Oversees a team of roughly 100 employees responsible for the professional coding and education of more than 2,000 providers nationally. Accountable for the accuracy and timeliness of more than $1.3B in professional charges (3.1M claims) annually. Develops and implements education plans for practices and providers with a focus on missed revenue, documentation, and denial opportunities. Created numerous reporting tools previously thought of as intangible including a “Coding Intervention Report” that added transparency to all coding edits made throughout the organization. Increased coder productivity by 22% after standardizing and streamlining workflows. Designed and executed a telehealth billing strategy within 3 days of the COVID19, PHE resulting in over $15M net revenue nationally.

Managed a team of Business Analysts and Project Managers responsible for reporting all revenue activity and improving workflows on a national level. Developed measurable goals and KPI’s to provide the CFO and executive leadership team better insight into all RCM activity. Assisted with the acquisition and integration of 17 practices across seven states. Standardized measures and activity across three distinct billing platforms. Completely reworked the management of all billing scrubs and denials resulting in over $1M of additional net revenue. Developed a monthly reporting package and dashboard to provide a holistic view of performance where none had previously existed.

Responsible for the general oversight of the technical, professional, and institutional billing operations in Pathology. Collaborated on billing initiatives with laboratory managers, pathologists, corporate billing groups, and finance leadership. Identified missed revenue opportunities and adjusted workflows to maximize billing efficiency. Managed revenue cycle, billing operations, compliance and coding interface, and payer/clinical affiliate analysis. Maximized revenue performance through charge capture review, productivity and utilization data, increased billing automation, and overall standardization. Oversaw Massachusetts General Hospital revenue impacts associated with Epic implementations. Implemented solutions to several charge issues to capture over $1M in previously missed net revenue.

Managed financial and practice operations of the Blood Transfusion Service - Patient Services area. Oversaw all billing and purchasing in the unit. Defined HR guidelines and assisted in the development of a new policies and procedures manual. Implemented scheduling changes to improve resource/nurse utilization by 20%. Increased gross charges for Blood Transfusion Service by 26% while keeping expenses below 5% growth. Served as a liaison between professional staff, support staff, and customers. Coordinated billing improvements and reporting initiatives for the Department of Pathology. Reviewed and confirmed charge validity post Epic Revenue System implementation. Managed revenue enhancement initiatives for technical and institutional billing on a departmental level.

Manage day-to-day operations of a growing business focusing on neuropsychological testing, forensic expert testimony, and psychology practice. Oversee clinical, fiscal, and administrative departments, managing 20 employees, and contributing to hiring and firing decisions. Define and implement processes increasing company efficiency and profitability. Develop business plans, comparative analyses, and marketing strategies. Research healthcare changes to ensure company remains up-to-date, and investigate insurance options for current and anticipated ventures. Managed change in ownership.

Developed models to monitor and manage profitability of projects and services. Defined and implemented processes increasing company efficiency and profitability. Led business expansion project resulting in satellite office. Researched insurance coding to ensure claims submitted correctly and highest rates achieved. Identified new business opportunities. Represent the company at conferences. Create and implement marketing materials. Website development and maintenance. Developed databases to track referrals, client retention, and peer relationships. Led development and implementation of anti-bullying campaign, ABA therapeutic services, and forensic neuropsychology services. Perform computer, network, and infrastructure maintenance, establish VPN, improve office usage of technology, researched and maintained telephone system.

Reviewed company materials, both printed and electronic, recommended changes for consistency and uniformity. Identified areas where efficiencies could be implemented. Developed sample database using data from company software to demonstrate ability for gathering and analyzing service metrics. Assisted owners with organization of files.

Contributed to the creation and maintenances of Siemens US websites used to disseminate technical information among internal departments and their customers. Primary interface for management teams providing recommendations on improvements to websites and internal and external communications.