Tina Marsh
South Haven,MN
Summary
Results-driven Compliance and Revenue Integrity Professional with expertise in CPT/HCPCS coding and risk analysis. Proven ability to optimize revenue workflows, enhance operational processes, and improve billing accuracy. Strong track record in advising stakeholders on regulatory standards and fostering a culture of continuous improvement.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Manager, Facility Compliance
CentraCare
01.2024 - Current
- Manage daily operations of the facility compliance team, serving as a subject matter expert for billing and documentation inquiries.
- Developed effective auditing procedures that detect errors and fraudulent activities, with a focus on billing issues.
- Collaborate with clinical, revenue cycle, and operational leaders to leverage data analytics and the OIG Work Plan in identifying and prioritizing facility compliance risks for the annual compliance work plan.
- Work closely with diverse teams to identify compliance issues and drive problem-solving efforts to mitigate risks.
- Consult with internal and external legal counsel, as needed, regarding regulatory compliance issues.
- Direct billing compliance projects involving the identification of errors and the assessment of regulatory obligations.
- Develop, enforce, and monitor corrective action plans for identified compliance gaps.
Supervisor, Revenue Integrity
Allina Health
05.2022 - 12.2023
- Enhanced revenue integrity by overseeing charge capture and reconciliation processes.
- Acted as liaison, providing expertise in charge capture education and audits.
- Identified revenue opportunities by coordinating charge capture improvement initiatives.
- Ensured compliance with charging policies alongside operational leadership teams.
- Configured Epic charge codes accurately, serving as a subject matter expert.
Revenue Integrity Analyst Sr.
Allina Health
12.2015 - 05.2022
- Ensured compliance and accuracy of CDM for CPT/HCPCS and revenue codes.
- Enhanced operational efficiency by maintaining EPIC OpTime and Radiant records.
- Served as subject matter expert for billing and documentation inquiries.
- Identified charge capture opportunities through departmental revenue trend analysis.
- Created and delivered training materials on optimal charging and billing practices.
- Standardized charging processes by investigating and addressing inconsistent practices.
Outpatient Hospital Coder
Allina Health
03.2015 - 12.2015
- Reviewed medical records to ensure accurate coding and documentation across multiple systems.
- Analyzed and coded claims using ICD-10-CM and CPT classification systems.
- Ensured compliance with medical coding guidelines through thorough document analysis.
Program Manager Corporate Compliance
Allina Health
03.2010 - 03.2015
- Served as compliance and regulatory resource for Allina Health Hospitals & Clinics and community pharmacies.
- Compliance resource for Medicare and Medicaid billing, clinical documentation, and HIPAA compliance.
- Collaborated with internal audit teams and clinical leaders to address audit findings, ensuring corrective actions were implemented.
- Managed Integrity Line investigations with HR and leadership to ensure timely complaint resolution.
- Led investigations into Medical Identity Theft and Fraud incidents.
- Directed investigations of billing errors, collaborating with teams to assess impacts on government and third-party payer reimbursements.
Charge Master Consultant
Allina Health
03.2004 - 03.2010
- Ensured accurate billing by maintaining CAM/CDM and Epic Procedure Master File.
- Served as documentation expert, facilitating research on complex regulatory information.
- Developed educational materials on billing and documentation for key stakeholders.
- Resolved outstanding claim issues, improving overall claims processing efficiency.
- Standardized charging processes, identifying inconsistencies across multiple departments.
Professional Coder/Supervisor
Consulting Radiologist
03.1994 - 03.2001
- Managed technical and clerical staff, focusing on hiring, evaluation, coaching, and mentoring.
- Proficient in professional medical coding and data entry processes.
- Trained new coders on CPT, HCPCS, and ICD9 coding.
Education
Bachelor of Arts Degree - Health Information Management & Communication Individualized Studies
Metropolitan State University
Minneapolis, MNAssociate of Applied Science Degree - Health Information Technician
Rasmussen University
Minneapolis, MNSkills
- Interpersonal skills
- CPT/HCPCS coding expertise
- Data analysis
- Billing & regulatory Compliance
- Proficient in EPIC systems
- Audit procedures
- Charge capture methods
- Revenue optimization
Certification
Certified in Healthcare Compliance (CHC), Compliance Certification Board (CCB)
Registered Health Information Technician (RHIT), American Health Information Management Association (AHIMA)
Timeline
Manager, Facility Compliance
CentraCare
01.2024 - Current
Supervisor, Revenue Integrity
Allina Health
05.2022 - 12.2023
Revenue Integrity Analyst Sr.
Allina Health
12.2015 - 05.2022
Outpatient Hospital Coder
Allina Health
03.2015 - 12.2015
Program Manager Corporate Compliance
Allina Health
03.2010 - 03.2015
Charge Master Consultant
Allina Health
03.2004 - 03.2010
Professional Coder/Supervisor
Consulting Radiologist
03.1994 - 03.2001
Associate of Applied Science Degree - Health Information Technician
Rasmussen University
Bachelor of Arts Degree - Health Information Management & Communication Individualized Studies
Metropolitan State University