Stephanie Howell
Powhatan,VA
Summary
Results-driven Revenue Cycle Analyst and Certified Professional Coder (CPC) with over a decade of experience in revenue cycle management, auditing, charge capture, and compliance. Proven ability to analyze clinical and financial workflows, identify revenue leakage, and implement process improvements. Adept at working cross-functionally with billing, coding, compliance, and ancillary departments to ensure optimal revenue results and regulatory compliance. Strong analytical, organizational, and communication skills, with the ability to work autonomously and lead training initiatives. Adaptable and results-driven, excelling in both collaborative team environments and independent settings. Esteemed for exceptional multitasking skills, and recognized as a reliable asset within the Revenue Integrity department, consistently contributing to goal achievement.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Revenue Integrity Certified Specialist Senior
Moffitt Cancer Center
Tampa, FL
10.2022 - Current
- Manages quarterly charge audit process, including running reports, completing patient account audits, and communicating findings to clinical managers and Revenue Integrity leadership
- Conducts charge capture reviews and analyzes Correct Coding Initiatives (CCI) & Outpatient Code Editor (OCE) edits to for trending analysis and charge capture opportunities
- Reviews and complete simple and complex coding edits to ensure accurate and timely claim submission
- Analyzes the root cause of issues related to edits for automation opportunities and work with the manager to optimize process for charge code updates
- Analyzes correlation between coding edits and departmental monthly charge reports
- Review and quantify impact of coding changes before and after implementation
- Support timely resolution of issues related to billing, denials and charge capture
- Identify missing/inaccurate charge codes for clinical area of responsibility
- Works with clinical department managers and revenue cycle staff to optimize processes for charge codes updates and proactively develop charge codes for new procedures
- Serves as backup support for Chargemaster maintenance, ensuring accurate charge description master (CDM) updates
- Collaborate with IT and revenue cycle teams to develop automation solutions for coding and billing processes
- Participate in training and educational initiatives regarding clinical documentation to support charge optimization
- Develops and delivers education and training for revenue cycle and clinical teams on best practices in charge capture and compliance
PRN Billing Specialist
Advanced Care, LLC
Remote
09.2023 - 01.2024
- Maintained comprehensive payment records for each account, ensuring accurate documentation for audits and financial analysis
- Reviewed and reconciled patient accounts to verify payment accuracy and maintain financial integrity
- Investigated and resolved billing discrepancies, ensuring accurate invoicing and prompt issue resolution
- Analyzed accounts receivable reports to identify trends, optimize cash flow, and improve revenue cycle efficiency
Revenue Integrity Analyst
Ensemble Health Partners
Remote
01.2021 - 10.2022
- Conducted revenue integrity audits, ensuring compliance with IPPS, OPPS, and fee schedule reimbursement methodologies
- Provided recommendations based on findings to improve charge capture workflows and to standardize charge capture processes
- Analyzed billed charges and medical records to look for missing, incorrect, or late charges
- Assisted in charge description master (CDM) updates, charge capture validation, and charge reconciliation
- Evaluated charge capture practices to ensure accuracy and completeness of charge capture
- Trained and mentored team members and managers on new work processes and policies to build cohesive groups and promote operational performance
Claims Coder II, Radiology Coder/Audit
VCU Health Systems
Richmond, VA
11.2012 - 12.2020
- Reviewed outpatient diagnostic Radiology records to ensure accurate ICD-10, CPT, and HCPCS coding
- Conducted internal audits and retrospective coding reviews, identifying areas for charge capture improvement
- Utilized Cerner and GE/IDX to manage and confirm patient data, such as insurance, demographic and medical history information
- Followed up with medical staff regarding missing information in patient records
- Drove LCD Denial Report and Claims Submission operational improvements that resulted in significant savings and improved profit margins
- Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards
- Performed account reconciliations and resolved variances
Clinical Coding Specialist, Part Time
Verisk Analytics
Richmond, VA
09.2012 - 02.2013
- Reviewed provider documentation to abstract and confirm all diagnosis codes mapping to HCC categories, according to Risk Adjustment policies, internal contract terms, and coding guidelines, for proper diagnostic code assignment
- Coded medical records for the complete and correct assignment of all applicable ICD-10-CM codes
Medicare Billing Specialist
Universal Health Services, Inc.
Richmond, VA
05.2005 - 06.2012
- Processed and submitted medical claims with meticulous accuracy, ensuring compliance and maximizing reimbursement through proactive appeals of incorrect payments
- Resolved outstanding accounts receivable claims, consistently exceeding department quotas and improving cash flow
- Delivered exceptional customer service by addressing billing inquiries, resolving concerns, and accurately documenting all communications in the Patient Accounting System
Education
Bachelor of Science - Healthcare Administration
Liberty University
05.2026
Health Records Coding Technician Certification - Health Information Management
J Sargeant Reynolds Community College
Richmond, VA05.2009
Skills
- Revenue Cycle Management
- Certified Professional Coder (CPC)
- Charge Description Master (CDM) Maintenance
- Charge Capture Review & Audit
- Compliance & Regulatory Adherence
- CPT, HCPCS, & ICD-10-CM Coding
- Billing, Denials, & Reimbursement Analysis
- Electronic Medical Records (EMR) Systems: Epic, Cerner, Soarian, IDX
- Outpatient Code Editor (OCE) & Correct Coding Initiative (CCI) Audits
- HIPAA Policies
- Process Monitoring
- Data Analysis
- Charge Description Master
- Charge Capture Review
- CERNER Systems
- EPIC Systems
- Revenue Cycle
- NCD and LCD edits
- Root-cause analysis
- Stakeholder management
Affiliations
- The American Academy of Professional Coders (AAPC)
- Healthcare Financial Management Association (HFMA)
Certification
- CPC - Certified Professional Coder
- CRCR - Certified Revenue Cycle Representative
Timeline
PRN Billing Specialist
Advanced Care, LLC
09.2023 - 01.2024
Revenue Integrity Certified Specialist Senior
Moffitt Cancer Center
10.2022 - Current
Revenue Integrity Analyst
Ensemble Health Partners
01.2021 - 10.2022
Claims Coder II, Radiology Coder/Audit
VCU Health Systems
11.2012 - 12.2020
Clinical Coding Specialist, Part Time
Verisk Analytics
09.2012 - 02.2013
Medicare Billing Specialist
Universal Health Services, Inc.
05.2005 - 06.2012
Bachelor of Science - Healthcare Administration
Liberty University
Health Records Coding Technician Certification - Health Information Management
J Sargeant Reynolds Community College
Similar Profiles
JOELY MORALESJOELY MORALES
Nurse Extern at Moffitt Cancer CenterNurse Extern at Moffitt Cancer Center
Demetrio CondeDemetrio Conde
Controls Technician at H. Lee Moffitt Cancer CenterControls Technician at H. Lee Moffitt Cancer Center
Dunja AbidovicDunja Abidovic
Registered Nurse at Moffitt Cancer CenterRegistered Nurse at Moffitt Cancer Center
DOMINIC LOVELESS, BSN, RNDOMINIC LOVELESS, BSN, RN
Perioperative Nurse at Moffitt Cancer CenterPerioperative Nurse at Moffitt Cancer Center
Derek SpeightDerek Speight
Senior Systems Administrator at Envestnet MoneyGuideSenior Systems Administrator at Envestnet MoneyGuide