Stacy Parker's Resume
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Stacy Parker's Resume

STACY M. LAWSON-PARKER, RN, BSN, MBA
12301 Lattice Cove Schertz, Texas 78154
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Analytical and detailed professional, with in-depth knowledge and expertise in finance, research, reports generation, data analysis, and troubleshooting within the healthcare revenue cycle. Coordinates successful tasks completion, combining implementation of strategic and collaborative operational initiatives that enhance financial performance and organizational growth. Proficient at promptly responding to operational and financial challenges with confidence, determination, and focus. Highly accomplished professional with the ability to manage an organization's daily operations, financial structure, and ongoing corporate strategy. Exceptional ability to establish instant rapport with customers.

KEY STRENGTHS
Research and Investigation ? Financial Assessment ? Revenue Cycle Integrity and Management ? Business Operations ? Continuous Process Improvement ? Leadership, Training, and Team Building ? Strategic Finance Planning and Implementation ? Time Management and Prioritization ? Problem Resolution ? Auditing ? Project Management ? Decision Making

PROFESSIONAL EXPERIENCE
UNIVERSITY MEDICAL CENTER SOUTHERN NEVADA, LAS VEGAS, NV, 2020-PRESENT
REVENUE INTEGRITY REGISTERED NURSE ANALYST/CHARGE DESCRIPTION MASTER (CDM)
� Conducts quality control audits and reviews charge capture clinical workflows for missed revenue opportunities.
� Creates action plans for capturing missed revenue.
� Identifies edits in patient management billing software that impacts billing accuracy.
� Ensures CPT, HCPCS and revenue codes are accurate and compliant with all charging and billing guidelines.
� Serves as liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.
� Collaborates with team to meet and complete the Price Transparency Requirements for Hospitals to Make Standard Charges Public Final Rule requirements.
� Review medical records and coding documents according to standard practice, using initiative and independent judgment within general policy guidelines.
� Prepares clear and concise reports for senior leadership.
� Completing Craneware Chargemaster audit.
� Administrator for Craneware TRISUS Claims Informatics, Chargemaster toolkit, Online Reference Toolkit Applications
� Monitor charge capture problem areas, and direct corrective actions to the staff.

UTICA COLLEGE, ST. PETERSBURG, FLORIDA- 2018-2019
� ACCELERATED BSN PROGRAM/GRADUATED REGISTERED NURSE

BAYCARE HEALTH SYSTEM, CLEARWATER, FL, 2014-2019
CHARGEMASTER COORDINATOR, REVENUE MANAGEMENT SERVICES (RMS)/CHARGE DESCRIPTION MASTER (CDM)
� Share responsibility of managing the health system�s 222,000+ line item Charge Description Master (CDM) to ensure optimization in revenue generation while maintaining compliance with third-party payer requirements. Analyze data within the Charge Description Master assigning accurate CPT/HCPCS, revenue codes, and modifiers to ensure compliance.
� Monitor Gross Charge Revenue totaling $425M+ annually for various assigned clinical product/service lines throughout hospital system utilizing various reporting tools for the evaluation, research, and troubleshooting of issues.
� Investigate CMS regulations, government coding requirements, IPPS/OPPS updates, NCCI edits, and managed care contracts for billing accuracy. Proactively monitor Local and National Coverage Determination (LCD, NCD) guidelines and transmittals.
� Collaborate with IS department with designing charge capture platforms within Cerner EMR to effectively document clinical services; Monitor charge capture problem areas, and direct corrective actions to the staff. Audit patient�s medical records for compliance, charge capture and billing issues.
� Lead on Pricing Transparency research project and potential impact on health system.
� Developed hands-on training guides and provided training to clinical staff during Soarian Financials and Cerner EMR Go-Lives at 14 hospitals and conducted post-implementation audits.

