Wendy L. Siciliano
Naples
Summary
Operations professional with deep understanding of process optimization and team management. Known for driving operational excellence and consistently meeting organizational goals. Highly reliable, adaptable, and committed to fostering collaborative work environment. Skilled in resource allocation and performance monitoring.
Overview
38
38
years of professional experience
1
1
Certification
Work History
Coding Operations Supervisor
Optum/United Health Group
01.2023 - Current
- Successfully manage a large group of staff members across multi facilities. Responsible for maintaining and overseeing and ensuring coding functions are performed in accordance with the system wide policies, procedures and governing bodies. Monitor staff and department performance and productivity levels and proposes new ways to improve effectiveness, efficiency and productivity. Analyze performance metrics to locate and resolve issues and trends. Collaborate with the Coding Directors, Facility Administrators and Finance Leaders to ensure quality data. Create and manage employee schedules and time for payroll, provide feedback to to employees through formal and informal coaching and prepare reviews and partners with human resources. Programs utilized but not limited to Cerner Millennium, E-CAC, MS4, and Microsoft products including but not not limited to Excel, Word, Power Point, Outlook and Teams.
Senior Remote Medical Coder
Optum/United Health Group
10.2015 - 01.2023
- Nationwide Remote Risk Adjustment HCC Medical Coder responsible for maintaining and monitoring the Quality Assurance Auditing plan for Inpatient and Outpatient clinical data. Work to improve the quality of coding documentation and data in the medical record and HCC database. Reports on the accuracy and consistency of the data in accordance with accepted and established standards. Provide expertise in the use and application of coding classifications such as ICD-9-CM and/or ICD-10-CM, Microsoft Office, Excel, Word and Power Point, EMR and Encoder Software. Maintain strict patient and provider confidentiality in compliance with all federal, state, hospital laws and guidelines for release of information.
Medical Billing Manager, CPC/CCP
Jaffe Sports Medicine
10.2011 - 12.2013
- Manage all facets of the Billing Department which include but not limited to following Coding Systems / Guidelines including CPT, ICD-9, ICD-10 and HCPCS Level I & II as well as Knowledge of NCCI edits. Follow up on reimbursement trends, quality control on daily claim submissions, Pre-Certifications for therapy, DME, and pain management. Strategically maximize reimbursement trends for all procedures to ensure proper coding and billing principles are followed and reviewing trends with the Medical Director on a regular basis as well as conducting team meetings with all staff members. Proficient with Perfect Care,TheraOffice, EMDAT, Quick Books, Availity and Emdeon Clearinghouse, Medical Terminology.
President/ Sole Owner
S.W. FLORIDA MOBILE NOTARY SERVICES, LLC
02.2004 - 01.2013
- Certified and Background Screened Notary Signing Agent, Courtesy Closer, Mobile Notary and Field Inspector. Specializing in Professional Mortgage Document Signings, Real Estate Loan Documents, Reverse Mortgages, SBA Loans, Loan Modifications, Mortgage Applications, Financial, Medical, Legal and Personal. Proficient with Caylx Point, Dynamic Dox, Mortgage Ware, Loan Handler, Doc Magic Quick Books and Microsoft Programs.
Real Estate Assistant
Gulf Breeze Real Estate
02.2010 - 10.2011
- Administrative duties included but not limited to manage coordination of open houses, showing appointments and managed all seasonal/annual rental properties. Creation of flyers for advertising, assist with mailings and follow up on client database. Proficient with the following software, Act, MS Outlook, Word, Excel, Publisher, Showing Desk, Zillow and Matrix (MLS).
Medical Billing Manager/CPC, CCP
Naples Urgent Care
10.1998 - 08.2005
- Managed all facets of the Billing Operations. Ensure that all work performed are in compliance with Federal and State Regulations. Educate physicians and staff on medical coding principles and Medicare requirements. Compile monthly reports and analyze statistics to identify collections and reimbursement trends. Audit accounts for compliance on regular basis. Manage expenses of the department as well as all Human Resource. Collaborate with other departments in developing and improving policy procedures. Proficient with Medical Manager, Medisoft, Hart Collection, Quicken and Quick Books.
Front Office Supervisor
Collier Otolaryngology
10.1993 - 09.1998
- Responsibilities included but not limited Managing the front office personnel by overseeing Scheduling, Accounts Receivable, Pre-Certifications as well as Medical Billing.
Administrative Assistant
Moorings Park
04.1990 - 09.1993
- Assistant to the Administrator- Expert Proficiency with Word Processing, and Corporate Database. Assistant to the Medical Director to further assist with Employee Physicals. CNA/HHA – Hands on Patient Care and Private Duty Nursing.
Medical Assistant
Hugh K McCrystal, M.D. Urologist / Chief of Staff Indian River Memorial Hospital
02.1989 - 04.1990
- Assisted with both Administrative and Clinical capacities as needed.
EKG Technician
Indian River Memorial Hospital / Cardiopulmonary Department
09.1988 - 04.1989
- Perform EKG testing for patients within the IP and ER setting.
