Sarah E. Stetson
Cary,NC
Summary
Dedicated Compliance Specialist with expertise in surgery coding, seeking to leverage skills to enhance business processes and drive operational excellence. Committed to effectively managing workflows, coordinating daily activities, and ensuring accuracy in coding and revenue cycle management. I aim to foster a positive work environment through clear communication, goal setting, and performance monitoring, all while promoting continuous improvement within the organization.
Overview
24
24
years of professional experience
Work History
Compliance Specialist
Duke University Health Systems
02.2021 - Current
- Evaluated existing policies regularly, identifying areas for improvement and recommending revisions as needed
- Streamlined regulatory processes for improved efficiency and reduced errors, leading to better overall compliance
- Acted as the departmental outreach and education liaison between the PRMO, DHIP/DUHS, and payers for Oral Maxillofacial Surgery, Orthodontics, and Surgical services
- Provided comprehensive knowledge and support in coding, charge capture, workflow design, and claim guidelines for the service line
- Managed work queues to identify denial trends, conduct compliance reviews, and provide analytical insights for operational improvements within the department
- Stayed current on industry regulations by attending seminars, workshops, and other professional development opportunities
- Oversaw internal and vendor coder audit tracking, reporting, and education
- Conducted monthly OP Time Reconciliation Analysis to ensure accurate capture of surgery coding
- Reviewed payer updates monthly to implement necessary edits
- Contributed to Employee Engagement initiatives for two years and served as a member of the Diversity, Equity & Inclusion Core Committee for two years
- Delivered presentations on Coding Operations, CPT, CDT, and ICD-10 at conferences
- Facilitated the integration of internal and vendor coders through comprehensive onboarding, training, and development processes
- Developed resources, including job aids and workflows, to enhance operational efficiency and productivity
- Proficient in EPIC software
Professional Consultant and Coach
S.E. Stetson, LLC
07.2017 - 02.2021
- Performed gap analyses to identify areas where resources or capabilities were lacking to recommend targeted improvements
- Facilitated workshops designed to foster deeper understanding among employees regarding organizational goals, leading to increased alignment across departments
- Increased revenue growth with strategic business development initiatives and forging strong client relationships
- Conducted performance coaching sessions with clients and teams
- Developing and implementing compliance protocols
- Evaluated Key Performance Indicators (KPIs) and operational systems
- Provided education on achieving a 98% collection rate through comprehensive revenue cycle analysis
Regional Manager – Project Manager
eAssist Dental Solutions
06.2015 - 02.2021
- Facilitator and advisor for 51 practices, overseeing team leadership, project coordination, and scheduling of vendor service installations
- Collaborated with executive leadership to establish long-term objectives, drive growth initiatives, and align regional efforts with corporate goals
- Streamlined operational processes for increased efficiency by identifying areas of improvement and implementing necessary changes
- Review of revenue analysis reports to ensure Account Managers and Executives meet daily metrics, including claim submission, follow-up, and timely payment distribution
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions
- Strategic development and planning to achieve an 85% increase in the collection of aged insurance revenue for newly established practices within the initial 90-day period
- Analysis of denial trends aimed at reducing denials and providing coding education for healthcare providers, administrators, account managers, and executives
- Creation and delivery of orientation presentations for new clients as part of the onboarding process
- Research and analysis of innovative practices to enhance service delivery
- Facilitation of weekly meetings with Account Executives and Managers
- Analysis of key performance indicators to improve productivity
- Proficiency in dental and medical coding
Practice Coordinator
J.L Shaughnessy, Dental LLC
08.2010 - 11.2014
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions
- Developed and implemented strategies to improve patient access, satisfaction and care quality
- Successfully negotiated client contract renewals to create increased revenue
- Managed the recruitment, hiring, and onboarding process for new team members to maintain optimal staffing levels at all times
- Established partnerships with local providers to offer comprehensive services for patients within the community
- Increased patient satisfaction by addressing concerns promptly and professionally
- Oversight of multi-dentist clinical and administrative teams
- Reconciliation audits for insurance and patient accounts receivable
- Weekly analysis of production and collections to maintain an average collection-to-production rate of 98%
- Compliance officer for HIPAA regulations
Business Practice Manager
Terry W. Rudnyk, DDS, PC
06.2000 - 08.2010
- Supervised team of 15 office personnel
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions
- Developed strong relationships with patients, ensuring a high level of care and satisfaction throughout their experience
- Managed all aspects of billing and coding, reducing errors and improving reimbursement rates
- Improved practice revenue through effective financial management and strategic cost reductions
- Processing of payroll, tax filings, and quarterly reports
- Successfully negotiated client contract renewals to create increased revenue
- Created and implemented organizational policies and procedures
- Ensuring compliance with HIPAA regulations
Education
Bachelor of Science - Healthcare Administration
Western Governors University
10.2024
CPC - Certified Professional Coder - Medical Coder
AAPC
11.2020
Core Leadership, Wellbeing, and Transition Dynamic Specialist Certification -
IPEC
11.2019
CPC - Certified Professional Coach - Executive Coaching
IPEC
08.2019
Energy Leadership Index Master Practitioner - ELI-MP
IPEC
01.2019
Skills
- Project Management
- Coaching
- Collaboration/Innovation
- Communication
- Organizational Leadership
- Billing/Coding Optimization
- Team Integration
- KPI Analysis
- Kaizen Methodology
- Critical/Strategic Thinker
- Compliance knowledge
- Internal Auditing
References
Upon Request
Timeline
Compliance Specialist
Duke University Health Systems
02.2021 - Current
Professional Consultant and Coach
S.E. Stetson, LLC
07.2017 - 02.2021
Regional Manager – Project Manager
eAssist Dental Solutions
06.2015 - 02.2021
Practice Coordinator
J.L Shaughnessy, Dental LLC
08.2010 - 11.2014
Business Practice Manager
Terry W. Rudnyk, DDS, PC
06.2000 - 08.2010
CPC - Certified Professional Coder - Medical Coder
AAPC
Core Leadership, Wellbeing, and Transition Dynamic Specialist Certification -
IPEC
CPC - Certified Professional Coach - Executive Coaching
IPEC
Energy Leadership Index Master Practitioner - ELI-MP
IPEC
Bachelor of Science - Healthcare Administration
Western Governors University
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