Open To Work
Jennifer L. Ellsworth
SSM Health St. Mary's Hospital
Jefferson City,MO
1
Certification
10
years of professional experience
Results-driven healthcare professional with over 20 years in revenue cycle management and medical coding. Specializing in auditing, charge capture, and claims review, with in-depth knowledge of ICD-10-CM, CPT, HCPCS, and E/M coding. Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), and Certified Evaluation & Management Auditor (CEMA). Focused on optimizing revenue opportunities and enhancing charge capture accuracy.
Work History
Revenue Integrity Analyst
3 Years 3 Months- Executed comprehensive revenue assessments each quarter to uncover potential reimbursement opportunities and enhance process efficiencies.
- Managed monitoring of epic revenue integrity workqueues across multiple hospitals to uphold accuracy in charge capture processes.
- Collaborated with clinical departments, coding teams, billing staff, and operational leadership to enhance charge capture accuracy.
- Conducted thorough assessments with CloudMed to rectify revenue discrepancies and enhance billing precision.
- Identified and resolved charge discrepancies through corrective measures, ensuring adherence to compliance standards and minimizing financial losses.
- Investigated claims data to uncover revenue leakage and suggest actionable solutions for improvement.
- Analyzed root causes of identified issues, providing actionable recommendations to resolve problems and prevent future occurrences.
- Verified accuracy of accounts payable payments, resulting in 92% reduction in payment errors and check reissues.
Medical Coder – Remote
9 Months- Analyzed and interpreted medical records to guarantee precise coding for diverse healthcare services.
- Analyzed clinical records to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting compliance and quality standards.
- Engaged with healthcare providers to ensure accurate documentation and improve coding standards.
- Implemented ICD-10, CPT, and HCPCS coding systems to optimize billing processes and ensure compliance.
- Monitored and enforced compliance with payer requirements and coding regulations to uphold organizational quality standards.
Certified Reimbursement Specialist /Certified Professional Coder
5 Years 6 Months- Specialized in coding and billing for outpatient endocrinology and infectious disease clinics, leveraging Optum CAC Professional for efficiency and accuracy.
- Reviewed and coded 70 patient charts daily, maintaining high standards of accuracy and compliance with industry regulations.
- Facilitated coding of ICD-10-CM, CPT, HCPCS, and E/M for professional services to support revenue cycle management.
- Engaged with providers to strengthen documentation practices, aimed at optimizing reimbursement accuracy.
- Performed outpatient cardiology e/m coding and conducted thorough reviews of coding edits to ensure accuracy and compliance.
Education
High School Diploma
Skills
Revenue Cycle Management
Claims Analysis
Medical billing and coding
Medical Auditing
Charge Capture
Revenue Recovery
Compliance Monitoring
Documentation Improvement
Epic
Microsoft Excel
Cerner PowerChart
HIPAA Compliance
Certification
- Certified Professional Coder (CPC) – AAPC
- Certified Revenue Cycle Representative (CRCR) – HFMA
- Certified Evaluation & Management Auditor (CEMA) – NAMAS
Timeline
Revenue Integrity Analyst
SSM Health St. Mary's Hospital
05.2023 - CurrentRead More
Medical Coder – Remote
CorroHealth
08.2022 - 05.2023Read More
Certified Reimbursement Specialist /Certified Professional Coder
University of Missouri Physicians Healthcare
01.2017 - 07.2022Read More
Jefferson City High School
High School Diploma
Read More