Hendrick Utile

Revenue Integrity Analyst @Baylor Scott & White Health

US

Assisted in developing and maintaining a standardized charging methodology across all facilities for pharmacy service line while partnering with Information Systems to design, build, validate, and test workflows impacting the Revenue Cycle process. Managed various charge capture projects and initiatives for pharmacy service line to maintain organizational standards and processes with those of federal regulations such as the Centers of Medicare & Medicaid Services. Designed, created, and conducted audits and data-backed reports to evaluate compliance with BSWH policies, procedures, and applicable laws related to charging practices for pharmacy service line. Formulated recommendations and corrective actions based on audit findings. Examined accounts, claims, and clinical documentation for charge capture and billing quality and accuracy. Interpreted documentation from medical records to validate charges. Provided feedback and education, as appropriate, depending on findings.