Hands-on, CPC- and CPCO-certified advisory from a revenue cycle leader who ran the function for nearly 30 years — not a vendor reading from a playbook.
Heather Lyn Clifton, CPC, CPCO • Charlotte / Gastonia, NC • Serving practices regionally & nationwide (remote)
Engage me for a one-time project, an ongoing retainer, or fractional leadership. Every engagement starts by finding where revenue is leaking.
Get and keep every provider enrolled and billable — across all provider types: MD, DO, PA, NP, CRNA, CNM, PhD, and more.
End-to-end ownership of the claims lifecycle, with a bias toward preventing denials before they happen — and recovering the revenue you’ve already earned.
Senior advisory and audit support across coding compliance, revenue integrity, and RCM operations — with optional fractional or interim leadership.
I’m Heather Lyn Clifton — a CPC- and CPCO-certified revenue cycle leader with nearly 30 years in physician-practice RCM. For 17 of those years I served as Director of Revenue Cycle Management for a high-volume, multi-specialty surgical and procedural group with in-house pathology, leading a 26-person team across 12 locations, 50+ providers, and $15–16M in monthly billed charges.
Before that, I spent 12 years in oncology revenue cycle — including six years of hands-on oncology and infusion/chemotherapy coding (J-codes, NDC units). That range means I’ve coded, billed, appealed, credentialed, and reconciled across the full clinical spectrum, from surgical procedures to chemotherapy administration to pathology.
Most consultants advise on process. I’ve held the seat — owned the denials, managed the payers, credentialed the providers, and recovered the revenue. I bring that operator’s eye to your practice, with a compliance-first, human-in-the-loop approach.
Let’s talk about your practiceA major Medicare Advantage payer began reimbursing a high-volume pathology code at $0.00. I quantified the systemic issue across 1,848 claims, then drove a multi-tier response — a formal appeal, a contracting escalation requesting contract language and notice proof, and a CMS complaint-style letter — to recover revenue the practice hadn’t even flagged. This is the kind of payer-savvy, evidence-based recovery work I bring to every engagement.
17 years running the function — I’ve done the work I’m advising on, at scale.
CAQH, PECOS, NPPES, NCTracks, payer enrollment, revalidations — done right, so claims don’t stall.
CPCO-certified. I protect revenue without creating audit exposure.
Surgical, procedural, pathology, oncology and infusion coding — fluent across the clinical spectrum.
Tell me a bit about your practice and your biggest challenge — denials, AR, credentialing backlog, a payer dispute, or a leadership gap. The first conversation is free.
A focused 30 minutes to pinpoint where you’re losing revenue and what to fix first.
Email to ScheduleCPC · CPCO · ~30 years in physician-practice RCM