Genine Robinson
Madison,AL
Summary
Analytical professional prepared for this role with extensive experience in data analysis and interpretation. Known for delivering actionable insights and driving process improvements that align with Hospital standards. Highly collaborative team player with focus on achieving results and adapting to changing needs.
Overview
7
7
years of professional experience
1
1
Certification
Work History
CDM Analyst Revenue Integrity
Henry Ford Hospital
03.2022 - Current
- Maintain the charge master: Create and update the charge description master (CDM), ensuring accurate descriptions, codes (like annual CPT updates, quarterly CPT/HCPCS/modifiers) updates, and payor specific updates (alternate code build).
- SME & Trainer: Act as a subject matter expert for questions related to charging and coding, and train other staff on processes, procedures, and updates.
- ServiceNow IT Service: Process CDM request by coordinating with Helios Ambulatory team to implement specific charge capture changes and maintain timely turnaround of all charge master requests.
- Ensure compliance: Keep the CDM updated to comply with all payers, by following governmental billing regulations and requirements by performing formal reviews of quarterly and annual code changes.
- Improve process: Cross-trained in various functions to assist in the streamlined delivery of department services to resolve operational problems.
Medical Biller and Collections Analyst
Associated Retinal Consultants
06.2021 - 02.2022
- Reviewed patient accounts for accuracy and completeness before submission.
- Submitted claims using CPT/ICD codes, following up on payments, and managing patient accounts and inquiries.
- Collaborated with coders and physicians to ensure proper documentation and coding, resolving billing disputes with insurance companies and patients, and maintaining compliance with regulations like HIPAA.
- Collaborated with healthcare providers to resolve billing discrepancies promptly.
- Provided exceptional customer service by addressing patient inquiries related to billing issues.
Coding/Appeals Payment Resolution Specialist
Trinity Health
02.2020 - 06.2021
- Reviewed all pre/post-billed denials for ambulatory surgery, E&M, Outpatient/Inpatient and professional claims and performed follow up billing activities according to denial reason codes for all payers.
- Analyzed medical records and patient accounts for correct coding of facility outpatient and ambulatory surgery encounters.
Payment Resolution Analyst/Variance
Trinity Health
12.2018 - 02.2020
- Proactively drove charge capture opportunity identification and realization, provided focus toward revenue protection and maintenance, and identification of individual underpayments and underpayments.
- Worked collaboratively with leadership to increase efficiencies, reduce variability, reduce errors/defects, reduce organizational and compliance risk and involve all appropriate Revenue Cycle team members.
Education
EPIC certification - Resolute Hospital Billing Charging
10.2023
AAS - Health Information Technology
08.2006
ABA - Health Insurance Claims Management
12.2005
Skills
- MS Word, Outlook, Excel, SharePoint, OneNote, VISIO, and Power Point
- BCBSM/BCN (Web Denis), Medicaid (Champs), Medicare WPS C-SNAP
- EHR, Availity, 3M, EPIC, Advance MD, FIN-Thrive, and Service Now IT Service
- ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, DRG, Modifiers
- MUE (Medically Unlikely Edits), CCI (Correct Coding Initiative)
- (TOB) Type of bills, Condition Codes, Occurrence Codes, Patient Status Codes, and Value Codes
- (RARC) Remittance Advice Remark Codes and (CARC) Claim Adjustment Reason Codes
- Zoom, Web Ex, Microsoft Teams, and VPN (Forti-Client)
Certification
- Active AHIMA Member
- RHIT Certification since April 2017
- AAPC Member
Timeline
CDM Analyst Revenue Integrity - Henry Ford Hospital
03.2022 - Current
Medical Biller and Collections Analyst - Associated Retinal Consultants
06.2021 - 02.2022
Coding/Appeals Payment Resolution Specialist - Trinity Health
02.2020 - 06.2021
Payment Resolution Analyst/Variance - Trinity Health
12.2018 - 02.2020
EPIC - EPIC certification, Resolute Hospital Billing Charging
Davenport University - AAS, Health Information Technology
Davenport University - ABA, Health Insurance Claims Management