DINA RICHARDS
Myrtle Beach
Summary
Dynamic Revenue Cycle Manager with extensive experience at CHRISTUS HEALTH, driving efficiency and compliance in revenue cycle operations. Proven track record in reducing denial rates through meticulous claims review and enhancing coding practices. Skilled in strategic planning and staff training, fostering a culture of excellence and accountability in healthcare billing processes.
Knowledgeable [Desired Position] with proven background in revenue cycle management, delivering strategic improvements to optimize financial performance. Successfully implemented process enhancements and streamlined billing operations, resulting in efficient revenue collection and improved patient satisfaction. Demonstrated expertise in healthcare finance and team leadership, fostering collaboration and driving results.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.
Overview
16
16
years of professional experience
Work History
Revenue Cycle Manager
VAUGHT EYE ASSOCIATES
09.2025 - Current
- Analyzed revenue cycle processes to identify areas for improvement and efficiency.
- Assisted in implementing billing procedures to enhance accuracy and reduce denials.
- Collaborated with clinical teams to ensure proper documentation for optimal reimbursement.
- Monitored claims submissions, identifying trends and addressing issues proactively.
- MIPS.
- CREDENTIALING.
- Audit medical coding and billing.
- Supported training initiatives for staff on compliance and coding practices.
- Conducted regular audits of financial transactions to maintain accuracy and integrity.
- Engaged in patient account management to resolve discrepancies and improve satisfaction.
- Developed reports on revenue cycle performance indicators for management review.
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
MEDICAL CODER/AUDITOR
UW HEALTH
04.2022 - 01.2025
- Analyzed medical records to assign accurate codes for diagnoses and procedures. PROFEE
- Utilized ICD-10 and CPT coding systems for efficient claim processing.
- Reviewed documentation to ensure compliance with coding guidelines and regulations.
- Collaborated with healthcare professionals to clarify ambiguous information in records.
- Conducted regular audits to maintain coding accuracy and reduce errors.
- Implemented feedback from audits to enhance coding efficiency and precision.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
DIRECTOR OF MEDICAL CODING SERVICES
DERMATOLOGY OF SC
01.2018 - 04.2022
- Developed and implemented strategic initiatives to enhance patient care and clinic efficiency.
- Led multidisciplinary teams to improve operational workflows and service delivery standards.
- Established performance metrics to evaluate staff effectiveness and identify training needs.
- Oversaw budgeting processes, ensuring optimal allocation of resources for departmental projects.
- Collaborated with healthcare providers to optimize treatment protocols and patient outcomes.
- Streamlined administrative procedures, reducing appointment scheduling errors and wait times.
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
Revenue Cycle Manager
CHRISTUS HEALTH
01.2012 - 03.2018
- Managed cross-functional teams to improve overall revenue cycle operations.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Established strong relationships with payers, improving communication and resolving disputes more effectively.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Developed and implemented training programs for new hires, leading to more competent and effective billing team.
- Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
Compliance Officer/CODING AND BILLING MANAGER
ALLEGRA HEALTH
03.2015 - 01.2018
- Ensured compliance with healthcare regulations and standards through thorough policy reviews.
- Developed and implemented training programs for staff on compliance protocols and best practices.
- Conducted internal audits to identify compliance gaps and recommend corrective actions.
- Collaborated with cross-functional teams to enhance operational processes in line with regulatory requirements.
- Monitored changes in legislation to ensure organizational policies remained up-to-date and compliant.
- Led initiatives to streamline compliance reporting, reducing processing time and increasing accuracy.
- Advised senior management on risk assessment strategies related to compliance issues and operational impacts.
- Collaborated with cross-functional teams to address compliance concerns, fostering a culture of shared responsibility.
- Reduced the risk of financial penalties by conducting thorough internal audits on a regular basis.
EMERGENCY ROOM MEDICAL CODER/PROFEE
HCA/GRAND STRAND HOSPITAL
08.2009 - 01.2012
- Analyzed medical records to ensure accurate coding and compliance with regulations.
- Reviewed and updated coding guidelines to reflect changes in healthcare policies.
- Collaborated with healthcare staff to resolve coding discrepancies and improve documentation quality.
- Mentored junior coders by providing training on coding best practices and software tools.
- Conducted regular audits of coded records to maintain high standards of accuracy and efficiency.
- Developed comprehensive reports on coding trends to inform strategic decision-making within the department.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Education
No Degree - CPC
AAPC
MYRTLE BEACH SC01-2005
Bachelor of Science - HEALTH ADMINISTRATION
FAIRMONT STATE OF PIERPONT
Fairmont, WV05-1997
Skills
- Revenue cycle management
- Medical coding compliance
- Claims processing
- Denial management
- Financial reporting
- Regulatory compliance
- Staff training and development
- Performance metrics analysis
- Audit procedures
- Strategic planning
- Documentation accuracy
- Risk assessment strategies
- Billing cycle expertise
- Medical billing
- Billing cycle performance
- Problem-solving
- Time management
- Multitasking
- Ethical leadership
- EPIC SYSTEM
- COMPLIANCE
- 3-M ENCODER
- EXCEL
- EMR SYSTEMS/CPT CODING/ICDCM10 CODING/HIPPA
- MEDICAL CODER (CPC) 28 YEARS
- ALL SPECIALTIES /SURGERY/PROFEE CODING
- CUSTOMER SERVICE
Languages
English
Full Professional
Timeline
Revenue Cycle Manager
VAUGHT EYE ASSOCIATES
09.2025 - Current
MEDICAL CODER/AUDITOR
UW HEALTH
04.2022 - 01.2025
DIRECTOR OF MEDICAL CODING SERVICES
DERMATOLOGY OF SC
01.2018 - 04.2022
Compliance Officer/CODING AND BILLING MANAGER
ALLEGRA HEALTH
03.2015 - 01.2018
Revenue Cycle Manager
CHRISTUS HEALTH
01.2012 - 03.2018
EMERGENCY ROOM MEDICAL CODER/PROFEE
HCA/GRAND STRAND HOSPITAL
08.2009 - 01.2012
No Degree - CPC
AAPC
Bachelor of Science - HEALTH ADMINISTRATION
FAIRMONT STATE OF PIERPONT