Medical Assistant
Young C. Shin, M.D. / Internal Medicine
10.1987 - 09.1988
- Performed both Administrative and Clinical duties within the office setting.
Medical Assistant
Urgi-Care of Western Pennsylvania
06.1987 - 10.1987
- Transferred from Penn Hills to assist with the opening of this new office location which included working in both Administrative and Clinical capacities.
Medical Assistant
Urgi-Care of Western Pennsylvania
04.1987 - 06.1987
- Began Externship then hired as a FTE to assist with Administrative and Clinical Office duties
Education
Certified Compliance Professional -
Healthcare Compliance Institute
Rockville, MD01.2004
Certified Professional Coder - undefined
American Academy Professional Coders
Salt Lake City, UT01.2002
Medical Coding Training - undefined
Medical Management Institute
Alpharetta, GA01.2001
CNA/HHA - undefined
James Lorenzo Walker Vocational School
Naples, FL01.1990
Diploma - undefined
Median School of Allied Health Careers
Pittsburgh, PA01.1987
Diploma - Academic & Business
Penn Hills Senior High School
Pittsburgh, PA01.1986
Skills
- Operations management
- Performance monitoring
- Task delegation
- Staff supervision
- Employee development
- Customer relations
- Team Training
- Workflow optimization
- Production
- Management
- Compliance management
- Quality assurance
- Customer relationship management
- KPI tracking
- Employee engagement
- Productivity management
- Multitasking and organization
- Team leadership
- Employee supervision
- Decision-making
- Schedule management
- New hire orientation
- Regulatory compliance
- Staff management
- Performance improvement
- Performance management
- Staff scheduling
- Cross-functional collaboration
- Office management
- Motivational leadership
- Staff development and training
- Staff training
- Relationship building
- Coaching and mentoring
- Microsoft office
- Goal setting
- Customer service
- Technology
- Delegation
Affiliations
American Academy of Professional Coders
Certification
- Notary Public of the State of Florida – 2003 - 2019
- National Notary Association, Chatsworth CA – 2004 – Certified Notary Signing Agent
- Ed Klopfer School of Real Estate, Naples, FL – 2005 – Professional License / Mortgage Broker
Timeline
Coding Operations Supervisor
Optum/United Health Group
01.2023 - Current
Senior Remote Medical Coder
Optum/United Health Group
10.2015 - 01.2023
Medical Billing Manager, CPC/CCP
Jaffe Sports Medicine
10.2011 - 12.2013
Real Estate Assistant
Gulf Breeze Real Estate
02.2010 - 10.2011
President/ Sole Owner
S.W. FLORIDA MOBILE NOTARY SERVICES, LLC
02.2004 - 01.2013
Medical Billing Manager/CPC, CCP
Naples Urgent Care
10.1998 - 08.2005
Front Office Supervisor
Collier Otolaryngology
10.1993 - 09.1998
Administrative Assistant
Moorings Park
04.1990 - 09.1993
Medical Assistant
Hugh K McCrystal, M.D. Urologist / Chief of Staff Indian River Memorial Hospital
02.1989 - 04.1990
EKG Technician
Indian River Memorial Hospital / Cardiopulmonary Department
09.1988 - 04.1989
Medical Assistant
Young C. Shin, M.D. / Internal Medicine
10.1987 - 09.1988
Medical Assistant
Urgi-Care of Western Pennsylvania
06.1987 - 10.1987
Medical Assistant
Urgi-Care of Western Pennsylvania
04.1987 - 06.1987
Certified Professional Coder - undefined
American Academy Professional Coders
Medical Coding Training - undefined
Medical Management Institute
CNA/HHA - undefined
James Lorenzo Walker Vocational School
Diploma - undefined
Median School of Allied Health Careers
Diploma - Academic & Business
Penn Hills Senior High School
Certified Compliance Professional -
Healthcare Compliance Institute
Awards
Honored Professional Member of the 2007 Cambridge Who’s Who, Honored Professional Member of the 2009 Biltmore Who’s Who, Current Active Member of the AAPC since 2002
Similar Profiles
Heather RashHeather Rash
Patient Account Rep/Assoc Collections Rep at SSM Health/Optum United Health GroupPatient Account Rep/Assoc Collections Rep at SSM Health/Optum United Health Group
Randy K. DeBoerRandy K. DeBoer
Compliance/Privacy Senior Consultant at Optum/United Health GroupCompliance/Privacy Senior Consultant at Optum/United Health Group
AMIT SRIVASTAVAAMIT SRIVASTAVA
Sr. Automation Architect at Optum/United Health GroupSr. Automation Architect at Optum/United Health Group
Mary WeipertMary Weipert
Enrichment Teacher & Data Entry Clerk at Mason Classical AcademyEnrichment Teacher & Data Entry Clerk at Mason Classical Academy
Diadenis AlvarezDiadenis Alvarez
Home Health Aide at Gulfshore Home CareHome Health Aide at Gulfshore Home Care