.
- Worked with customers to develop payment plans and bring accounts current.
- Reviewed billing problems, researched issues, and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Conducted performance reviews and implemented improvement plans.
- Evaluated and negotiated contracts to procure favorable financial terms.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Established and checked coding procedures, monitored reports and updated internal files.
- Responsible for all coding and billing of office visits, procedures, and outpatient surgeries, to include posting and denial resolutions.
- Managed all incoming/outgoing authorizations and referrals, to include radiology/nuclear medicine.
- Responsible for training all new administrative employees and yearly compliance training.
Education
Draughon's Business CollegeClarksville,TN
Associate of Science from Business Administration And Management
05.1992
University Overview
- 3.65 GPA
Skills
- Training and mentoring
- Medical billing software
- Insurance verification
- Healthcare regulations
- Patient confidentiality
- Accounts receivable management
- HIPAA compliance
- ICD-10
- Medical practice operations
- Effective multitasking
- Team supervision
- Conflict resolution
- Reception management
- Team leadership and motivation
- Coding team coordination
- Attention to detail
Certification
- CBCS - Certified Billing and Coding Specialist
Timeline
Lead Coder
Tennova Healthcare
01.2025 - Current
Practice Manager
Two Rivers Surgical Associates
07.2016 - 12.2024
Practice Manager
Mid-Cumberland Infectious Disease Consultants
05.2011 - 06.2015
Medical Billing Manager
Pediatric and Adult Urology
03.2001 - 06.2015
Draughon's Business College
Associate of Science from Business Administration And Management