Myrna Jones
Georgetown
Summary
Professional with strong background in auditing, known for high standards and delivering impactful results. Skilled in Hospital billing, Charging Guidelines and ICD10 compliance reviews with focus on team collaboration and adaptive problem-solving. Dependable and flexible, ensuring thoroughness and accuracy in all tasks while maintaining effective communication and coordination among team members.
Overview
14
14
years of professional experience
Work History
Charge Audit Specialist
Conifer health Solutions
10.2020 - 11.2024
- Ensured that all appropriate billing charges were being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements
- Performed evaluations and audits to verify compliance with relevant regulations in clinical documentation and billing.
- Identified proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture
- Handled audits conducted by third-party entities.
- Assist in providing training and education to clinical/charging staff & management on appropriate documentation and charge capture processes
- Compiled reports detailing audit findings and shared summaries with relevant departments.
- Assisted departments in implementing optimal charging practices.
- Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner
Surgical Charge Capture Analyst
Seton Northwest Hospital
04.2016 - 10.2022
- Enhanced financial performance of Seton Northwest Hospital Surgery Department via CDM process.
- Verified All orders for compliance with performed tasks.
- Created end-of-month summaries to verify floor productivity data.
- Applied clinical and coding expertise to validate charge items for accuracy and compliance.
- Coordinates with managed care team to secure reimbursement for CDM billable items.
- Engages with staff to collect information for chargeable items.
- Analyzes content of reports and software edits to facilitate revisions with appropriate departments.
- Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
- Conducts audits to verify departmental compliance.
- Reconciled daily reports against actual charges while reviewing claims and documentation with ICD10 and CPT coding.
- Reviews and updates departmental charge documents and audits sheets appropriately.
- Performed other duties as assigned.
- Managed revenue cycle processes.
Human Resource Specialist
U.S Army Reserves
01.2011 - 07.2019
- Getting together Faxes and copies for my supervisor
- A Lead Human Resource Specialist for my unit.
- Resolving administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions, providing information by answering questions and requests
- Completes operational requirements by scheduling and assigning administrative projects
Customer Service Lead
Dell Children Blood and Cancer Center
09.2014 - 04.2016
- Greet patients and visitors, checks patients in and out, obtain necessary documentation. Verified and enter demographic information.
- Provide general office and clerical support to assign out-patient/medical offices.
- Assist in responding to patient and third party inquires received by phone or mail.
- Files, retrieves and delivered health care information to and from patient areas.
- Collect all copays and additional payment
- Create and disburse a variety of reports for the Physicians.
- Organized and kept the office stocked with supplies
- Financial Screening of Patients
- Obtain Preauthorization for Medication and Drugs for Patients
Customer Service Representative Sr.
Seton Family of Doctors Hematology/Oncology
03.2012 - 09.2014
- Greet patients and visitors, checks patients in and out, obtain necessary documentation. Verified and enter demographic information.
- Provide general office and clerical support to assign out-patient/medical offices.
- Assist in responding to patient and third party inquires received by phone or mail.
- Files, retrieves and delivered health care information to and from patient areas.
- Collect all copays and additional payments
- Create and disburse a variety of reports for the Physicians.
- Organized and kept the office stocked with supplies
- Reviewing Denials and Clams submitted
Patient Representative
Texas Memorial Hospital
11.2011 - 03.2012
- Greet patients with quality service
- Confirm patient Insurance
- Send and Receive Medical Records
- Provided customer with any information need
- Coordinate with customers to set up different services
Education
AAS - Health Information Technology
DeVry University
Skills
- Computer System I have utilized: EPIC, Cerner ,Invison/Rumba, Mediview, Athena, Compass Hospital System, Eclinicals, Meditech, ACE, PBAR, Vitalware, Cranware and very advance use in Microsoft Excel, Database, Word, Internet Explorer Up to date on CPT/HCPS Guidelines as well as CDM protocol and procedures I have worked heavily on RI EDITS as well completed extensive work with Chargemaster I am a quick leaner of all systems while taking great notes Great patient service skills and impeccable communication skills I am able to fully function and prosper without any guidance on any given workday Organizational skills are of high quality and leadership as well as team skills are phenomenal
Timeline
Charge Audit Specialist
Conifer health Solutions
10.2020 - 11.2024
Surgical Charge Capture Analyst
Seton Northwest Hospital
04.2016 - 10.2022
Customer Service Lead
Dell Children Blood and Cancer Center
09.2014 - 04.2016
Customer Service Representative Sr.
Seton Family of Doctors Hematology/Oncology
03.2012 - 09.2014
Patient Representative
Texas Memorial Hospital
11.2011 - 03.2012
Human Resource Specialist
U.S Army Reserves
01.2011 - 07.2019
AAS - Health Information Technology
DeVry University
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