Judith Klobutcher
Ashland,OH
Summary
Experienced healthcare professional proficient in managing middle revenue cycle operations with exceptional team supervision, project coordination and analytical problem-solving skills. Optimizes resource use to achieve challenging targets. Diplomatic in resolving disputes and coordinating diverse teams.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Director Coding Operations
R1 RCM, Inc.
04.2022 - Current
- Directed strategic operations of both facility and professional coding as well as edit and denial management for up to 14 customer sites concurrently
- Facilitated collaboration between onshore and offshore teams for coding, quality and education of 500+ coders
- Served as coding subject matter expert, monitored coder performance as well as identified risks and issues to ensure client and organizational goals were met
- Responsible for workflow management, operational efficiencies, staffing management, performance tracking, reporting, customer liaison, and vendor relationships
- Led coding quality task force across clients
- Collaborated with both internal and client revenue cycle stakeholders as well as providers
- Maintained policies, procedures, processes and metrics
- Responsible for reporting of metrics and led process improvement initiatives for coding operations
- Responsible for implementation of new clients, staffing and assisting in management of P&L across business unit
- Accountable to client leadership as well as internal senior leadership
- Portfolio of up to 14 customer sites.
Coding Operations Manager/Regional Coding Operations Manager
R1 RCM, Inc.
05.2021 - 04.2022
- Management of domestic and global coding teams for multiple clients
- Management of DNFB, DNFC to leverage alignment of coders to meet client needs for multiple chart types
- Collaborated with external and internal cross-functional teams
- Management of other people leaders, associates and subcontractors as well as promotion of professional growth opportunities
- Lean Six Sigma Yellow Belt course completion.
Lead Medical Coder
R1 RCM, Inc.
08.2020 - 05.2021
- Physician pro-fee coding (inpatient, clinic, outpatient, surgery and procedures) and claim edits for large teaching hospital system
- Mentor and trainer for senior medical coders
- Monitor coder engagement, quality, volume and process performance
- Collaborate with revenue cycle team to ensure edits and denials are completed while maintaining timely filing limits
- Collaborate with management team for forecasting of staffing needs
- Perform statistical analysis on processes to ensure receivables meet client expectations.
Provider Practice Coding Consultant (Work-From-Home Position)
Ciox Healthcare, A Datavant Company
12.2019 - 07.2020
- Physician pro-fee abstract coding (inpatient, clinic, outpatient and surgery) for university hospital system
- (Furlough 4/10/20 for Covid 19)
Coding Specialist (Work-From-Home Position)
nThrive (Formerly Precyse, Inc.)
12.2015 - 12.2019
- Physician pro-fee abstract coding, denials and claim edits for university hospital system – inpatient and outpatient
- Facility coding for Pediatric Urgent Care and Emergency Room
- (Contract Ended)
Senior Medical Coder (Work-From-Home Position)
McKesson Corporation – Business Performance Services
06.2012 - 11.2015
- Physician pro-fee abstract coding, denials and claim edits for university hospital system.
Education
MBA - Healthcare Finance
DeVry University, Keller Graduate School of Management
Schaumburg01.1999
Bachelor of Science - Nursing
Loyola University of Chicago, Marcella Niehoff School of Nursing
Chicago, IL01.1978
Skills
- RCM Applications :Epic, Cerner, Athena, ECW, IDX/ GPMS, Greenway, CPSI, Quadramed McKesson MMIS, McKesson HBOC Star (Admitting and Patient Finance), McKesson Relay Health Care Enhanced Call Center and Care Enhanced Revenue Tracker Lyra Image now, Lynx, Optum, 3M-360, Select Payer, Encoder Pro, TCI/Super Coder Encoder,
- Microsoft Office 365 and Project
- Accounting Software: Quicken, Peachtree Accounting
- HR systems: Genesys, Ultipro, Workday
- Budgeting and Forecasting
- Process Improvement
- Training and Development
- Operations Management
- Project Coordination
- Staff Development
- Verbal and Written Communication
- Issues Resolution
- Financial Reporting
- People Management
- Strategic Planning
- Rules and Regulations
- Hiring and Retention
- Legal and Regulatory Compliance
- Contract and Vendor Management
- Change Management
- Quality Assurance
- Resource Allocation
- Performance Management and Improvement
Certification
- CPC - Physician Coding - American Association of Professional Coders (AAPC) - 1993 – Present
- CPMA – Certified Professional Medical Auditor – AAPC – 2019 - Present
- Registered Nurse – Illinois (04118258) Expires 5/31/2024
Specialties Coded
- Pro Fee Abstract: Anticoagulation
- Behavioral Health
- Cardiology
- Critical Care
- ENT
- Family Practice
- General Pediatrics
- General Surgery
- Gynecologic Oncology
- Hospitalist
- Infectious Disease
- Internal Medicine
- Neonatology
- Nephrology
- Neurology
- Neurosurgery
- OB/GYN (Clinic plus Labor and Delivery and Surgery)
- Oncology
- Orthopedics
- Ophthalmology
- Pain Management (included procedures)
- Plastic Surgery
- Pulmonary
- Radiology (simple)
- Radiation Oncology
- Rehabilitation
- Sickle Cell Clinic
- Transplant
- Trauma
- Urology
Project Teams
- Peer quality audits
- Front and back end edits
- Insurance denials
- Coding Quality Task Force
- Reduction of rework
- Preparation of chart reviews for provider education
- Editor of coding pathways workbook used by the coding team
Non Coding Positions
- 05/2007, 06/2009, Resurrection Health Care – Chicago, IL, Manager – RES-INFO Nurse Call Center, Position eliminated in June, 2009
- 05/2004, 05/2007, Resurrection Health Care – Chicago, IL, Clinical Representative, RES-INFO
- 08/2002, 05/2004, Suad Shuber, MD and Heider Shuber, MD– Chicago, IL, Receptionist/Biller
- 11/1998, 01/2000, Resurrection Health Care, Chicago, Business Analyst, Information Services
- 11/1998, 12/2008, Jerome A. Klobutcher, MD, SC – Des Plaines, IL, Office Manager, Practice closed.
- 05/1993, 01/2000, Medical Manager – Chicago, IL, Medical Practice Management Software Consultant and Sales
Presentations
Care Enhanced Revenue Tracker Reporting at Relay Health Annual Conference, 2008.
Volunteer Positions
- St. Edward Hunger Center Coordinator – 2018 - present
- St. Edward Music Ministry – 2014 – present
Publications
HIPPA Compliance Manual for Physician Offices, Judith G. Klobutcher and Mary T. Pfeifer, Copyright 2003.
Timeline
Director Coding Operations
R1 RCM, Inc.
04.2022 - Current
Coding Operations Manager/Regional Coding Operations Manager
R1 RCM, Inc.
05.2021 - 04.2022
Lead Medical Coder
R1 RCM, Inc.
08.2020 - 05.2021
Provider Practice Coding Consultant (Work-From-Home Position)
Ciox Healthcare, A Datavant Company
12.2019 - 07.2020
Coding Specialist (Work-From-Home Position)
nThrive (Formerly Precyse, Inc.)
12.2015 - 12.2019
Senior Medical Coder (Work-From-Home Position)
McKesson Corporation – Business Performance Services
06.2012 - 11.2015
MBA - Healthcare Finance
DeVry University, Keller Graduate School of Management
Bachelor of Science - Nursing
Loyola University of Chicago, Marcella Niehoff School of Nursing
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