UNIVERSITY GENERAL HOSPITAL, HOUSTON, TX, 2006-2013
CHARGEMASTER COORDINATOR, REVENUE INTEGRITY (RI), 2010-2013
� Maintained the integrity of hospital�s 15,000+ line item Charge Description Master (CDM) to ensure optimization of revenue cycle for Bariatrics, Plastics, Pain Management, Urology, Orthopedics, Endoscopy and Hyperbaric Wound Care Center.
� Reviewed, monitored and approved all changes made to Charge Description Master and performed maintenance based on the additions, modifications and deletions of new CPT/HCPCS codes.
� Pursued opportunities for revenue cycle improvement initiatives, and the development and initial monitoring of plans to implement process improvements. Consulted with durable medical equipment (DME) vendors and pharmaceutical representatives to discuss the billing and reimbursement of any new drugs, supplies, and equipment.
� Collaborated with hospital department managers to create financial models and revenue reports to increase efficiency and productivity.
� Co-managed the revenue cycle process of 72 bed Hospital, Endoscopy Center and Hyperbaric Wound care Center.
� Worked in partnership with the Finance and Business Offices to identify denial trends and implement resolution.

BARIATRIC COORDINATOR, CENTER OF EXCELLENCE, 2009-2010
� Managed Bariatric Outcomes Longitudinal Database (B.O.L.D.) for hospital Bariatric Surgery Center of Excellence requirements. Monitored Bariatric Physician�s staff in timely data input of patient�s Pre- Intra and Post-Operative surgery outcomes and tracking in B.O.L.D. system.
� Scheduled and coordinated Physician Seminars and Bariatric monthly group meetings.
� Scheduled Psychological and Nutritional Counseling as required by third-party payers.
� Performed insurance verification, obtained necessary pre-authorization and approval process for Bariatric patients.

COLLECTIONS REPRESENTATIVE, BUSINESS OFFICE, 2008-2009
� Negotiated effectively with Rapid Resolution Experts on claims pending over 30 days resulting in $144K of overdue claims paid in one month. Submitted appeals to various providers for denied and underpaid claims.
� Dialogued with third-party payers to determine patients in and out of network benefits and claim status for timely payment on accounts. Collaborated with third-party payers, patients, vendors, and other healthcare providers to increase revenue. Reconciled accounts receivable for all payers.
� Performed audits, adjustments, and billing of patient accounts; identified and resolved issues related to the patient revenue cycle. Assisted patients with the status and balance on accounts.
� Demonstrated accurate knowledge of relevant laws, policies, regulations and standards affecting decisions and interpretations.

MARKETING REPRESENTATIVE, NEW PHYSICIAN OWNED HOSPITAL, 2007-2008
� Assisted Director of Strategic Planning with the implementation of Marketing concepts, Employee Community Outreach and Grant research.
� Assisted Director of Marketing with design and distribution of marketing material for new Physician owned hospital.
� Created and implemented marketing program to register prospective patients for educational seminars in the areas of Bariatrics, Plastics and Male Infertility. Demonstrated confidentiality and integrity of patient records.


EDUCATION

� UTICA COLLEGE ACCELERATED BACHELOR OF SCIENCE NURSING, 2019
� KINGWOOD COLLEGE, NURSING LPN 2006
� NATIONAL UNIVERSITY, Master Business Administration Finance and Accounting
� NATIONAL UNIVERSITY, Bachelor of Business Administration
� HOUSTON COMMUNITY COLLEGE, CERTIFICATE OF COMPLETION MEDICAL BILLING AND CODING

LICENSURE

� REGISTERED NURSE NEVADA, Expires 06/11/2022, License # 829889
� REGISTERED NURSE MULTI-COMPACT LICENSE FLORIDA, Expires 04/30/2021, License # 9524719
� LICENSED PRACTICAL NURSE FLORIDA, Expires 07/31/2021, License # 5204354

TECHNICAL INSIGHT
? Cerner Millennium ? EDM ? Craneware CMT, ORT, TCI ? EPIC ? Cerner Soarian Financials ? WayStar ?Microsoft Office Suite ? GE Centricity ? IDX ? GE Centricity Perioperative Manager Report Tree ? SSI Edits

References Available Upon Request