Summary
Overview
Work History
Skills
Accomplishments
Timeline
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Suzanne Perry

Winthrop,Maine

Summary

Revenue cycle management expert with a strong track record in developing revenue strategies and enhancing financial performance. Skilled in contract negotiation and team leadership, emphasizing cross-functional collaboration and EHR systems. Demonstrated success in driving organizational growth and optimizing billing processes to maximize profitability.

Overview

25
25
years of professional experience

Work History

DIRECTOR OF REVENUE CYCLE MANAGMENT

REMOTE CARE CONNECT
04.2024 - 12.2024
  • Developed and executed revenue strategies that drove organizational growth.
  • Analyzed market trends to uncover new revenue opportunities and assess risks.
  • Collaborated with cross-functional teams to synchronize sales and marketing initiatives.
  • Created detailed reports on revenue performance for executive evaluation.
  • Trained team members in effective revenue generation techniques.
  • Conducted regular reviews of financial metrics to assess business performance improvements.
  • Evaluated existing processes to identify improvement areas across the organization.
  • Negotiated contracts with customers to enhance profitability while fostering positive relations.

UROLOGY MEDICAL CODER AND BILLER

UROLOGY ASSOCIATES OF THE CENTRAL COAST
01.2017 - 12.2024
  • Analyzed medical records for accurate coding and compliance with regulations.
  • Collaborated with healthcare providers to clarify documentation for precise coding.
  • Conducted audits on coded claims to identify discrepancies and training needs.
  • Assisted in resolving billing issues related to coding errors or omissions.
  • Maintained up-to-date knowledge of ICD-10, CPT codes, and payer requirements.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
  • Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
  • Maintained confidentiality of patient information according to HIPAA regulations.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Educated healthcare staff on coding standards and changes in coding guidelines.
  • Resolved coding discrepancies and denials to maximize reimbursement.
  • Entered coded data into electronic health record (EHR) systems.
  • Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
  • Kept abreast of updates and changes in coding guidelines and reporting requirements.
  • Maintained positive working relationship with fellow staff and management.
  • Monitored and analyzed coding error trends to improve coding accuracy.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Streamlined day-to-day office processes to meet long-term goals.
  • Analyzed EHR system workflows to identify areas for improvement.
  • Resolved issues with hardware or software components related to the implementation of an EHR system.
  • Identified opportunities for streamlining processes using technology solutions based on current best practices in healthcare IT.

DIRECTOR OF REVENUE CYCLE MANAGEMENT

COALA LIFE
09.2022 - 04.2024
  • Developed and implemented revenue strategies to enhance organizational growth.
  • Analyzed market trends to identify new revenue opportunities and potential risks.
  • Collaborated with cross-functional teams to align sales and marketing initiatives.
  • Created comprehensive reports on revenue performance for executive review.
  • Trained team members on best practices for revenue generation techniques.
  • Conducted regular reviews of financial metrics to track business performance improvements.
  • Evaluated current processes and identified areas for improvement within the organization.
  • Developed strategies for improving efficiency of billing processes across departments.
  • Developed and implemented strategies for increasing revenue growth.
  • Analyzed market trends to identify potential opportunities for increasing revenue.
  • Conducted regular meetings with team members to review goals, objectives, and progress.
  • Created internal training materials related to best practices in revenue management.
  • Directed staff in developing customer relationships and managing accounts receivable activities.
  • Negotiated contracts with customers to maximize profits while maintaining positive relationships.
  • Ensured compliance with all relevant laws and regulations governing revenue collection.
  • Monitored daily performance metrics to make sure targets were met or exceeded.
  • Collaborated with senior leadership on strategic initiatives that impacted overall revenues.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
  • Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
  • Recommended new financial and accounting software packages. replacing various non-integrated offerings.

