Influential Woman · Healthcare Revenue Cycle
Kim R. Bussie, PhD, RHIA, CHTS, CRCR, CSPR, CSBI, CSAF
CSPR, CSBI, CSAF
AVP of Revenue Integrity and Health Information Management, Kim R. Bussie
Lanham, MD 20706
Her Story
About Kim R.
Kim R. Bussie, PhD, RHIA, CHTS, CRCR, CSPR, CSBI, CSAF, is an accomplished healthcare revenue cycle and health information management executive with approximately 40 years of progressive experience in healthcare. She currently serves as AVP of Revenue Integrity and Health Information Management at Children's Hospital of Philadelphia. Her expertise spans revenue integrity, health information management, medical coding, clinical documentation integrity, healthcare reimbursement, payment integrity, denials management, revenue analytics, regulatory compliance, and healthcare technology. Throughout her career, she has advanced from entry-level positions into executive leadership, developing teams, restructuring organizations, improving workflows, and using data-driven strategies to enhance operational and financial performance.
In addition to her executive leadership, Bussie has extensive experience in healthcare education and industry advisory work. She has served as an adjunct professor in Health Information Management and Health Information & Informatics programs, teaching subjects including ICD-10-CM/PCS, CPT coding, healthcare reimbursement, medical terminology, health information management fundamentals, and healthcare statistics. She has also served as a Product Advisory Board Member for MRO, providing strategic guidance on product innovation, workflow optimization, compliance, health information management, revenue cycle operations, and technology. Through KB Advisory Group and her Revenue Cycle Oracle newsletter, she provides continuing education and professional insights to HIM, CDI, coding, and revenue integrity professionals.
Bussie is increasingly focused on the intersection of healthcare operations, data, and artificial intelligence, including AI data annotation, data labeling, quality assurance evaluation, and data operations. She approaches her work with patience, thoughtful decision-making, and a strong commitment to integrity, emphasizing that integrity must exist in both people and data. Her professional philosophy is guided by the principle of “trust, but verify,” while her advice to young women is to remain focused on established goals and learn to manage inevitable change. Outside of work, she enjoys traveling, bike riding, and creating art using a variety of artistic mediums.
Her Interview
Ten minutes with Kim R.
01What do you attribute your success to?
I attribute my success to my personality and, particularly, my patience. I am not quick to react, although I do respond thoughtfully. I also do not consider every situation to be a fire drill. Working on the business side of healthcare has allowed me to approach challenges with perspective and make thoughtful decisions, particularly because my work focuses on revenue and operational outcomes rather than immediate clinical decisions involving patient medication or treatment.
02What’s the best career advice you’ve ever received?
The best career advice I have ever received is simple: “Trust, but verify.” I believe this principle is valuable in leadership, decision-making, relationships, and especially in healthcare, where accuracy, accountability, and reliable information are essential.
03What advice would you give to young women entering your industry?
My advice to young women entering the industry is to remain focused on the goals they have established for themselves. Stay committed to those goals while recognizing that change is inevitable. Success requires the ability to manage through change, adapt to new circumstances, and continue moving forward without losing sight of the objectives you have set for yourself.
04What are the biggest challenges or opportunities in your field right now?
One of the biggest challenges in healthcare revenue cycle and reimbursement is the rapid pace of federal regulatory changes, particularly those affecting Medicare and Medicaid. This is especially significant in pediatrics, where Medicaid is being heavily impacted by emerging regulations. In addition, payer regulations, payer policies, and payer behavior continue to present challenges. Another major concern is the increasing use of artificial intelligence by payers to review claims, which can contribute to claim denials. These changes also create opportunities for healthcare organizations to strengthen revenue integrity, improve data quality, optimize workflows, and responsibly leverage technology and analytics.
05What values are most important to you in your work and personal life?
Integrity is at the forefront of everything I do. It is important to me not only as a personal value, but also in the way I approach my work and handle data. I believe integrity must be present in the individual, in the information being used, and in the decisions being made. Maintaining integrity in both people and data is fundamental to how I conduct myself professionally and personally.
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