Tina Brown
South Point,OH
Summary
Accomplished CDM Coordinator with a proven track record at Marshall Health Network, adept in medical billing and customer service management. Excelled in optimizing revenue through meticulous Charge Description Master maintenance, enhancing compliance, and spearheading staff training initiatives. Demonstrated expertise in data retrieval systems and effective coaching, significantly improving billing accuracy and productivity. Brings proven leadership, organizational and customer relations skills. Independently solves problems and keeps teams on task to handle diverse business requirements. History retaining clients and talented staff.
Overview
22
22
years of professional experience
Work History
CDM Coordinator
Marshall Health Network
05.2002 - Current
- Responsible for the formulation and continual maintenance of the Charge Description Master to optimize revenue and maintain compliance.
- Determine prices for services performed at the hospital.
- Provide training and application use of charges through the system to ensure accurate chare capture and workflow processes..
- Update prices yearly.
- Implement Classification Master files.
- Researching all current and future complex Medicare requirements for maximum reimbursement and billing compliance guidelines.
- Work in conjunction with Audits and Compliance to resolve any Chargemaster issues.
- Assists the billing office with resolving billing issues or denials that are Chargemaster related, working accounts as they encounter coding, billing, and payer edits for procedures and services.
- Maintain hospital price transparency regulations.
- Maintaining all CDM requests for additions, revisions, and deletions.
- Perform departmental reviews for charging accuracy for missed procedures, and ensure compliance with all APC mandates and reporting requirements
- Yearly and Quarterly Chargemaster reviews
- Educate staff on pricing and billing processes
- Identify rates that are below Medicare rates
- Work with revenue generating departments to ensure ongoing coordination of the charge master
- Participate in activities that promote adherence to Federal, State, and local healthcare regulations.
- Provides assistance and analysis to all levels of clinical management in regards to billing and coding.
- Provide reports, studies, analysis as requested.
- Serves as a liaison between clinical charge capture, IS and others within the Revenue Cycle Systems and Charge Systems
- Prioritized and managed multiple projects simultaneously, ensuring all met their deadlines and objectives without compromising quality.
- Developed comprehensive training materials for new staff, leading to quicker onboarding and higher initial productivity levels.
Education
Bachelor of Science - Healthcare Administration
Ohio University
Ironton12.2001
Skills
- Customer Service
- Data Entry
- Work Planning and Prioritization
- Medical Terminology
- Data retrieval systems
- MS Office
- Scheduling and calendar management
- Medical Billing
- Multitasking and Organization
- Microsoft Office
- Phone and Email Etiquette
- Coaching and Mentoring
- Customer Service Management
- Financial Reporting
- Discretion and Confidentiality
- Document Management
Timeline
CDM Coordinator
Marshall Health Network
05.2002 - Current
Bachelor of Science - Healthcare Administration
Ohio University
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