PRACTICE MANAGER

AUGUSTA INTERNAL MEDICINE
08.2012 - 01.2017
  • Supported billing and insurance processes to ensure compliance.
  • Maintained inventory of medical supplies and ordered as needed.
  • Managed vendor relationships for supplies and services related to the practice.
  • Oversaw all aspects of day-to-day practice operations including front desk reception, appointment scheduling, billing and coding, insurance verification.
  • Supported entire practice's staff, which boosted efficiency and improved overall process flow.
  • Facilitated implementation of new technology systems into existing workflows in order to improve operational efficiency.
  • Assessed medical office operations, identified areas of improvement, and developed plans for corrective action.
  • Created and implemented policies and procedures for effective practice management.
  • Checked entire office and waiting areas regularly to provide clean and organized surroundings.
  • Participated in strategic planning initiatives aimed at developing long-term goals for the practice's growth and success.
  • Created and maintained electronic record management (EMR) systems to store data and develop reports.
  • Created reports that tracked key performance indicators such as revenue growth and efficiency metrics.
  • Developed and implemented new patient registration processes to streamline workflow.
  • Provided support during audits by gathering requested documents as well as answering questions from auditors.
  • Negotiated favorable terms on behalf of the practice when contracting with vendors or third party payers.
  • Analyzed patient records, insurance information, and medical coding data to ensure proper reimbursement from insurance companies.
  • Analyzed and processed medical insurance claims using ICD-10 codes to ensure accuracy in billing.
  • Audited medical bills for coding errors and other discrepancies prior to submission.
  • Coordinated all activities related to accounts receivable, collections, billing, coding, and customer service.
  • Reviewed medical records to ensure accuracy and completeness of clinical documentation, coding and billing processes.
  • Participated in continuing education courses related to medical coding standards updates.
  • Created a system for tracking patient appointments, billing information, medical records, insurance claims and other administrative tasks.
  • Supported customers with online billing, access, and account issues.

Contract Administrator

ARMY NATIONAL GUARD
10.2011 - 01.2012
  • Entered coded data into electronic health record (EHR) systems.
  • Reviewed patient records and assigned accurate codes for diagnoses and procedures.

QUALITY ASSURANCE TECHNICAL REPRESENTATIVE

STATE OF MAINE
09.2008 - 09.2011
  • Reviewed documents for clarity, accuracy, and adherence to guidelines.
  • Collaborated with team members to ensure comprehensive review processes.
  • Utilized software tools to track revisions and maintain version control.

Contract Service Representative

Maine General Medical Center
09.1999 - 09.2008
  • Processed insurance claims using electronic billing systems for accuracy.
  • Communicated with healthcare providers to clarify coding requirements and documentation.
  • Audited coding practices to identify discrepancies and improve efficiency.
  • Assisted in training new staff on coding guidelines and billing procedures.
  • Resolved billing inquiries from patients and insurance companies promptly.
  • Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
  • Researched denied claims to determine the cause of denial and corrected errors as needed.
  • Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
  • Submitted claims electronically to insurance companies in accordance with regulations.
  • Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
  • Performed data entry into electronic health record system for all relevant patient information including diagnoses, procedures performed, medications prescribed .
  • Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
  • Generated reports from software systems to track claim status and denials.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Analyzed trends in denials in order to recommend process improvements which would reduce the number of denials received.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Managed coding for multiple specialties, ensuring specific codes are accurately applied.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Entered coded data into electronic health record (EHR) systems.
  • Monitored and analyzed coding error trends to improve coding accuracy.

Skills

  • Revenue strategy and financial analysis
  • Market evaluation and cross-functional collaboration
  • Contract negotiation and business process enhancement
  • Revenue cycle management and denial management
  • Electronic health record (EHR) systems expertise
  • Team leadership and training development
  • Medical coding proficiency
  • Knowledge of Epic, Cerner, eClinicalWorks, Athena, Tebra, Practice Fusion, Therapy Notes
  • Workflow management

Accomplishments

Star Award at Maine General Medical Center for outstanding claim follow up for a project I created to increase revenue and decrease denials. This was presented by the CEO and CFO of MGMC.

Timeline

DIRECTOR OF REVENUE CYCLE MANAGMENT

REMOTE CARE CONNECT
04.2024 - 12.2024

DIRECTOR OF REVENUE CYCLE MANAGEMENT

COALA LIFE
09.2022 - 04.2024

UROLOGY MEDICAL CODER AND BILLER

UROLOGY ASSOCIATES OF THE CENTRAL COAST
01.2017 - 12.2024

PRACTICE MANAGER

AUGUSTA INTERNAL MEDICINE
08.2012 - 01.2017

Contract Administrator

ARMY NATIONAL GUARD
10.2011 - 01.2012

QUALITY ASSURANCE TECHNICAL REPRESENTATIVE

STATE OF MAINE
09.2008 - 09.2011

Contract Service Representative

Maine General Medical Center
09.1999 - 09.2008

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Suzanne Perry