Francie Shelton, Mhi, Cpc
About Francie Shelton, Mhi, Cpc
Francie Shelton is a Program Manager at Cambia Health Solutions, specializing in Provider Incentives and Quality Improvement Programs. With extensive experience in healthcare management and a strong background in practice transformation, she has successfully guided numerous practices to achieve recognition in various quality improvement initiatives.
Work at Cambia Health Solutions
Currently, Francie Shelton serves as the Program Manager for the Provider Incentives/QIP Program at Cambia Health Solutions. She has held this position since 2021 in the Portland, Oregon area. In her role, she focuses on implementing provider incentive programs and quality improvement initiatives. Prior to this, she worked as an Operations Reporting and Performance Analyst in Medicare Clinical Programs at Cambia Health Solutions from 2020 to 2021.
Education and Expertise
Francie Shelton holds a Master's degree in Health Informatics from Northern Kentucky University, which she completed from 2014 to 2018. She also earned a Bachelor of Arts in Political Science and Government from Kent State University, where she studied from 1986 to 1990. Her educational background supports her expertise in health informatics, quality improvement, and practice transformation.
Background in Healthcare Management
Francie Shelton has extensive experience in healthcare management and quality improvement. She worked at the National Rural Accountable Care Organization in various roles, including Practice Improvement Manager and Practice Transformation Coach, from 2016 to 2019. During her tenure, she coached practices to achieve Patient-Centered Medical Home recognition and guided them in participating in Alternative Payment Models.
Achievements in Revenue Cycle Management
Throughout her career, Francie Shelton has demonstrated significant achievements in revenue cycle management. While working at Lexington Surgeons, she improved the overall billing collection rate by 20%. Additionally, she led a project that enhanced performance on AIM 5, resulting in a notable increase in reducing unnecessary testing from 6.5% to 350% within nine months.
Professional Experience Prior to Current Role
Before her current position at Cambia Health Solutions, Francie Shelton held various roles in healthcare and administrative support. She worked as a Certified Professional Coder and Billing Specialist at Lexington Surgeons from 2005 to 2014. She also served as a Health IT Advisor at the Kentucky Regional Extension Center from 2013 to 2016, where she provided training on Patient-Centered Medical Home and Electronic Health Records.