Jennifer Bishop

VICE PRESIDENT | VITALWARE, LLC | 09/15 TO CURRENT I am currently responsible for the accuracy and timeliness of all of the content available to healthcare providers on our website. This includes all of the regulatory information published by CMS, the AHA, the AMA, the ASA, the ADA and other industry leaders. I am also responsible for maintenance of all of VitalWare's proprietary crosswalk information, including a CPT to ICD-10-PCS crosswalk, a CPT/HCPCS to modifier crosswalk, a CPT/HCPCS to revenue code crosswalk and others. I oversee a team of 10 billing and coding professionals to produce medical necessity edits for our customers, generate charge assurance and revenue integrity rules which are used to identify claims with potential coding and/or compliance issues and answer specialized billing and coding questions posed by our clients. I am also responsible for providing a variety of revenue cycle webinars throughout the year for our clients.

在此期间，我的职责包括通过我们的合同收费保证软件审查被标记为可能的计费和/或编码合规问题的住院和门诊账户。我负责审核账目，纠正发现的问题，然后向适当的付款人重新提交报销申请。我还负责对发现的问题进行根本原因分析，并向我们的诊所和医院部门提供适当的反馈和教育，以协助解决问题。我的主要职责是将费用保证软件整合到医院的日常工作流程中，这导致在实施的前12个月里捕获了价值超过1600万美元的费用损失，此外，我还发现了多个潜在的合规问题，这些问题能够在提交索赔前得到纠正。

SENIOR CONSULTANT | MEDASSETS | 08/04 TO 06/11 During my tenure with MedAssets, I performed coding, billing and CDM audits for various clients, completed RAC preparation reviews, DRG reviews, APC reviews and physician E/M audits. I also had responsibility for preparing and presenting educational seminars on a variety of coding, billing and general compliance topics for hospitals and physician offices. My responsibilities also included providing ongoing support to a number of hospital clients across the country which included performing quarterly CDM integrity checks and answering their coding and billing questions on a daily basis.

CLINICAL DATA ANALYST | CASE MIX ANALYSIS | 08/02 TO 08/04 My primary responsibilities at Case Mix Analysis involved reviewing inpatient and outpatient hospital records for compliance with existing coding and billing regulations and providing educational training sessions for physicians and coders based upon identified issues. I performed, DRG, APC and E/M reviews for clients nationwide in order to improve coding accuracy and ensure compliance with established billing guidelines. I also composed and presented executive summaries for hospital administrators based upon review findings and recommendations.

CONSULTANT | PYRAMID HIM AND CODING SERVICES | 04/01 TO 08/02 As a consultant for Pyramid, I reviewed inpatient and outpatient hospital records for compliance with CMS coding and billing practices. Additionally, I composed executive summaries for hospital administrators to include review findings and recommendations and frequently presented my findings to hospital administration and staff.

我开始在YVMH根据提供的文件对急诊科和其他门诊索赔进行编码，三年后晋升为门诊编码主管，包括监督8名编码人员，以确保准确及时地为门诊账户分配编码。负责编码部所有新员工的培训，维护部门政策和程序。我在跨学科收入周期委员会工作，负责协调JCAHO的审计工作。