Kimberly Conrad Email and Phone Number

Provided various project management support to Senior Leadership and over 350 multispecialty providers.Project Management:• Work with senior leadership on strategies for initiatives to improve financial performance.• Developed a quarterly internal audit plan that includes areas of review to identify revenue improvement opportunities. • Oversee projects for revenue cycle and prepare presentations for senior leadership upon completion. This includes directing and managing project development from the beginning to the end of the project lifecycle.• Developed training tools for revenue cycle staff utilizing billing software and served as a subject matter expert partnering with the software vendor to develop multiple training platforms for staff.Provider Relationships:• An Internal audit review of missed charges identified workflow deficiencies at multiple clinic locations. This resulted in recouping revenue for over 500 billable missed charges.• Successfully transitioned the outsourced call center department back in-house, which improved the patient’s overall services and increased appointment volumes.• Created and led the implementation of organizational policies for the revenue cycle team that improved overall clinical revenue by 20%.• Audited and provided Telehealth education/documentation guidelines to providers to ensure documentation supports appropriate Telehealth visits.

Direct a team of 50+ Profee Coders, Revenue Cycle, and Charge Entry remote staff. Onsite/Remote support to over 350 multispecialty providers.Healthcare Operations Management:• Created and implemented production policies and job aides to accurately assist coders in coding by specialty.• Reengineered internal processes and workflows to improve coder performance within the Athena system. • Developed a skilled team to analyze and reduce outstanding coding and denials and identify trends with payors and physician-based coded edits/denials.Client Relationships:• Improved overall Charge lag from 15 to 3 days in both Coding and Charge Entry.• Built a solid relationship with the client by leading a Provider Communication Committee of 4 key Physician Chairs.• Identified 1.2 million dollars in documentation deficiencies within the first 3 months of employment.• Report weekly Coding edit/denial variances to the CFO and identify potential revenue gain/loss.

Led a team of 20+ multi-specialty on/offshore professional fee (Profee) coders and auditing staff located remotely and in multiple locations. Coordinated department staff needs encompassing hiring, evaluating, developing, and managing workflow. Monitored coding compliance activities. Healthcare Operations Management:• Participated in continuing education activities and trained on coding issues/topics for staff and clients.• Verified work efficiency and quality by designing workflow processes and standard operating procedures. • Identified potential compliance risks, recommended solutions, and monitored improvements by analyzing physician coding patterns.• Assisted the operations staff with payor denials, government requests, and patient inquiries related to coding or billing issues and made coding decisions on claim appeals for payment.Client Relationships:• 90% backlog reduction achieved in 30 days, preventing a disgruntled client from terminating a contract due to a continual coding backlog, by assessing headcount needs, suggesting an additional four FTEs, presenting the findings to senior management, and creating an action plan to decrease the carryover.• Contributed to new business RFPs for the senior director of coding operations. • Ensured smooth new client onboarding transitions by assisting with coding and revenue cycle implementations and managing projects as needed. • Secured additional business by helping a client improve the new billing and EMR systems and cutting the backlog to meet the three-day turnaround time (TAT) contractual obligation by creating a system issues log and work-down plan.

Managed daily operations for charge entry, coding, accounts receivable, and insurance denials/follow-up. Credentialed and negotiated fee schedules for multiple insurance carriers. Scheduled and provided monthly provider education including revenue analysis reporting. Served as the compliance officer for two years.• A 50% revenue increase was realized by addressing authorizations and medical necessity denial issues for a pain provider’s office by creating a new position to schedule patients, verify authorization, and determine whether an advance beneficiary notice (ABN) for non-covered services needed signatures.• Managed the clinical scheduling/authorization department including verifying the completion of authorization and ABNs before an appointment.• Confirmed proper reimbursement and accurate employee performance by conducting monthly audits on billing, accounts receivable, and contractual adjustments.• Reviewed, approved, and routed delinquent accounts to collections.• Contributed to the client producing revenue and appropriately documenting procedures by organizing client coding to capture all charges, working down the denials, and educating the providers on the necessary and appropriate coding documentation.