Kristina Perez, RN, MSN, BACC

Experience

• 

  Baptist Health South Florida

  Mar 2007 - Nov 2019

  Billing Hold and Systems Analyst

  >Responsible for the management and resolution of high volume daily claim error hold report for 8+ inpatient/outpatient facilities across multiple departments> Work closely with various hospital departments in all aspects of claim analysis including but not limited to medical record review, overall claim review, charging and registration accuracy.> Responsible for all facility CDM, Charge Capture, Charge Reconciliation, and failed claim edit resolution for both Government and Managed Care payers> Auditing experience with both Inpatient and Outpatient facilities including but not limited to DRG, CPT, HCPCS, ICD9/10, and modifier coding.>Maintains Billing Department compliance in accordance to Medicare and Medicaid (CMS) guidelinesIdentify and analyze trends in billing issues for management and advise potential facility process correction/enhancement> Create bi-weekly reports sent to various facilities/departments for issue resolution.> Maintain correspondence between facilities/departments and ensure proper/timely return of report responses. > Work directly with senior administration to ensure goals/procedures are met within established polices/timeframes> Responsible for continuous education of Billing staff including the creation of all training materials and billing operation workflows> Work extensively with SMS Invision, ePremis, JDA Parathon, Midas, Sovera, PowerCharts, Cerner Millennium and Soarian Financials. Show less

• 

  Health System Solutions/HSS

  Feb 2018 - now

  • Revenue Cycle Nurse Project Manager

    Nov 2019 - now

  • Lead Corporate Charge Nurse

    Feb 2018 - Nov 2019