Expert Details
Epic Electronic Medical Records (EMR) and Revenue Cycle
ID: 734001
Texas, USA
Epic Applications (2017 Certified):
• Resolute Hospital Billing
• Resolute Professional Billing
• HIM Coding
• CDM
• Charge Router
• HB Claims
• HB Expected Reimbursement Contracts
• Home Health Billing
• Hospice Billing
• ASAP
BTH Solutions contributes years of combined experience from both a revenue operations and technology
perspective. We provide solutions that will efficiently streamline operational workflows within the context of today’s
complex EMR systems. From the moment the patient initiates contact through final account payment, our team of
experts will assess your organizations processes. While working hand-in-hand with your operational and technology
leadership, BTH Solutions will offer their knowledge to help your organization realize their full revenue capabilities by
customizing an optimization package for you as it relates to:
• Epic CDM and Fee Schedule Analysis and Consolidation
• Revenue Integrity Analysis, recommendations and Charge Router automations.
• Workqueue and Workflow Optimization
• Denials Optimization and Prevention– Decreasing Denials by identifying, categorizing and addressing
root causes, moving edit’s upstream, building custom Denial reports for monitoring.
• Supply Charging Audit and Analysis - Mapping data flow between 3rd party systems(ItemMaster,
Charging Interfaces and Epic), Identifying lost revenue and charge capture opportunities, auditing data
mapping between systems and interfaces
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 2010 | Degree: Doctor of Chiropractic | Subject: Chiropractic Medicine | Institution: Texas Chiropractic College |
| Year: 2006 | Degree: Bachelor of Science | Subject: Kinesiology | Institution: University of Texas at Austin |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2018 to Present | Employer: Undisclosed | Title: Epic Revenue Cycle Project Manager | Department: |
Responsibilities:• Epic 2018 SBO• Rev-cycle PM for Tax ID Merge Project: Analysis, Planning, Integrated/Charge/Interface Testing, Go-Live, Support |
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| Years | Employer | Title | Department |
| Years: 2017 to Present | Employer: Undisclosed | Title: Epic SBO HB/Claims Senior Consultant | Department: |
Responsibilities:• Epic 2017 SBO Resolute HB• Supply Revenue Audit and Analysis: Mapping data flow between 3rd party systems(Peoplesoft, Intellishelf, Epic), Identifying lost revenue and charge capture opportunities, auditing data mapping between systems and interfaces • Rev-cycle Lead for Proton Therapy Center Service Area and Tax ID Merge Project: Analysis, Planning, Integrated/Charge/Interface Testing, Go-Live, Support • 2017 Upgrade: Testing, Build, Optimization – Financial Assistance, Cost Schedules and Reporting, WQF Workqueue Conversion • Build and Support: Claims, Remittance, HB and PB Contracts, Charge Router, HL7 Charge Interfaces, System Automatic Actions |
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| Years | Employer | Title | Department |
| Years: 2015 to 2017 | Employer: ProMedica Health System | Title: Epic HB and CDM Senior Consultant | Department: |
Responsibilities:• Epic 2015 and 2017 Upgrade Resolute HB• Build: CDM (Consolidation, CDM Matrix, Build, Optimization), Cost Center Assignment (Routing and Troubleshooting), HL7 Charge Interface mapping, Charge Router |
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| Years | Employer | Title | Department |
| Years: 2015 to 2015 | Employer: Lehigh Medical Center | Title: Epic Clinical Charging Advisor | Department: |
Responsibilities:• Audited Clinical Charging Preference Lists, Doc Flowsheets, Orders, Charge Interfaces, CDM Matrix• CDM Clean-up and Maintenance, Cost Center Assignment (CCAT) • Build: Charge Router, Router Review Workqueues and Charge Review Workqueues |
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| Years | Employer | Title | Department |
| Years: 2015 to 2015 | Employer: Montefiore Medical Center | Title: Epic HB/PB Data Warehouse BI Consultant | Department: |
Responsibilities:• Epic to Oracle SQL Data Warehouse Business Intelligence Implementation• Helped BI Database Administrators map data elements from Epic Clarity to Data Warehouse • Helped SQL and Clarity report writers understand HB and PB data, functionality and report logic • Epic and Oracle Data Validation |
