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AI Machine Learning (ML) in RCM
About the Leadership 

I am the Principal and Managing AI Consultant of P3 Quality, with nearly two decades of expertise in Senior Revenue Cycle Management (RCM) leadership. This includes working with AI-Powered Revenue Integrity (RI), Health Information Management (HIM), and Clinical Documentation Integrity (CDI) systems. I am also a self-taught developer, the Visionary, Innovator, and Inventor of a patent-pending AI in RCM AuditME™Technology owned by P3 Quality.  

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P3 Quality is an Artificial Intelligence (AI) Tech company with specialities in AI in Revenue Cycle research, development, and issue resolution management.  

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We streamline Revenue Integrity, HIM, CDI & RCM functions through Human-in-the-Loop (HITL) oversight, standardizing broken processes, and building frameworks that detect, diagnose, resolve & improve automated coding, abstraction and validation issues, quality assurance, and quality control inconsistencies. 

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And, specialize in designing AI Audit frameworks that solve complex RCM challenges; elevating quality, strengthening compliance, and embedding accountability:

 

  • On a recent revenue integrity (RI) initiative. I was hired to audit backlogged unbilled hospital accounts. I reconciled approximately $50M in claims that were dropped for billing and cleared through first-pass yield without additional corrections or manual intervention.  Claims were accepted and processed for payment by the payer on the initial submission.  Which helped stabilize operations in support of a successful Epic EHR implementation and transformation. â€‹

 

SYSTEMS EXPERIENCE: 

Charge Description Master (CDM)

Vitalware CDM by Health Catalyst

Craneware

EpicCare (ClinDoc)

FinThrive

FenIQ

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Electronic Medical Records (EMR) 

Epic (HB/PB)

Cerner (Soarian)

3M

OneContent

eClinical Works

MedAptus

ClinicStation

Meditech

AllScripts (Misys)

NextGen

Athena

McKesson (HPF)

Compliance 360

Citrix

ChatGPT

Google Gemini

Microsoft Co-Pilot

GenAI, ML & LLMs

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I have a Bachelor of Science in Health Information Management (BSHIM) from Western Governors University and an Associate of Applied Science in Health Information Technology (AAS) from Western Nebraska Community College.

 

I am a Registered Health Information Technician (RHIT), Certified Revenue Cycle Representative (CRCR), Certified Coding Associate (CCA), Certified Artificial Intelligence Medical Coder (CAIMC), Certified Artificial Intelligence Professional (CAIP), ISO  9001:2015 - Certified Internal Auditor (CIA), Certified Scrum Master (CSM), and Approved ICD-10-CM/PCS Trainer. 

 

For additional information, please feel free to browse my LinkedIn Profile: https://www.linkedin.com/in/ccollinsrhitcca/

 

The designations earned underscore my commitment and dedication to continuous AI in RCM Best Practices & Performance Excellence.​​​

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