KRISTI REPETTO
Lee Health
Matlacha Isles,FL
31
years of professional experience
Results-driven Healthcare Leader experienced in Revenue Cycle, Coding, Quality Documentation, HIM, clinical operations, risk management, and regulatory compliance. Achieved optimization of financial performance and enhancement of documentation accuracy through clinical expertise and operational acumen. Focused on building high-performing teams and driving large-scale transformations to improve revenue integrity, operational efficiency, and patient experience.
Work History
System Director, Coding, Quality Documentation & HIM
6 Years 9 Months- Strategic leader overseeing Coding, CDI/Quality Documentation, HIM, and multiple Revenue Cycle functions across a large, multi-hospital health system (1,700 licensed beds), over 100 ambulatory clinics, Residency programs and Ambulatory Surgical Centers. Managed operational performance, documentation integrity, EMR optimization, revenue capture, risk adjustment, compliance, and physician engagement.
- Increased system CMI 1.68 to 1.85, generating $22 million in net revenue in 3 years, 40% increase.
- Increased surgical comorbidity rate from 67.2 % to 70.1 % and medical comorbidity rate from 73% to 74.4 % through improved data capture from coding and CDI program.
- Maintained average AR on hold for coding below 3% and ensured professional fee coding turnaround time of 2-3 days.
- Achieved 95% or higher coding accuracy across all HB and PB coding vendors and in-house coders.
- Increased PB Coding team’s productivity standards resulting in increasing charts per hour by 19% and 41%
- HIM Analysis average turnaround time of 6.05 days post discharge (a TAT decrease of 24.09%); outpatient charts, with an average turnaround time of 5.31 days post discharge (a TAT decrease of 14.90%) with 99.82% accuracy; and verified documents (increase of 12.55%) with 99.9% accuracy.
- Reduced Acute Care Net Days in AR by 17%.
- Successful implementation of AI platforms across mid revenue cycle teams, Epic, Solventum, VISION, Solarity, Iodine
- Contributed to improving GMLOS baseline from 1.47 days to 1.29.
- Maintained 2-4% coding AR holds and reduced Professional Billing AR days by 18.6%.
- Improved ROM by 38% and SOI by 22% for reviewed charts.
- Co-developed EPIC provider training focused on improving documentation standards.
- Led systemwide readmission/mortality review processes.
- Led record destruction project reducing $400,000 in annual storage fees.
- Oversaw budgeting processes, ensuring alignment with organizational goals and financial sustainability.
- Mentored cross-functional teams to foster collaboration and drive performance improvements.
- Directed system integration projects to improve patient care and data management.
- Led strategic initiatives to enhance operational efficiency across multiple departments.
- Analyzed workforce metrics to optimize staffing levels and resource allocation.
- Implemented best practices for regulatory compliance and quality assurance in healthcare delivery.
- Developed training programs to elevate staff competencies and service delivery standards.
- Analyzed complex project server issues and worked on large enterprise and business-critical applications.
Director, Facility Coding & Quality Documentation
1 Year 2 MonthsDirector, Department of Quality Documentation (Information Systems)
7 Years 1 MonthTeam Lead, Clinical Documentation Improvement (Information Systems)
1 Year 10 MonthsRegistered Nurse — Critical Care (ICU & ED) Clinical Settings
15 Years 1 MonthEducation
Juris Master (JM) - Health Law
Bachelor of Science in Nursing (BSN)
Certified Clinical Documentation Specialist (CCDS)
Skills
EMR Optimization (Epic)
Operational Performance Improvement
Revenue Cycle Leadership
Change Management
Denials management
Denial management
Physician Engagement & Education
Healthcare Compliance
Health Law & Compliance
Operational Strategy
Organizational Restructuring
Data Analytics
Timeline
System Director, Coding, Quality Documentation & HIM
Lee Health
11.2019 - CurrentRead More
Director, Facility Coding & Quality Documentation
Lee Health
10.2019 - 12.2020Read More
Director, Department of Quality Documentation (Information Systems)
Lee Health
09.2012 - 10.2019Read More
Team Lead, Clinical Documentation Improvement (Information Systems)
Lee Health
10.2010 - 08.2012Read More
Registered Nurse — Critical Care (ICU & ED) Clinical Settings
08.1995 - 09.2010Read More
ACDIS
Certified Clinical Documentation Specialist (CCDS)
Read More
Florida State University College of Law
Juris Master (JM) from Health Law
Read More
Otterbein College
Bachelor of Science in Nursing (BSN)
Read More