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| Years | Employer | Title | Department |
| Years: 2014 to 2015 | Employer: Kaiser Permanente | Title: Epic HB/PB Revenue Cycle Report Writer | Department: |
Responsibilities:• Epic 2012 Resolute HB and PB Optimization Project: “Intelligent Standardization”• Identified, Analyzed, Audited and Reported on differences in design, workflow and build between Northern and Southern California regions • Standardized, Developed and Built Resolute HB and PB Reporting Workbench Reports and Radar Dashboards between regions |
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| Years | Employer | Title | Department |
| Years: 2014 to 2014 | Employer: Catholic Health Initiatives | Title: Epic Clinical Charging Project Manager | Department: |
Responsibilities:• Identified Charging and Revenue Risk Area’s and developed Risk Mitigation Plans.• Analyzed and Audited CDM, Cost Center Assignment Table, Bed Charge Billing, Charge Router, Charge Review Workqueues and Charge Capture Preference Lists for gaps and risks • Scheduled, Organized and Led CDM Review Sessions, Revenue and Usage Workshops, Charge Review Workqueue training and other demo’s and training • Worked closely with Revenue Integrity and HB Project Team on charging workflow and build decisions • Worked with Epic and Revenue Integrity on the Go-Live Revenue Engagement Center for Hospital Operations and Revenue Tracker calls, Revenue Usage Reports and Revenue Baseline Analysis and Charging training |
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| Years | Employer | Title | Department |
| Years: 2014 to 2014 | Employer: Children’s Medical Center of Dallas | Title: Epic HB Senior Consultant | Department: |
Responsibilities:• Optimization Projects – 2014 Upgrade, New ACA/Exchange Financial Class, Early Out Agency, Charge Router, Workqueue and Workflow optimization• Home Health Billing – HSD, Workqueues, Payor/Plans, System Actions/Billing Indicators, Charge Router • Charge Router – Cost Center Assignment, Modifiers, Create and Delete Charges, PB Admin Fee’s, Router Review Workqueues • Reporting Workbench Reports, Radar Dashboards and Extracts – Build, Security, and Updates • Code Capture/Simple Visit Coding – Updating, Troubleshooting and Maintenance • Contracts/Expected Reimbursement – Build, Testing, Late Charge Expected Gain Automation |
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| Years | Employer | Title | Department |
| Years: 2013 to 2013 | Employer: Lexington Medical Center | Title: Epic HB Senior Consultant | Department: |
Responsibilities:• Workqueues, Extracts, Remittance, CDM, Security, Claims, Reporting Workbench, Radar Dashboards, Cash Drawers, Statements, Detail Bills, Printing, Refunds, Revenue Guardian• Extracts – Extract Framework Editor, Batch/Job/Runs, System Actions, Billing Indicators, PB EAR Extract, RMC Self Pay Early Out, Emdeon Statements, HTT Peoplesoft Refund Extract and workflow • CDM – Charge Router build and testing, Bed Charge Billing, EAP maintenance and updates, Cost Center Assignment (CCAT) • Interfaces – Interface charge mappings for several HL7 charge interfaces into Epic. |
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| Years | Employer | Title | Department |
| Years: 2012 to 2013 | Employer: St. Luke’s Episcopal Health System | Title: Epic HB Team Lead | Department: |
Responsibilities:• Charge Router Lead – Built, tested and maintained charge router rules, destination routing, charge router error pool and Workqueues• HB Build: CDM Consolidation, Cost Center Assignment (CCAT), Charge Router, Extracts, Workqueues, Rules, Account Activities, Interim Billing, Insurance and Self Pay Follow-up, Bad Debt, Coverage Manager, Research Billing, Client Billing and more |
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| Years | Employer | Title | Department |
| Years: 2010 to 2012 | Employer: Iowa Health Systems | Title: Epic ASAP Principal Trainer and Inpatient/Ambulatory Elbow Support | Department: |
Responsibilities:Epic ASAP Principal Trainer and Inpatient/Ambulatory Elbow Support |
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Career Accomplishments
| Licenses / Certifications |
|---|
| Epic Applications (2017 Certified): • Resolute Hospital Billing • Resolute Professional Billing • HIM Coding • CDM • Charge Router • HB Claims • HB Expected Reimbursement Contracts • Home Health Billing • Hospice Billing • ASAP |