Mary-Ellen Devitt, Mpp, Rhia, Ccs-P Email & Phone Number

Chicago, Il, Us

Chicago, Il, Us

Revenue Cycle Analyst and Payor Liaison for Patient Financial Services (PFS)• Served as the PFS outward facing liaison with Payer Provider Representatives and point of contact for LCH PFS• Facilitated high dollar collection of aging unpaid claims by following up on payer resolution projects and disputes• Analyzed data to identify opportunities and optimize PFS strategies for reducing AR >90 days and denials• Worked collaboratively with Denial Taskforce using Epic Slicer/Dicer, internal variance reports, and Epic Workbench• Created ad hoc, weekly, and monthly revenue cycle reports for VP, PFS Director, Managers, and Team Leads

Chicago, Il, Us

CDM Review Project at Privately Owned Community Hospital*Developed a CDM EAP Activity & Tracking Log for updating and deleting CPT codes, adding procedures, and tracking Epic preference list requests*Verified CPT codes with available 3M Coding and hard copy Optum CPT and HCPCS Level II Coding books for inpatient and outpatient charges in a hospital setting*Researched and applied best management pricing policies with purchasing department to create a defensible and consistent CDM pricing strategy for revenue integrity*Created an Excel Chargemaster (CDM) Matrix with Epic procedure charge number, procedure descriptions, CPT codes, and other data elements in order to compare Epic fee schedule unit costs, Medicare allowable amounts, and hospital price transparency listed prices*Analyzed the Epic HIM-Coding Denial Work queue by reviewing the ANSI-CARC Denial codes and documenting recommendations as to where each denial code should be mapped if not coding related*Developed a NEBO Error issue log of coding and CDM related bill hold issues categorized by type of issue and recommended work group responsibility for PFS to resolve and manage billing errors*Worked with clinical, systems, and financial staff to identify potential charge capture opportunities

Chicago, Il, Us

*Provided analytics and trending reports based on ANSI X12 claim codes (i.e., CARC) and payor denial categories to resolve and prevent denials*Identified root causes for initial denials and gaps associated with existing workflows *Worked as a liaison to assist hospital administrators, billing teams, patient access, and clinic staff in resolving complex denials and account problems that result in non-payment*Assisted with standards of work and resources associated with effectively appealing denials*Followed-up on third party payors and monitor weekly, monthly, and annual metrics pertaining to denial rates, including overturn rates and controllable denial write-offs*Worked alongside revenue cycle and health information management (HIM) teams to review CPT and CARC codes for denial prevention*Conducted research on best in class methods to assist with completing the appeals process while staying informed with policy reforms, new regulations, billing changes, accreditation, and compliance requirements

Chicago, Illinois, Us

Satellite Beach, Florida, Us

-Developed Excel tracking tools to document services completed for master franchise and franchisee team members, also provided customer and administrative support for JanPro of North America (JPNI), Burr Ridge, IL-Created access database of prospects, customers, and potential agents for Agency Managers, and served as an independent insurance agent for Colonial Life Insurance, Naperville, IL; State of Illinois Licensed Health & Life Producer, License Number: 18841265, October 12, 2018 - June 30, 2020.

Palos Hills, Il, Us

Completed Health Information Technology (IT) Associate in Applied Science (AAS) degree and required health information management (HIM) coursework to pass the American Health Information Management Association (AHIMA) Registered Health Information Technician (RHIT®) certification exam on May 24, 2018. Subsequently under the AHIMA RHIT certification proviso was able to obtain authorization to take the Registered Health Information Administrator (RHIA®) certification exam and passed on December 13, 2018.Health information management (HIM) coursework included: healthcare data analysis and statistics, medical coding, CPT/HCPCS Level II, ICD-10-CM, ICD-10-PCS, medical records, inpatient & outpatient billing, healthcare revenue cycle, medical insurance reimbursement, health policy, Medicare Prospective Payment Systems (PPS), diagnostic related groups (MS-DRGs), Ambulatory Payment Classifications (APCs), electronic health records (EHR), clinical decision support, data encryption, protection/security of ePHI, HIPAA Privacy & Security Rules, HITECH, Meaningful Use (aka, Promoting Interoperability or PI), anatomy & physiology, pathophysiology & pharmacology, medical terminology, 3M CAC (computer assisted coding), SQL queries, chart abstracting, cancer staging, healthcare quality measures and performance improvement, enterprise/organizational strategy, and healthcare and hospital management.

