Misty Lyons Email & Phone Number

As a key member of the Revenue Cycle and assigned Business Unit leadership teams, plans and implements strategic initiatives/projects and tactical activities to optimize and/or support the furtherance of the assigned business unit's performance goals. Establish and maintain professional relationships within business unit to gain an in depth understanding of the strategic plans, operations and staffing needs; provide guidance and decision-making support on long and short term strategic goals; offer input and consultation on educational needs through measurement and evaluation; identify opportunities for billing or customer service improvements; drive and help execute revenue cycle elements of business strategies and assists in the roll out of enterprise wide initiatives, programs and policies.

Responsible for planning and directing the activities and programs of MultiCare's Behavioral Health Network (BHN) Patient Financial Services including all hospital and physician billing, collection, customer service and cash management processes. Establish long range planning and goal setting, drive continuous improvement, standardization and alignment in patient financial services and patient access activities to include accountability for policies, procedures, and day-to-day operations of the Patient Financial Services for the BHN.

Seattle, Washington

• Responsible for all components of revenue cycle to include; Patient Access, Utilization Review, Coding, Charge Capture, Patient Accounts and Payer Contracting.• Interprets government regulations, payer policies and procedures, and affect process change to ensure compliance with regulations. • Coordinates with all aspects of the revenue cycle and other departments to ensure Navos efficiently and effectively captures revenue and is paid correctly for all services rendered.• Develops staff through learning, goal-setting, and growth opportunities.• Provides effective communication, preparation of business status report(s) to the System leadership, regulatory agencies, and to the Board as directed.• Develops and administers of the operational budget for revenue cycle as well as the development and oversight of annual and long-range plans.

Seattle, Washington

• Responsible for the strategic planning and direction of the product and serving as the liaison between Sales, Marketing, Finance, Development, Quality Assurance, Client Services, and key customers for the full product lifecycle.• Assists in developing all elements of core product messaging including value propositions, competitive positioning, performance benchmarks, and key messages for Optum Professional Computer Assisted Coding (CAC) product line. • Track product backlog and triages/prioritizes enhancement requests to identify trends & key issues across the customer base. • Drive functional requirements and set priorities based on detailed knowledge of customer requirements, competitive market, and industry domain expertise.• Represents the company to customers, partners, and at trade shows and industry conventions.

Bellevue, Washington

• Manage daily operations of Optum Coding Services Department to ensure client deliverables and internal business expectations are met consistently.• Collaborate with multiple business units in the management of projects impacting clients and/or department resources.• Review and refine policy, procedure and processes to improve efficiency and quality of work product.• Provide direct account management to multiple strategic-level client relationships and assist in resolving relationships that are potentially strained.• Provide leadership and mentoring to department managers, analysts and coders.

Seattle, Washington

• Manage operations of Internal Medicine two-site practice including; review of monthly financial reports, identify and/or analyze opportunities for growth and process improvement.• Provide and coordinate administrative support for practice and physicians.• Manage productivity, quality and professional development of medical assistants and front desk receptionists.• Develop and maintain relationships with internal and external business partners.• Develop and implement policies and procedures consistent with meeting practice expectations to provide excellent patient care and growing the practice.

Seattle, Washington

• Manage operations of Perinatal and OB Hospitalist practice including; review of monthly financial reports and clinical revenue indicators, identify and/or analyze opportunities for growth and process improvement. • Provide administrative support to physicians and nurse practitioners.• Manage productivity, accuracy and professional development of billing and coding associates.• Work closely with hospital partners to strengthen relationships and work together to identify opportunities for improvement and/or growth and implement plans for resolution.• Work closely with various departments within the organization to ensure practice maintains compliant, productive and meets organizational objectives.

Seattle, Washington

• Develop, manage and implement various projects within the multiple divisions on multiple campuses in the Department of Surgery including; new provider orientation, individual physician practice reviews, operational program management, process improvement and patient management database implementation in the Bariatric Center.• Provide ongoing clinical revenue management and support to multiple divisions to include coding/documentation and billing audits, review of clinical revenue to practice benchmarks and problem resolution.• Meet with Division Chiefs and Administrators regularly to present financials, audit results and determine how to support the division further. • Actively participate as a member of the Department Management Team.

Seattle, Washington

• Ensure high client satisfaction by building and maintaining excellent relationships with multiple, remote clients/ partners.• Solve complex problems through a cross-functional approach.• Monitor financial and operational performance of clients, perform analysis to identify trends and answer specific questions.• Identify new revenue and growth opportunities with clients and organize resources to support them.• Interact with administrative staff and physicians to solve problems. Provide timely, accurate, and professional responses to questions and concerns.• Manage multiple clients and project timelines.• Meet with Department Administrators, Division Chiefs and Revenue Cycle Managers on a regular basis to present monthly financials, provide explanations for variances, review current projects and discuss potential new projects.• Work closely with Compliance to assure internal staff and clients are working within regulations.• Experience managing personnel including professional fee coders and claims specialists.• Clients included: UW Neighborhood Clinics, Hall Health Primary Care Clinics, OB/Gyn, Family Medicine, Urology, Ophthalmology, Surgery & Orthopaedics.

Seattle, Washington

• Responsible for monitoring adherence to compliance and regulatory guidelines through audit and monitoring of documentation and billing records and practices.• Maintain up-to-date knowledge of compliance and regulatory guidelines through various media.• Analyze audit results and develop appropriate corrective action plans.• Communicate audit findings and recommendations to Administration, Clinic Managers and medical providers.• Provide training to facility-employed non-physician practitioners.• Occasionally fill in for Director in providing compliance education during new employee orientation sessions.• Work with diverse staff at all levels of the organization.

Olympia, Washington

Physician Financial Services Liaison (09/2001-04/2003)o Provide support to community physician practices and the professional billing department of the hospital in the areas of billing, reimbursement and compliance.• Accomplishments: Successful implementation of new billing system, development of a monthly Billers Forum providing education, face-to-face contact with payer representatives and networking to community physician practice managers and billers and development of a monthly newsletter.Business Information Coordinator/Supervisor (10/99-09/2001)o Supervise staff in the areas of Medical Records, Front Office, Coding & Charge Entry.o Meet with the billing department to review monthly financials.o Serve as an active member of the Clinical Executive Committee.o Assist with billing/documentation training & audits of resident and faculty physicians.• Accomplishments: Developed a strong relationship with hospital billing department, provided extensive training and development to staff and organized annual employee picnic. Patient Accounts Tech II (11/97-10/99)o Served in multiple areas including: coding/charge capture, denial follow-up, payment posting, & biller Patient Accounts Tech I/Receptionist (4/97-11/97)o Greet patients, verify demographic & insurance information, collect MSP/ABN information, pull records, & schedule follow-up appointments. Medical Receptionist (10/92-4/97)o File medical records, schedule appointments, pull & prepare charts, answer multi-line phones, greet patients & verify demographic & insurance information.

Bachelor Of Science In Business Administration, Healthcare Management

Education record