Thomas Justin Johnson
Pikeville,KY
Summary
Results-oriented and self-motivated professional with 14 years of experience as a registered nurse in PACU, revenue integrity/denials management, and critical care. Proven track record of success in remote work environments, showcasing strong communication and collaboration skills. Adept in leveraging technology to enhance productivity and deliver high-quality results. Proven ability to audit charts and ensure documentation compliance.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Integrity Specialist
Pikeville Medical Center
Pikeville, KY
01.2025 - Current
- Ensured accurate charge capture for improved financial performance with meticulous data analysis and reconciliation procedures.
- Conducted root cause analyses of payment variances, recommending targeted solutions to address underlying issues effectively.
- Assisted in negotiating favorable contracts with payers, maximizing reimbursement rates while maintaining positive relationships.
- Championed process standardization across departments, leading to greater consistency and streamlined operations.
- Kept abreast of industry developments and regulatory updates, ensuring the organization remained compliant with all relevant requirements.
- Enhanced revenue integrity by conducting thorough audits and identifying discrepancies in billing processes.
- Served as a trusted resource for colleagues seeking guidance on complex billing issues or regulatory matters.
- Utilized advanced analytics tools to gain deeper insights into revenue cycle performance, driving data-driven decision-making processes.
- Proactively identified areas of risk within the organization''s revenue cycle processes, formulating effective mitigation strategies accordingly.
- Monitored payer trends to proactively address potential issues, minimizing the impact on revenue collection efforts.
- Prepared working papers, reports and supporting documentation for audit findings.
- Tracked funds, prepared deposits and reconciled accounts.
- Maintained integrity of general ledger and chart of accounts.
- Abstract relevant data (Sepsis, CHF, MI, etc) from electronic medical record.
Post Anesthesia Care Unit (PACU)/Critical Care Nurse
Pikeville Medical Center
Pikeville, KY, USA
02.2010 - 01.2025
- Led 22 team members in fall prevention measures, achieving no falls for 48 days
- Utilized Clinical Communication and Collaboration Technology to streamline communication and enhance project efficiency
- Collaborated effectively with cross-functional teams, leveraging virtual communications tools
- Gathered clinical information and applied to appropriate clinical guidelines
- Used clinical judgement to provide optimal patient care
- Communicated with providers and other parties to facilitate treatments
- Conducted electronic medical record audits to ensure compliance for Joint Commission for continuation of Joint Commission Orthopedic Joint Certification
- Educated staff on appropriate documentation practices
Education
Bachelors of Science - Nursing
Indiana Wesleyan University
10.2014
Associates of Science - Nursing
Pikeville College
12.2009
Skills
- Remote Collaboration
- Project Management
- Time Management
- Virtual Communication
- Technology Proficiency
- Sound Clinical Judgement
- Detail Oriented
- Electronic Medical Record Auditing
Certification
- RN- NCLEX (ENCL Compact), 01/10/10 - Present
- ACLS- AHA, 12/01/23 - Present
- PALS- AHA, 08/01/23 - Present
- BLS- AHA, 12/01/23 - Present
- BLS Instructor- AHA, 03/01/24 - Present
Timeline
Revenue Integrity Specialist
Pikeville Medical Center
01.2025 - Current
Post Anesthesia Care Unit (PACU)/Critical Care Nurse
Pikeville Medical Center
02.2010 - 01.2025
Bachelors of Science - Nursing
Indiana Wesleyan University
Associates of Science - Nursing
Pikeville College