Jennifer Murphy CPC, CRC, CUC, CGIC
Wappingers Falls,NY
Summary
Dynamic professional with extensive experience in revenue cycle management, known for effective team leadership and excellent communication skills. Expertise in auditing, training, and resolving billing discrepancies to ensure compliance and optimize revenue capture. Reliable professional with more than 15 years of experience in coding, audit preparation, and reporting.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Revenue Integrity Specialist II
Cedars Sinai
Los Angeles, CA
05.2024 - Current
- Analyzed billing discrepancies to ensure compliance with revenue integrity protocols.
- Facilitated audits of patient accounts to identify and resolve potential revenue losses.
- Collaborated with clinical staff to streamline documentation processes and improve accuracy.
- Implemented training sessions for team members on updates in coding regulations and best practices.
- Served as a trusted resource for colleagues seeking guidance on complex billing issues or regulatory matters.
- Ensured accurate charge capture for improved financial performance with meticulous data analysis and reconciliation procedures.
- Performed periodic reviews of charge capture processes and revised procedures as necessary to maintain optimal efficiency and accuracy.
- Collected and reported monthly finance variances and explanations.
Senior Revenue Cycle Analyst
Premier Medical Group of the Hudson Valley
Poughkeepsie, NY
05.2024 - Current
- Ensured accurate coding and billing practices to enhance claim submission accuracy.
- Assisted other coders with complex operative reports to determine correct coding.
- Implemented process changes that reduced claim denials through targeted initiatives.
- Developed training materials for new staff on revenue cycle management best practices.
- Conducted audits of billing records to ensure compliance with regulatory standards and guidelines.
- Collaborated with interdisciplinary teams to resolve billing discrepancies and improve collections.
- Ensured regulatory compliance throughout the revenue cycle by staying abreast of industry changes and updating internal processes accordingly.
- Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
Lead Auditor and Educator
Premier Medical Group of the Hudson Valley
Poughkeepsie, NY
01.2020 - 02.2024
- Led comprehensive audits ensuring compliance with healthcare regulations and internal policies.
- Developed audit plans to evaluate operational efficiencies and identify areas for improvement.
- Mentored junior auditors, fostering professional growth and enhancing team performance while providing ongoing support as needed.
- Analyzed financial records, ensuring accuracy and integrity of reported data.
- Conducted training sessions on pertinent coding changes and regulatory requirements that would impact the orginization.
- Produced detailed reports summarizing audit results and recommendations for management review.
- Managed a team of auditors to ensure timely completion of all projects, balancing workload across team members effectively.
- Demonstrated adaptability by successfully completing ad hoc audit requests with tight deadlines or unique scope requirements.
- Developed strong relationships with providers by maintaining open lines of communication throughout the audit process.
Charge Entry Lead
Premier Medical Group of the Hudson Valley
Poughkeepsie, NY
09.2017 - 02.2024
- Analyzed revenue cycle processes to identify inefficiencies and streamline operations.
- Led a local team of 14 as well as a remote team of 6 in managing accounts valued up to $15M+ in monthly charge capture.
- Collaborated with billing and coding teams to ensure accuracy in claims submissions.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Developed reports on key performance indicators to monitor revenue trends and performance.
- Excellent communication skills, both verbal and written.
- Implemented process improvements that enhanced overall billing efficiency and reduced denials.
- Worked well in a team setting, providing support and guidance.
- Provided valuable insights to leadership by analyzing key performance indicators related to the revenue cycle process.
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Implemented process improvements that reduced denial rates and increased overall reimbursement levels.
- Leveraged technology tools to automate routine tasks, allowing greater focus on strategic initiatives aimed at enhancing financial performance within the revenue cycle framework.
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Coordinated closely with clinical departments, ensuring accurate and timely capture of all relevant charges for services provided.
- Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
- Developed customized training materials for various industries, ensuring relevance to the target audience.
- Streamlined onboarding processes, reducing time-to-productivity for new hires through effective training methodologies.
- Leveraged technology platforms to deliver remote training sessions, enhancing accessibility for geographically dispersed teams.
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Provided one-on-one mentoring to help individuals reach their full potential within the organization.
- Facilitated growth of individuals on the team that aspired to learn different specialties within the organization.
- Worked with Quality Control team to aid in establishing best practices for documentation within the Internal Medicine department.
Senior Charge Entry Specialist
Premier Medical Group of the Hudson Valley
09.2015 - 09.2017
- Processed and entered charge data accurately into electronic health record systems.
- Reviewed patient accounts for discrepancies, ensuring compliance with billing regulations.
- Collaborated with medical staff to verify service codes and optimize reimbursement processes.
- Trained new team members on charge entry protocols and system navigation.
- Led initiatives to enhance workflow efficiency, resulting in improved turnaround times for billing cycles.
- Increased efficiency by identifying and addressing discrepancies in coding and charge entries promptly.
- Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
- Answered questions and assisted providers and office staff.
- Ensured compliance with billing guidelines by staying current on relevant regulations, policies, and procedures.
- Developed strong working relationships with physicians, nurses, and office staff to promote collaboration on complex cases requiring additional assistance or clarification on charges entered.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Processed vendor and supplier payments on a daily basis.
- Captured and entered professional charges.
- Promoted a positive work environment, fostering open communication between team members to resolve complex billing issues.
- Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
- Participated in regular team meetings to stay informed on department goals, upcoming changes, and relevant updates affecting the charge entry process.
- Verified insurance eligibility and information to update database.
- Worked with revenue cycle team to identify denial trends.
Education
High School Diploma -
Skills
- Auditing expertise
- Team building and leadership
- Workload management
- Staff training
- Denial management
- Documentation review
- Medical coding
- Problem-solving abilities
- Multitasking Abilities
- Excellent communication
- Proficient in Microsoft Office Suite
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CUC - Certified Urology Coder
- CGIC - Certified Gastroenterology Coder
Timeline
Revenue Integrity Specialist II
Cedars Sinai
05.2024 - Current
Senior Revenue Cycle Analyst
Premier Medical Group of the Hudson Valley
05.2024 - Current
Lead Auditor and Educator
Premier Medical Group of the Hudson Valley
01.2020 - 02.2024
Charge Entry Lead
Premier Medical Group of the Hudson Valley
09.2017 - 02.2024
Senior Charge Entry Specialist
Premier Medical Group of the Hudson Valley
09.2015 - 09.2017