Judy Farkas
Shoreline,WA
Summary
I am an experienced Revenue Cycle Management professional with a comprehensive understanding of the complete process. I am eager to apply extensive experience in assisting organizations with best practices to ensure robust processes and maximize reimbursement opportunities. I am known for maintaining a strong work ethic, my adaptability, and proficiency in working effectively without supervision while rapidly acquiring new skills.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Payer Audit
EvergreenHealth Medical Center
Kirkland, WA
06.2021 - Current
- Managed SAI360 Audit tracking software efficiently
- Uploaded Findings Letters in SAI360 for self and audit reviewers
- Orchestrated and created DRG, Medical Necessity, Line Item appeals
- Ensured proper reconciliation of claim payments in Epic, aligning with audit outcomes
- Collaborated with RN case reviewers, CDI, and coding team to monitor outstanding appeals.
- Achieved positive outcomes by collaborating with payer Provider Escalations on resolving post-audit reimbursement issues
Revenue Integrity Analyst
Seattle Cancer Care Alliance/ Fred Hutch Cancer Research
Seattle, WA
01.2017 - 06.2021
- Maintained an updated CDM database by regularly adding new CPTs and HCPCs, ensuring accurate pricing
- Successfully established accurate cost centers and effectively matched them to appropriate GL through collaboration with accounting
- Collaborated with the finance team to create and price newly performed CPT's and HCPC's
- Responsible for tracking Epic WQ's related to newly conducted procedures, tests, and the introduction of innovative medications and therapeutic approaches.
- Ensured precise claims billing through the implementation of accurate pricing for new charges
- Managed and updated fee schedules, ensuring appropriate and timely uploads to Epic
Revenue Cycle Analyst
Proliance Surgeons –Proliance Eastside Surgery Center
Kirkland, WA
01.2011 - 01.2017
- Managed full cycle revenue in a multi practice ambulatory surgery center.
- Performed daily ASC account balancing.
- Experienced in coding, billing, follow up, and collections for various surgical specialties including Orthopaedic, ENT, Hand Surgery, Opthalmology and General Surgery
- Verified eligibility for surgical procedures and assessed implant utilization through screening of ASC scheduling sheets.
- Pre collected patient out of pocket
- Ensured timely submission of accounts to Collection Agency
Supervisor/Billing Manager/Coding & Compliance
Optical Images
Kirkland, WA
01.2005 - 01.2011
- Supervised and ensured adequate staffing, while also providing training, on-boarding, and administering payroll.
- Audited provider reports to ensure accuracy of diagnoses and charting
- Managed coding tasks including billing, denial follow-up, deposits and recalls
- Monitored patient check in and provided treatment options
- Participated in recruitment efforts by interviewing prospective candidates for open positions.
Quick Entry Claims Processor Level III
Premera Blue Cross
Mountlake Terrace, WA
01.1994 - 01.2003
- Processed and entered non-standard super billing into Bluechip system.
- Processed 1000 claims in a single day
- Assumed leadership responsibilities while the official leader was unavailable
- Pioneered telecommuting within the department
Education
MBA -
WGU
BS - Healthcare Administration, Business
WGU
Skills
- Revenue Cycle Management
- Manage audits and appeals process
- Manage and train staff
- Epic knowledge and experience
- Analytical thinking
- Keen field vision
- Strong work ethic
Languages
Hungarian
Elementary
German
Elementary
Certification
AAPC CPCO - Certified Professional Compliance Officer
AAPC CPMA - Certified Professional Medical Auditor
AAPC COC - Certified Outpatient Coder
AAPC CASCC – Certified Ambulatory Surgical Center Coder
AAPC CPPM – Certified Physician Practice Manager
AAPC CRC – Certified Risk Adjustment Coder
Affiliations
- Step Aerobics, HIIT, Turbo Kick, Zumba, fitness, volunteering, family
References
References available upon request.
Timeline
Payer Audit
EvergreenHealth Medical Center
06.2021 - Current
Revenue Integrity Analyst
Seattle Cancer Care Alliance/ Fred Hutch Cancer Research
01.2017 - 06.2021
Revenue Cycle Analyst
Proliance Surgeons –Proliance Eastside Surgery Center
01.2011 - 01.2017
Supervisor/Billing Manager/Coding & Compliance
Optical Images
01.2005 - 01.2011
Quick Entry Claims Processor Level III
Premera Blue Cross
01.1994 - 01.2003
MBA -
WGU
BS - Healthcare Administration, Business
WGU
AAPC CPCO - Certified Professional Compliance Officer
AAPC CPMA - Certified Professional Medical Auditor
AAPC COC - Certified Outpatient Coder
AAPC CASCC – Certified Ambulatory Surgical Center Coder
AAPC CPPM – Certified Physician Practice Manager
AAPC CRC – Certified Risk Adjustment Coder
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