Summary
Overview
Work History
Education
Skills
Computer Experience
Personal Information
References
Certification
Timeline
Generic

Roxann Krueger

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. My extensive experience has left me with strong organizational skills and the knowledge that a cohesive team is need to achieve organizational goals.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Epic Revenue Cycle Lead - Claims

AdventHealt IT
10.2022 - Current
  • Provide support to AdventHealth Corporate PFS and facility PFS teams related to the Epic Claims application via build changes, testing of application, or training of users.
  • Work with 3rd party vendor, DeRoyal Continuum, to support the flow of ADT information for accurate billing of DME products.
  • Assisted with build, implementation, training, and support of 3 waves of Go-Lives from Cerner to Epic Hyperspace.
  • Transition to Epic involved 21 hospitals over 8 states.
  • Partner with hospital leadership to identify revenue cycle challenges, developing strategic solutions that directly addressed problem areas.
  • Use ticketing systems to manage and process support actions and requests.
  • Resolve diverse range of technical issues across multiple systems and applications for customers and end-users across various time zones.
  • Maintain flexible schedule and responded to after-hours and weekend emergencies.

Epic/Cerner Revenue Cycle Lead - HIM

AdventHealth IT
08.2016 - 10.2022
  • Provide support to AdventHealth Corporate HIM and facility HIM teams related to the Epic Coding application via build changes, testing of application, or training of users.
  • Assisted with build, implementation, training, and support of 3 waves of Go-Lives from Cerner to Epic Hyperspace.
  • Epic transition involved 24 hospitals in Florida
  • Worked to implement 3rd party integration between Epic and 3M CRS, as well as, Dolbey CAC
  • In conjunction with 3M support built and maintained custom 3M groupers and edits for AdventHealth.
  • Responsible for training new AIT coding staff and conducting routine calls with regional coding leadership to provide an overview on new coding software updates or follow-up on reported issues.
  • Optimized 3M, Dolbey, Cerner, and Epic performance through regular software and regulatory updates related to the Coding application.
  • Developed comprehensive training programs for new hires, ensuring smooth onboarding and knowledge transfer.
  • Boosted user satisfaction by providing timely technical assistance and professional customer service.
  • Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
  • Collaborated with upper management to drive strategy and implement new processes.
  • Reviewed technical work of consultants and third-party support providers.

Outpatient Coder

AdventHealth IT
05.2008 - 08.2016
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical record.
  • Applied modifiers to hard and soft coded CPT as needed to ensure maximum reimbursement.
  • Reviewed encounters for medical necessity to reduce number of denials.
  • Confirmed correct code assignment by Computer Assisted Coding software (Dolbey).
  • Reviewed all CCI/OCE edits and correct for compliant coding.
  • Conducted ongoing quality assurance checks on coded data, maintaining a high level of accuracy and compliance with industry standards.
  • Maintained strict confidentiality with sensitive patient data in accordance with HIPAA regulations, safeguarding personal health information.
  • Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
  • Served as a resource for colleagues seeking guidance on complex or unusual cases requiring specialized expertise in outpatient coding practices.
  • Managed assigned workload efficiently, consistently meeting deadlines without compromising quality of work..

APC Coordinator

AdventHealth Fish Memorial
10.2006 - 05.2008
  • Responsible for all functions related to maintaining and running the Outpatient 3M APC Grouper.
  • Corrected outpatient OCE/NCCI edits (modifier assignment or charge correction).
  • Monitored DNFB reports for outstanding outpatient accounts to ensure timely resolution of coding errors.
  • Reviewed Medical Necessity Report (MNCM) in an effort to reduce write-offs.
  • Provided education on coding and charging practices/updates to departmental charge entry personal, coders, and Nurse Auditors to reduce denials.
  • Coordination of educational opportunities related to coding and billing practices.

Education

B.S. Health Information Administration -

Dakota State University
Madison, SD

General Studies

Armstrong State Atlantic University
Savannah, GA

Skills

  • ICD-10 Proficiency
  • HCPCS Coding
  • Multitasking and Organization
  • Staff education and training
  • Attention to Detail
  • Client Relations
  • IT Troubleshooting
  • Problem-solving skills
  • Excellent interpersonal skills
  • Customer Service

Computer Experience

  • Microsoft Office products
  • Dolbey CAC
  • 3M CRS Encoder
  • Cerner Milennium
  • Epic Hyperspace
  • Service Now
  • McKesson Horizon EPF

Personal Information

Title: Registered Health Information Administrator (RHIA)

References

Available upon request

Certification

RHIA

Epic Certifications

  • HIM Hospital Coding
  • Resolute Hospital Billing Claims

Timeline

Epic Revenue Cycle Lead - Claims

AdventHealt IT
10.2022 - Current

Epic/Cerner Revenue Cycle Lead - HIM

AdventHealth IT
08.2016 - 10.2022

Outpatient Coder

AdventHealth IT
05.2008 - 08.2016

APC Coordinator

AdventHealth Fish Memorial
10.2006 - 05.2008

B.S. Health Information Administration -

Dakota State University

General Studies

Armstrong State Atlantic University
Roxann Krueger