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Mildred G.

Gibboney
50 Wood Scent CT
The Woodlands, TX
Cell# 214-738-9706
nanagibb@yahoo.com

Zebec Data Systems, Inc – Houston, Texas


11/08 to 11/09
Health care Division – Account Manager
Manage business operations for the HealthCare Division for RAC Audits by
reviewing, correcting and updating Clients Charge Master. Identify
opportunities for revenue recovery. Review the Billing Departments and HIM
Departments for correct and accurate compliance coding.
Key Achievements:
– Identified key areas of overpayments and underpayments prior to RAC
Auditors
– Identified possible risk areas in the HIM Departments
– Worked closely with Billing Compliance Departments ensuring correct and
up to date coding and policies and procedures were in place.
– Interim manager several PAS areas while training

Memorial Herman Medical Center – Houston, Texas


02/08 to 11/08
CDM Manager
Complete responsibility for all hospital departments Charge Master.
Reviewed, researched and updated all charge masters.
Key Achievements:
- Identified major areas to be updated with current CPT codes.
- Created Charge Masters for newly created departments.

Baylor Health Care System – Dallas, Texas


Senior Consultant of Revenue Cycle Compliance
12/02 to 02/08
Facilitate revenue cycle compliance solutions for Baylor Health Care Systems
containing 12 Acute Care facilities and 7 Senior Clinics, and 5 IDTF facilities.
Proactively develop, implement, and monitor revenue cycle compliance
policies and procedures. Conduct research of federal and state regulations,
perform chart audits, generate executive reports and create presentations.
Analyze risks and trends pertaining to OIG Work Plan and coordinate revenue
cycle compliance activities between BHCS Corporate departments and
facilities to ensure compliance plans are implemented and maintained on a
current basis.
Key Achievements:
- Brought Behavioral Health billing into compliancy when identifying
incorrect billing through Medicaid and Medicare. This correction
generated approximately 2 ml in revenue.
- Complete review of DME drugs for Transplant patients who were billed
to Medicaid/ Medicare without the completed physician form. Based on
the correction to the claims being billed, an additional $300,000 per
month was obtained.
- Coordinated the review procedure for identification of write-offs for
various departments to maintain compliancy for government claims.
Physician claims were also reviewed for possible write-offs for both
timely billings and non-compliant procedures. The review identified an
additional $50,000 per month just by checking signatures and
credentialing.

KMT Group, L.L.C. – Royal Oak, Michigan (Corporate Headquarters)


Director of Billing Operations
07/01 to 12/02
Completely updated and established new policies and procedures for the
collection of outstanding receivables for several clients; assisted in the
development of a corporate compliance department.
Clients included: Syncor in Woodland Hills, California and The Detroit Medical
Center of Detroit, Michigan.
Key Achievements:
– Reestablished a new billing team through hiring, training and
accountability for meeting company goals.
– Brought in 1.2 Mil of aged receivables by reprocessing and appealing
denied claims.
– Directed and managed several Physicians’ billing offices with
specialties in Cardiology and Radiology with an average of 25 staff
members. Under my direction the Physician’s offices
– increased revenue by 17% the first two months. Improved proficiency
in billing was one of the major or key components of the increase.
– Managed many PSAs with as little as 5 staff and as many as 95 staff.

Education:

Belford University Bachelor’s Science Business Administration


March 2006 Graduated

American Academy of Professional Coders (CPC)


June 2007 Graduated