NICHOLE BUTTS
Jay,FL
Summary
Experienced Physician Practice Manager successful at managing multiple priorities and patient relations for 23-physician practices with a positive attitude. Promotes business development and community profile by developing positive rapport with patients and handling marketing/recruitment activities. Successful forging partnerships with hospitals, payers and specialty practices to extend patient care reach.
Overview
21
21
years of professional experience
Work History
Quality Educator
East Alabama Health
Opelika, AL
09.2023 - Current
- Established clear performance metrics that allowed coders to track their progress and set goals for improvement.
- Promoted a culture of collaboration through regular meetings and workshops where coders shared best practices and learned from each other''s experiences.
- Recognized as a subject matter expert within the organization, often called upon to provide guidance on complex coding scenarios or advise on best practices for documentation standards.
- Expanded access to educational resources for coders by spearheading efforts to develop a centralized online repository housing all necessary reference materials.
- Increased team productivity by providing one-on-one coaching sessions tailored to individual coder needs and strengths.
- Mentored new hires during their onboarding process ensuring proper integration into the team while building foundational knowledge around coding principles and company protocols.
- Boosted employee retention rates by fostering professional growth opportunities within the department.
Senior Practice Director (09/2015-08/2023)/Assistant Director , Coder (08/2011-9/2015)
Santa Rosa Medical Group
08.2011 - 08.2023
- As the Director of Physician Practices I provided overall direction and professional business management to the physician practice offices, which included 37 Providers and 13 Clinics (Multi-specialty- Neurology, Pulmonary, General Surgery, Bariatrics, OB/GYN, Urology, Cardiology, Family Medicine, Orthopedics and ENT)
- During this time I was also asked to provide oversight to North Okaloosa Medical Group, which included 6 locations and 10 Providers
- I was responsible for the administration, direction and coordination of all activities including non-clinical workflow processes and clinical oversight
- This includes but is not limited to managing the details of revenues/expenditures within budgeted plans, developing strategies for growth, ensuring positive interactions with third parties (payers, outside agencies, patients, etc.), credentialing providers with payers, leading staff and managing personnel issues, credentialing Providers with payers, completing timely reports, and maintaining high standards of quality and compliance
- Communication with the hospital CEO, corporate leaders/partners, and other senior management leaders regarding all clinic information (financial and non-financial), employee issues, physician issues, marketing and new business strategies
- I was involved in Compliance meetings and reported out on Clinics
- I held Provider meetings quarterly to review Clinic data
- I had 7 Managers who reported directly to me and held Manager meetings to review workflow for each clinic and address concerns or new business
- Involved with the building of three new Clinic sites and the set up of each Clinic under regulations of state and county
- Responsibilities also included recruiting of Physicians and Mid-levels to staff clinics.
- Analyzed market trends to identify new opportunities for business growth, leading to increased revenue generation over time.
ASC Billing Supervisor (06/09-06/10)/ROI Coordinator (06/10-08/2011)
Medical Center Clinic
06.2009 - 08.2011
- As a Billing Supervisor, I was responsible for managing the Ambulatory Surgery Center Billing Department, which included Insurance Specialist, Verification, Coder and Front-End PSR’s
- Also, I coded Anesthesia charges and ASC Surgery charges and data-entry for charges
- Responsible for running month-end reports and closing month-end.
- Working as a ROI Coordinator, I currently supervise and perform all duties associated with the preparation, generation and distribution of medical records
- Develop and implement new systems and changes for the ROI Department.
- Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
- Minimized errors in customer billing information through diligent verification practices and prompt issue resolution.
Coding Specialist II
West Florida Hospital
05.2007 - 06.2010
- Working as a Coding Specialist II, I currently do all the coding and reviewing of documentation for an Anesthesia group, Physical Therapy, Behavior Health, Senior Health and Hospitalist
- I also do the auditing for the Hospitalist group to make sure the level of the visit is accurate
- I work with the 3M coder to provide accurate coding for all the specialties.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Coding Specialist II/Account Liaison
MedPro Solutions
04.2003 - 05.2007
- As a Coding Specialist II and Senior Coder, I was responsible for working independently assigning CPT-4, ICD-9-CM, and HCPCS codes for multi-specialty medical services from supporting documentation and also responding to coding questions from entry-level coders
- I currently work with three Anesthesia groups that I do all the coding for through a data-entry process that we call PARC; I also have experience in Radiology coding working with a program called Context where we review our charges before they are sent to the patient's insurance
- I also work Radiology and Anesthesia denial reports.
- As an Account Liaison I work with Physician Practice Managers with requests pertaining to Insurance and Coding
- Analyze coding denials and update A/R Summary reports using Excel.
- I am a member of the Employees Activity Committee, which plans events and activities for the employees
- I am also on the Service Council Committee, which deals with any issues involving the facility and helps improve the overall image.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
Education
PJC Diploma in Coding and Billing - HIM Program/Coding & Billing Program
Pensacola Junior College
Pensacola, Fl01.2003
High School Diploma - General Studies
J. M. Tate High School
Gonzalez, Fl01.2000
Skills
- Medical billing experience
- Microsoft Excel/PowerPoint
- 3M Encoder/Athena/Cerner/Nextgen
- Clinical Documentation Improvement
- Revenue Cycle Management
- Auditing and Quality Assurance
- Training and mentoring
- Recruitment and hiring
- Provider enrollment
- Certified Professional Coder (CPC)
- Data Entry
- Leadership and Management Abilities
Accomplishments
Non-Clinical Director of the Year 2016
Non -Clinical Director of the Quarter 2016
Accreditations
CPC, 11/2004, AAPC, Certified Professional Coder Exam
References
- Doug Sills, (318) 265-0482, CEO (retired), Santa Rosa Medical Center
- Veronica Holbrook, MD, (858) 699-6573, Family Physician, Santa Rosa Medical Group
Timeline
Quality Educator
East Alabama Health
09.2023 - Current
Senior Practice Director (09/2015-08/2023)/Assistant Director , Coder (08/2011-9/2015)
Santa Rosa Medical Group
08.2011 - 08.2023
ASC Billing Supervisor (06/09-06/10)/ROI Coordinator (06/10-08/2011)
Medical Center Clinic
06.2009 - 08.2011
Coding Specialist II
West Florida Hospital
05.2007 - 06.2010
Coding Specialist II/Account Liaison
MedPro Solutions
04.2003 - 05.2007
PJC Diploma in Coding and Billing - HIM Program/Coding & Billing Program
Pensacola Junior College
High School Diploma - General Studies
J. M. Tate High School