Director of Finance/Decision Support/Revenue Cycle
Nor-Lea General Hospital
Lovington, NM
10.2013 - Current
Developed and maintained short-term and long-term financial plans.
Managed budgeting processes for multiple departments or divisions within an organization.
Compiled and analyzed financial information to prepare entries to accounts, such as general ledger accounts, documenting business transactions.
Monitored financial performance metrics, developing actionable insights and recommendations to enhance profitability.
Oversaw annual budgeting process, ensuring alignment with organizational goals and financial sustainability.
Developed and maintained data analysis models to support decisions in organizational operations.
Identified and analyzed trends in business performance metrics to inform decision-making process.
Designed, implemented, and monitored Decision Support systems for improved operational efficiency.
Created reports and dashboards to provide stakeholders with actionable insights on key performance indicators.
Conducted quantitative research by using statistical methods to interpret data sets.
Performed ad-hoc analyses of large datasets to identify opportunities for improvement.
Generated weekly, monthly, quarterly, and yearly reports summarizing key findings from the decision support system.
Assisted senior leadership in developing strategies based on evidence-based research results.
Developed and implemented departmental policies and procedures to ensure accuracy of revenue cycle operations.
Conducted financial analyses, such as pricing models and profitability studies, to identify areas for improvement in the revenue cycle process.
Collaborated with hospital departments to improve patient satisfaction scores related to the revenue cycle process.
Oversaw all activities related to patient registration, pre-certification, authorization, charge capture, coding compliance auditing, claim submission, follow-up, denial management, accounts receivable collection follow-up, customer service inquiries, issues resolution, cash posting, reconciliation activities.
Ensured adherence of HIPAA guidelines by staff members handling sensitive information related to the revenue cycle process.
Identified opportunities for cost savings within the revenue cycle process through improved workflow design or automation initiatives.
Evaluated existing workflows and identified areas where improvements could be made that would result in increased efficiency or reduced costs associated with the revenue cycle process.
Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Participated in revenue cycle processes, working to maximize profitability and increase revenue.
Oversaw complete lifecycle of revenue operations.
Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
Financial Analyst
Nor-Lea General Hospital
Lovington, NM
07.2011 - 10.2013
Identified discrepancies in financial data and recommended corrective actions to resolve them.
Analyzed trends in financial performance to identify areas for improvement.
Performed quantitative analysis of historical data to identify patterns or anomalies in the data set.
Collaborated with other departments to ensure accurate budgeting and forecasting processes were followed.
Health Information Manager
Nor-Lea General Hospital
Lovington, NM
10.2008 - 07.2011
Prepared statistical reports summarizing medical records operations for senior management review.
Educated staff on best practices related to the use of EHR systems and other health information technology tools.
Resolved discrepancies between coded data elements by researching clinical documentation within the medical record.
Participated in interdisciplinary teams focused on improving quality outcomes through better documentation practices.
Analyzed data from multiple sources to develop reports that tracked performance indicators such as length of stay or readmission rates.
Coordinated the release of confidential patient information according to applicable laws and regulations.
Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
Maintained records management system to process personnel information and produce reports.
Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
Streamlined day-to-day office processes to meet long-term goals.
Health Information Coder
Nor-Lea General Hospital
Lovington, NM
07.2007 - 10.2008
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
Verified accuracy of procedure codes to ensure proper reimbursement levels.
Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
Identified opportunities for process improvements related to medical coding operations processes and procedures.
Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
Education
High School Diploma -
Lovington High School
Lovington, NM
Skills
Cost control
Financial forecast model development
Strategic financial planning
Profitability analysis
Financial planning
Organizational skills
Performance metrics evaluation
Budget design
Strategic planning
ROI delivery
Financial reporting and analysis
Timeline
Director of Finance/Decision Support/Revenue Cycle