Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Certification
Timeline
Generic

Stacia Floyd

Charlotte,TN

Summary

Highly skilled and enthusiastic professional with more than 20 years of experience in the healthcare field with duties including entering patient demographics, ensuring delivery of all electronic billing to vendors and managing 13 billing department employees and ensuring receipt, capture and accurate coding of all claims for a multiple facility anesthesia practice in multiple states. Developing and leading a productive and efficient demographic and charge entry team. Contributed to a high volume medical practice by providing excellent leadership skills with multiple relationships between providers, practices and facilities. Goal driven with proven skills to deliver an exemplary level of service to management, providers, facilities and patients. Strong organizational skills with a superb understanding of data collection and performance metrics. Recognized for staff development leading to a high performing team. Plan and implement strategies for developing improved health care billing. Skilled at improving processes and maximizing team productivity. Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

23
23
years of professional experience
1
1
Certificate

Work History

Coding Manager

Ventra Health
Nashville, TN
01.2021 - 09.2021
  • Attended facility meetings and reported on performance.
  • Evaluated team and updated training curriculum based on feedback.
  • Participated in hiring and training coding team.
  • Performed coding quality reviews and tracked, trended and managed coding quality performance.
  • Recruited, hired and trained staff, providing direct supervision, ongoing staff development.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Provided education and feedback to Physicians and CRNA's regarding documentation
  • Participated with upper management to make changes to coding and billing processes
  • Worked with Physicians, CRNA's and Client Relations Managers to resolve billing/coding issues
  • Obtained Medical Records when needed to ensure accurate coding
  • Communicated with patients, ensuring that medical information was kept private.

Medical Billing Supervisor

Phymed Healthcare
Nashville, Tennnessee
04.1998 - 12.2020
  • Reviewed services rendered and completed to reconcile codes.
  • Confirmed backup and proper storage of sensitive information in event of data breach or outage.
  • Managed 14 employees to ensure accurate billing and coding of anesthesia claims
  • Ensured staff accurately entered patient demographic and insurance information
  • Ensured Charge Entry staff accurately captured billing and coding from EMR
  • Perfomed audits to ensure staff were properly following billing and coding guidelines
  • Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Devised new methods to improve billing workflows.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Set up and maintained new electronic billing system.
  • Verified all charges were entered and complete for the previous month by the 4th business day of the following month
  • Obtained medical records and other documentation as needed to accurately code claims


Education

Associate of Science - Medical Office Management

Nashville State Technical Institute
Nashville, TN
04.1998

High School Diploma -

Dickson County High School
Dickson, TN
05.1995

Skills

  • Employee Training Program
  • Employee Recruitment and Hiring
  • Employee Performance Evaluations
  • Policy and Program Development
  • Interdepartmental Functions Coordination
  • Operating Plans Development
  • Administrative Staff Supervision
  • Workflow Processes
  • Problem Identification
  • Medical Programs Implementation
  • Medical Billing and Coding
  • Employee Work Scheduling

Accomplishments

  • Supervised team of 13 staff members
  • Improved workflow process to lessen days from date of service to claim filed-
  • Collaborated with team of 9 in the development of a Medical Records and Billing SubCommitee which included a Physician, CRNA, Attorney, Compliance Educator, RCM Manager, EMR Operator, AR Manager, Chief Operating Officer and Compliance MD
  • Documented and resolved billing issues which led to proper documentation by MD's and CRNA's
  • Achieved a turn around time for billing from 9+ days to 4 days

Affiliations

AAPC

Certification

AAPC

Timeline

Coding Manager

Ventra Health
01.2021 - 09.2021

Medical Billing Supervisor

Phymed Healthcare
04.1998 - 12.2020

Associate of Science - Medical Office Management

Nashville State Technical Institute

High School Diploma -

Dickson County High School
Stacia Floyd