Maywood, Il, Us

Bill hold and charge assignment project for patients enrolled in clinical research studies•Navigated electronic health record (EHR) to review financial and medical information for clinical research billing compliance based on study protocols and coverage analyses•Reviewed medical chart in EPIC for diagnosis (Dx), procedures, services, medications, and therapies to assess whether or not the encounter was research related•Segregated hospital charges (HB) and physician fees (PB) in EPIC System to appropriately bill the study and/or clinical trial sponsor or the P/F guarantor (i.e., Medicare, 3rd party payers, or patients themselves)

Chicago, Illinois, Us

As a CITI certified human subjects researcher, I assisted with study recruitment, enrollment, and consent based on the Institutional Review Board (IRB) protocol*, assisted with pre-data analysis by entering and validating the survey and clinical data collected into RedCap.*AWHONN, 2014 Celeste Phillips Family-Centered Maternity Care Research Project

Chicago, Il, Us

In my role as Senior Manager for Interoperability & Standards, I worked with the Senior Director of Interoperability & Standards at HIMSS to manage initiatives, collaborations, goals, strategies, resources, reports, podcasts, monthly newsletter, position statements, comments on proposed rule making, strategic relationships as part of the HIMSS Informatics Team. In this capacity, I served as the staff liaison for the HIMSS Interoperability & Standards Committee, and as the liaison to HIMSS internal teams, volunteer task forces and work groups, and external organizations including Health Level Seven (HL7), Integrating the Healthcare Enterprise (IHE), Continua, American Health Information Management Association (AHIMA), the Open Group, the Objects Management Group (OMG), etc.

Chicago, Il, Us

As the project lead for the Center for Public Health Preparedness and Disaster Response on a Centers for Disease Control and Prevention (CDC) R18 Development and Dissemination Grant entitled, "A Health Security Card for Disasters and Public Health Emergencies," I provided day-to-day management of the grant objectives and goals, as well as being responsible for the financial and scientific reporting requirements of the sponsor and collaborators. My job was to implemented the research plan and business aspects of this three year $1.3 million federal grant with the guidance of the Principal Investigator (PI).

Chicago, Illinois, Us

•Managed business and financial aspects of over $3 million a year in federally and privately funded grants and contracts, by preparing financial reports, budgeting, invoicing, hiring personnel, facilitating subcontract agreements, and submitting grant proposals and annual progress reports•Communicated and assisted faculty and researchers in identifying/responding to funding opportunities•Served as Administrative Chair/Secretariat for international scientific conference of 330 attendees

Chicago, Il, Us

•Negotiated research contracts with universities, agencies, non-profits, and local government•Oversaw university grant, contract, material transfer, clinical trial, and IPA proposal submissions

Washington, District Of Columbia, Us

Consulting associate to research and coordinate environmental issue conferences focused on performance improvement and quality measures. Also responsible for marketing and selling sponsorship and exhibit opportunities to businesses for Performance Institute (PI) events.

•Wrote grants, testimony, and leveraged funding resources for the land-grant universities (LGUs)•Served as the environmental liaison to Federal agencies and Congress for LGU Deans and Directors•Coordinated meetings, built partnerships, and managed the budget, website, exhibits, and staff

Lexington, Ky, Us

•Drafted health and human service articles and issue briefs for a committee of interstate legislators•Co-authored a comparative report on welfare reform initiatives in the Midwest•Researched policy issues for state legislators and communicated findings via one-page briefs/memos•Staffed and managed a small national association of state administrative rules review entities

•Wrote policy briefs and assisted with the redistricting of Illinois Legislative Districts•Aided candidates with strategy development, media relations, fundraising, and precinct organization

Masters, Irving B. Harris School Of Public Policy

Bachelor Of Arts - Ba, Political Science/English

Associate Of Applied Science (Aas), Health Information Technology, With Certificates In Medical Billing & Coding

Paralegal Certification, Corporate And Environmental Law

College Prep

Education record