WHITNEY RAPOSO
Westport,MA
Summary
With over 18+ years in academic medical centers and 10+ years of leadership across revenue cycle, compliance, coding, billing, and authorization operations. Known for improving financial performance, and documentation integrity through strategic workflow redesign and cross-functional collaboration. MSHA/MBA (2026).
Overview
1
1
Certification
3
3
years of post-secondary education
20
20
years of professional experience
Work History
Revenue Cycle Manager, Neurology & Neurosurgery
Boston Medical Center
Boston, MA
01.2024 - Current
- Lead financial and operational strategy for multi-specialty neurology and neurosurgery services within a major academic medical center.
- Partner with executive, physician, managed care, IT, and patient access leadership to strengthen revenue integrity, improve access, and optimize clinical workflows.
- Led payer engagement with commercial and Medicaid plans, resolving authorization barriers and influencing policy changes that improved patient access.
- Directed front-end revenue cycle optimization, redesigning authorization workflows, enhancing financial clearance accuracy and minimizing revenue leakage.
- Oversaw enterprise Epic workflow redesigns (eConsults, ONB injections), increasing provider adoption and strengthening documentation integrity and revenue capture.
- Drove denial reduction strategy through trend analysis and corrective action planning, increasing clean claim rates and enhancing reimbursement outcomes.
- Developed operational readiness plans for new programs (RTM, eConsults), including reimbursement modeling, workflow design, and sustainability assessments.
- Provided governance for surgical case reconciliation and end-to-end claims workflows, ensuring accuracy, compliance, and financial integrity.
- Delivered targeted provider education that elevated documentation quality, coding accuracy, and compliance performance.
Clinical Revenue Compliance Auditor
Lifespan Corporate Compliance
Providence, RI
06.2023 - 12.2023
- Conducted enterprise-wide provider audits across five hospitals, strengthening organizational adherence to CMS, payer, and regulatory requirements.
- Delivered post-audit education to reduce compliance risk and enhance documentation accuracy.
- Acted as a subject matter expert in CMS regulations, payer requirements, Epic workflows, and audit methodology.
- Contributed to policy development to strengthen compliance framework and support organizational risk mitigation efforts.
Physician Audit & Education Manager
Lifespan
Providence, RI
09.2021 - 05.2023
- Led 13-member enterprise audit and education team supporting five hospitals and multi-specialty ambulatory services, enhancing collaborative efforts and operational effectiveness.
- Implemented audit and education programs improving documentation quality, compliance performance, and revenue integrity.
- Partnered with executive leadership to identify organizational risk, develop mitigation strategies, and strengthen operational governance.
- Presented audit findings and strategic recommendations to senior leadership, influencing operational decision-making and compliance policy development.
- Managed performance, monitored productivity, and facilitated professional development for large multi-disciplinary team, fostering skill growth and alignment with organizational goals.
Senior Lead Clinical Coding Specialist
Lifespan
Providence, RI
08.2012 - 09.2021
- Led coding initiatives across hospital and ambulatory services, achieving 95–100% accuracy.
- Facilitated denial resolution and enhanced revenue through strategic collaboration with revenue cycle leadership.
- Developed provider education programs on compliance, documentation, and reimbursement optimization to improve understanding and adherence.
Billing & Coding Specialist
University Cardiology
Providence, RI
01.2010 - 01.2012
- Managed full-cycle billing and coding operations to enhance reimbursement turnaround and resolve denials.
- Coordinated payer communications and appeals to optimize revenue capture.
- Reviewed patient records for accurate coding and compliance with regulations.
- Collaborated with healthcare providers to clarify documentation and coding issues.
- Utilized coding software to assign appropriate codes for diagnoses and procedures.
Medical Secretary & Billing/Coding
Truesdale Internal Medicine
Fall River, MA
01.2007 - 01.2010
- Coordinated front-end operations including scheduling, registration, co-pay collection, and records management to streamline billing and coding workflow.
- Enhanced patient flow, ensured data accuracy, and strengthened revenue capture processes.
- Managed patient scheduling and appointment coordination for internal medicine practice.
- Maintained accurate patient records using electronic health record system.
- Assisted with insurance verification and pre-authorization processes for patient services.
Education
Master of Science - Health Administration
University of Phoenix
04.2024 - 12.2026
Bachelor of Science - Health Administration
University of Phoenix
Skills
- Epic workflows
- Revenue Cycle Systems
- Revenue Cycle Analytics
- MDaudit
- 3M
- Workday
- ICD-10
- CPT
- HCPCS
- NCCI Edits
- LCD/NCD Guidelines
- Workforce Management
- Microsoft Office Suite
Certification
- Certified Professional Coder (CPC), AAPC
- Certified Cardiology Coder (CCC), AAPC
- Medical Insurance Billing Specialist Certificate
- Member, AAPC
Degree
- BSHA
- CCC
- CPC
Core Leadership Competencies
- Revenue Cycle Strategy
- Financial Clearance & Authorization Optimization
- Payer Relations & Managed Care Collaboration
- Denials Reduction & Financial Performance Improvement
- Epic Workflow Optimization & Reporting
- Cross-Functional Leadership & Stakeholder Engagement
- Data Analytics & KPI Monitoring
- Strategic Planning & Operational Leadership
- Program Development & Implementation
- Compliance, Coding Integrity & Audit Strategy
Timeline
Master of Science - Health Administration
University of Phoenix
04.2024 - 12.2026
Revenue Cycle Manager, Neurology & Neurosurgery
Boston Medical Center
01.2024 - Current
Clinical Revenue Compliance Auditor
Lifespan Corporate Compliance
06.2023 - 12.2023
Physician Audit & Education Manager
Lifespan
09.2021 - 05.2023
Senior Lead Clinical Coding Specialist
Lifespan
08.2012 - 09.2021
Billing & Coding Specialist
University Cardiology
01.2010 - 01.2012
Medical Secretary & Billing/Coding
Truesdale Internal Medicine
01.2007 - 01.2010
Bachelor of Science - Health Administration
University of Phoenix