• Responsible for overseeing denial and AR management for over 25 dialysis centers in US and Puerto Rico and assist with setting up new dialysis centers in the United States and Puerto Rico• Directed and coordinated all billing and coding activities of over 10 employees. Managed and monitored activities and skills of billing employees, including conducting evaluation of performance as it relates to billing and coding;• Oversaw and managed daily operations of the Billing Department by creating, implementing and overseeing policies and procedures; • Perform risk assessments of coding and charge capture activities.• Documented and ensured correct revenue cycle processes were in place, as well as recommending improvements to CFO and Physicians to continually increase efficiency, maximize billing and cash collections, in order to reduce costs • Ensure timely and correct charge entry, billing, rejection management, denial management, accounts and patient receivable follow-up;• Monitor to ensure that practice locations were conducting billing activities consistent with company ethics, standards, policies, procedures and government regulations; • Ensured company compliance by developing maintaining and monitoring new and existing rules, regulations, laws and procedures as it relates to coding and billing. • Maintained a working relationship with Medicare/Medicaid representatives, attend billing and coding seminars. • Responsible for ensuring employees understand how to review the contents of medical records to identify and assign the appropriate diagnoses and procedures to be coded according to the ICD-9-CM/I10 and CPT4 coding classification systems. • Ensured that staff reviewed and resolved all daily claim scrubbers edits based on coding/billing guidelines and resolved outstanding denials within work cue