Senior Coding and Revenue Cycle Leader, Targeting Director Roles

Confidential Dossier

20-plus years of health system coding operations leadership with deep CMS compliance, payer dispute resolution, and audit expertise

We are representing a senior coding and revenue cycle leader with over 20 years of progressive experience at a major health system who is targeting Director level roles at health systems and academic medical centers with a minimum of 400 beds. Her department is being consolidated as part of an organizational restructuring, and she is actively available after May 6th.

She holds dual AAPC certifications, CPC and COC, with a third in progress, and brings a rare combination of provider-side coding operations expertise and payer review methodology fluency.

This candidate is well suited for health systems and academic medical centers that need a Director level coding leader who can improve physician compliance, strengthen denial management, support audit defense, and develop a high-performing coding team. She bridges the provider billing and payer review sides in a way that most coding candidates cannot.



Accomplishments:


Projected approximately half a million dollars in annual savings through a medication utilization and documentation improvement initiative beginning in 2018

Supported payer dispute resolution at scale, analyzing denied, underpaid, and disputed claims with deep knowledge of PFS, OPPS, APCs, NCCI edits, NCDs, LCDs, and payer-specific reimbursement policies

Conducted comprehensive medical record reviews including operative reports, charge capture assessment, and modifier application to support defensible billing practices

Prepared written reports and supporting materials for legal counsel covering case analysis related to reimbursement disputes and alleged billing inaccuracies

Built and sustained a coding operations function within a major health system supporting physician CMS compliance across multiple specialties

Qualified to serve as an expert witness in payer disputes, reimbursement methodologies, coding accuracy, and regulatory compliance


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Testimonials

Bethany is one of the most positive, thoughtful, respectful and insightful people with whom I have had the pleasure to work. She routinely presents our company with qualified candidates, which is no small feat given our restrictions, and continues with regular follow up after presentation. It has been refreshing to work with her clarity and tact. Her pace is great, her enthusiasm is at just the right level and her professionalism when we reject one of her candidates is exactly where it needs to be. It's a pleasure to work with you, Bethany.

Chief Culture Officer

Bethany has been fantastic to work with on filling open positions with my company! We have been working with her for several years and she has filled dozens if open roles for us, I have strongly recommended her to several colleagues

President and CEO

Bethany is the epitome of professionalism and poise in a world in which many service providers have forgotten those gold standards. When candidates work, she's humble. When they don't, she's graceful and moves quickly to the next option. I couldn't ask for a more responsive and lovely to work with partner for our staffing needs.

Physician Acquisition Consultant

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