MICHELLE DAVIDSON
Dallas,TX
Summary
Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success.
Overview
11
11
years of professional experience
Work History
ACCOUNT RESOLUTION ANALYST-LABORATORY SERVICES
YORK HOSPITAL
01.2017 - 01.2023
- Executed revenue-focused charge recovery initiatives, yielding over $1 million in recovered revenue across 250,000+ accounts, encompassing 65,000+ diagnostic codes.
- Collected and analyzed inpatient and outpatient clinical information to accurately report codes and abstract relevant information used for reimbursement
- Managed daily SQL reports to reconcile denied claims, aligning coding errors with CMS guidelines for accurate reimbursement.
- Reviewed patient EMR to verify that healthcare providers' diagnosis codes adhere to CMS standards, ensuring their application to claims for appropriate coverage.
- Stayed updated on new coding requirements for ICD-10 and CPT codes.
- Collaborated with diverse stakeholders from different departments, including the medical team, insurers, and finance, to uphold billing department accuracy.
- Identified trends and patterns in large datasets, leading to actionable insights for business growth
Laboratory Assistant / Clinical Preceptor
YORK HOSPITAL
05.2012 - 01.2017
- Possess advanced expertise in laboratory processes and procedures, encompassing patient registration,lab test ordering, venipunctures, and specimen preparation for testing, among other skills.
- Managed Electronic Medical Records (EMRs) for both Outpatient and Inpatient Laboratory settings.
- Enhanced efficiency in both inpatient and outpatient medical procedures while upholding regulatory compliance and the highest standards of professional care through the implementation of new standards and procedures.
- Directed and provided training for over 150 employees across multiple departments, including ICU, ER, and MedSurg, as well as at 5 satellite locations.
- Acted as a dependable resource for colleagues, offering assistance and clarification on laboratory procedures or billing matters as needed.
Education
Associates in Science / Health Studies -
YORK COUNTY COMMUNITY COLLEGE
Wells05.2019
Skills
- Exceptional Customer Care
- Meticulous Attention to Detail
- Expertise in Medical Terminology
- Skilled in Microsoft Applications (Excel, Outlook, Word) Proficient in Healthcare Software Including McKesson/Paragon (Allscripts), eCW, HPFOneContent, Change Healthcare (Assurance Reimbursement Management), EMR Systems
- Advanced Understanding of Inpatient and Outpatient Laboratory Claim Denials, with Experience in Issue Resolution
- Data Analysis & Validation
- SQL & Database Management
- Effective Written & Verbal Communication
- Collaborative Team Member with Strong Self-Motivation
- Proficiency in ICD-10 & CPT codes
Locations
- 2900 Canton St, Dallas, Texas, 75226
References
FURNISHED UPON REQUEST
Live music, Food & beverage, Outdoor activities, Family, Gigi (my cat)
When I am not working or loving on Gigi, you can most certainly find me somewhere outside enjoying a live band & good food with family or friends!
Timeline
ACCOUNT RESOLUTION ANALYST-LABORATORY SERVICES
YORK HOSPITAL
01.2017 - 01.2023
Laboratory Assistant / Clinical Preceptor
YORK HOSPITAL
05.2012 - 01.2017
Associates in Science / Health Studies -
YORK COUNTY COMMUNITY COLLEGE