Melanie Howitt
Director of Revenue Cycle Data & Technology Solutions | Architecting AI-ready healthcare operations
Kansas City, Missouri, United States
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Melanie Howitt is the Director of Revenue Cycle Data and Technology Solutions at In2itive Business Solutions with more than 25 years of experience in analytics and business intelligence and 16 years in healthcare revenue cycle operations.
Her career began in the early days of enterprise analytics, building reporting and operational insights from flat systems, exported data, and spreadsheets long before modern cloud data platforms existed. Over the years she has helped organizations evolve from manual reporting environments into modern data architectures that support real-time operational decision making.
Today Melanie focuses on designing AI-ready operational systems using technologies such as Microsoft Fabric, Dataverse, and Power Platform. Her work centers on translating complex healthcare workflows, particularly in ambulatory surgery centers, into structured operational data models that enable automation, analytics, and AI copilots.
She specializes in bridging the gap between healthcare operations and modern data architecture, helping organizations move from fragmented data environments to systems that support practical AI applications in production.
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AI and the Impact on Coding
Artificial intelligence (AI) is transforming healthcare operations, and coding is no exception. In this session, we’ll explore how AI is reshaping the coding landscape, enhancing accuracy, streamlining workflows and strengthening compliance, while also raising new questions about risk, documentation quality and the evolving role of coders. From a revenue cycle and analytics perspective, we’ll examine how AI is being applied in ASCs today, including computer-assisted coding, audit automation and enhanced documentation support. Most importantly, we’ll highlight why coders remain essential to success, not replaced by AI but elevated as strategic experts who ensure accuracy and protect revenue. Participants will leave with insights into how AI can be thoughtfully applied to coding today, and what it means for the future
2026 ASCA Coding & Reimbursement for ASCs 1-13-2026
From Claims to Copilots: Architecting AI-Ready Operational Systems
Many organizations are eager to adopt AI, but few have the operational data architecture required to support it in production systems.
In real environments, critical workflow data is scattered across transactional systems, operational tools, and analytics platforms that rarely share a common model. Without a coherent operational architecture, AI tools struggle to reason about workflow state or produce meaningful insights.
This session explores how operational lifecycle modeling can create the foundation for AI-enabled systems.
Using a healthcare revenue cycle environment as a case study, we’ll examine how operational events can be captured in Microsoft Dataverse and unified with analytics in Microsoft Fabric to create a canonical operational model. This architecture allows AI copilots and automation tools to reason about the state of real-world workflows rather than disconnected data points.
Attendees will learn:
Why many AI initiatives fail when they start with models instead of architecture
How lifecycle-based data modeling improves observability of operational systems
How platforms like Dataverse and Microsoft Fabric can support AI-ready architectures
Rather than focusing on AI theory or tools alone, this session focuses on the operational systems design required to make AI useful in complex real-world environments.
ASCA + SAMBA Conference & Expo Upcoming
Work Smarter, Not Harder: Using AI in Your ASC
2026 Coding & Reimbursement for ASCs
AI and the Impact on Coding
Waystar True North 2025
Transform Patient Financial Care
Waystar True North 2024
Success Spotlight: Impactful results using Authorization Manager in outpatient care settings
Melanie Howitt
Director of Revenue Cycle Data & Technology Solutions | Architecting AI-ready healthcare operations
Kansas City, Missouri, United States
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