Elizabeth Cadwell Email & Phone Number

Oak Brook, Illinois, United States

St Petersburg, Florida, United States

Lead IT in support of medical billing department • Evaluation of applications and functions of billing module processes.• Resolution of years-long and current deficiencies in electronic billing processes. • Implementation of system updates and enhancements (UAT, end user training and support).Billing System Configuration• Define, map, and maintain EHR billing module components (guarantor liability, service codes, programs, location codes, roll-up codes, posting/adjustment codes, claim adjustment group/reason codes, and overrides).• Configure, maintain and troubleshoot billing templates for EDI processing (270/271, 837P and 835). • Dynamic system maintenance due to regulatory changes, fee schedules, introduction of new programs, clearinghouse changes, and myriad internal and external requirements and requests. Clinical and Operations System Support • Project planning in conjunction with agency wide departments (Operations, Utilization, Credentialing, Clinical): Managed Medicare/Medicaid Dual Special Needs contracts and billing (D-SNPs) Florida Medicaid special program billing and documentation Contract negotiation and credentialing requirements • Clinical forms development autonomously and in conjunction with IT colleagues, and clinical and management teams. Planning, analysis, design, development, testing (UAT), implementation, maintenance Treatment Plans, Progress Notes, Assessments Program specific documentation Ad hoc reporting

Palmetto, Florida

Audit and provide data analytics as well as support of Accountable Care Organization participants. - Audit high risk patient charts and assist participant staff in ensuring appropriate documentation for HCC codes as well as GPRO/HEDIS quality measures. - Interact with ACO participants on a routine basis: schedule meetings, make presentations, and report on analytical findings and GPRO status.Assist in-house IT department in evolution of Population Health analytics tools by monitoring effectiveness of data interfacing between multiple electronic health record platforms (Athena, e-Clinical, NextGen, e-MD).

Tampa/St. Petersburg, Florida Area

Update and automate Excel analytic model for current period risk analysis.- Combine data elements via Alteryx repeatable workflow tools.- Proof and edit pre-existing template copy as well as generated analytic data.Documentation of workflows and best practices for creation of staff training manual.Identification of data elements and implementation of consistent data formats for interoperability of language protocols across various platforms.

Tampa/St. Petersburg, Florida Area

EXECUTIVE SUPPORT SERVICES, INFORMATION MANAGEMENT, BUSINESS MANAGEMENT:Develop and implement custom clinical documentation quality assurance programs resulting in enduring client relationships as well as improved quality of patient care and optimal reimbursement per client testimony. - Real time audit, edit, and query of clinician created documentation without benefit of audio backup. - Medical transcription and speech recognition editing. - Professional interaction with clients and outside referral sources.Recruit and manage U.S. based team of clinical documentation specialists. - Facilitate efficient and effective daily performance. - Provide ongoing training for team performance consistently rated as superior.Day to day business management including: - Marketing and contract negotiation. - Customer service and technical support. - Human resource management; performance and quality monitoring. - Project and change management. - Accounts receivable/payable; financial reporting. - Corporate website development and content management.

Saint Petersburg, Florida

Ensure HEDIS compliance via onsite medical record review.

Post Bacc, Health Information Management, Gpa 4.0

Activities and Societies: Student practicum (160 hours) - UF Health/Shands Hospital - Dept of Health Information Management:The master's.

Bachelor'S Degree, International Business

Activities and Societies: Kappa Delta, Theta Xi, Iota Epsilon Omega (honorary journalism fraternity), Lenoir Rhynean College Newspaper

Spanish Language And Literature