Kristie L. Bailey MPA, COC
Kristie assists healthcare providers with operational, revenue, reimbursement and regulatory solutions. She has held managerial and operational positions in provider settings, including Internal Auditing and Compliance. Kristie has an extensive background in internal audits and controls, compliance program development, and revenue cycle process improvement to include CDM and pricing solutions.
AREAS OF SPECIALIZATION
Senior Manager for Revenue Integrity Solutions with an in-depth background in hospital and physician charging processes, order-entry system interfaces, compliance, reimbursement and revenue cycle operations.
- Assists clients with large-scale pharmacy and supply revenue cycle standardizations involving multiple information systems, to include ongoing maintenance and updates.
- Facilitates CDM and pricing reviews which evaluate the complex interplay of electronic interfaces to surpass payer scrutiny and denials, while ensuring providers receive all applicable reimbursement for the services provided.
- Manages retrospective claim reviews to include assisting clients with quantification and settlement strategies in response to ongoing compliance initiatives.
- Charge capture and denial management solutions to improve processes and increase reimbursement.
Masters, Public Administration
Penn State Capital College, Harrisburg, PA
Bachelor of Science, Business Administration
Shippensburg University, Shippensburg, PA
COC (formerly CPC-H)
HFMA, Healthcare Financial Management Association
HCCA, Healthcare Compliance Association