Todd Manion

• Conduct gap analysis, identification of risk, opportunity and develop findings and recommendations, including development of a “Center of Excellence”
• Proficient in ICD-10-CM Diagnosis/Procedures/CPT Codes, MS-DRG reimbursement and clinical documentation impacting quality
• Facilitated thousands of physician education sessions across United States communicating importance and need for accurate and complete clinical documentation/coding and impacts to quality and reimbursement metrics
• Direct experience in working to oversee CDI Specialists in development of CDI programs in acute and outpatient care setting
• Vast knowledge of Coding, Rev. Integrity and CDI program infrastructure, workflow and reporting/metrics
• Project leader which encompasses multiple aspects of clinical operations, client relationships with a focus on collaboration
• Design innovative new offering for current product offerings of CDI, Coding, ICD-10, Transcription, Care Management Utilization Review, Physician Education, and HIM departments
• Have been involved with 300+ hospital over career directly assisting and sustaining Coding & CDI programs
• Lead multi-disciplinary teams to capture revenue and cost opportunities by applying process improvement techniques
• Develops trusted partnerships with key executives in Revenue Cycle and Clinical Operations and work to achieve targets and identified new opportunities
• Drove strategic improvements to enhance operational and organizational efficiencies
• Aligned department vision, goals and objectives with company strategy to achieve consistently high results

• Managed development of processes and technology designed to document and calculate nursing activity for outpatient billing
• Responsibilities included developing project plans, managing execution developed plan, managing cross functional team consisting of Nursing, Finance, and IT Directors, drafting change control processes, interfacing with production and testing teams, designing infrastructure for program success, and facilitating meetings, presentations, and discussions to drive client team toward project objectives
• Served as engagement manager for Clinical Documentation Integrity (CDI) programs for hospitals and leading academic medical centers nationwide.

Analyzed demographic, financial, and insurance eligibility for potential kidney and pancreas transplant patients. Collaborated and researched with collaborative team of six people to ensure insurance benefits and eligibility for transplant. This research improved our patient’s understanding of benefits and assisted in front-end office functions. Worked directly with insurance agencies to assist patients in understanding monetary responsibilities she/he may have after transplant.