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Professional Coding Compliance Auditor and Educator
Coding compliance auditor at St. Peter’s Health Partners/Trinity Health auditing E/M coding for 800+ providers.
United StatesProfessional Coding Compliance Auditor and Educator at St. Peter's Health Partners/Trinity Health
Conducts ongoing E/M compliance audits of 800+ providers, reviews coding across all specialties, and prepares provider education reports. Proficient in Epic EHR, SelectCoder, and Microsoft Office suite.
E&M AuditingICD 10 CMCPTHCC CodingModifiersNCCIHCPCSMedicareMAC ProtocolsEpic EHRSelect CoderMicrosoft OfficeExcelHealthicityPowerPointTeams
Performed Rx fee schedule calculations, composed Rx letters, and prepared EAPG affidavits. Investigated dispute details using the American Arbitration Association Modria Resolution Center.
Prescription Drug PricingRedbookEAPGsMitchell Decision PointAAA ArbitrationModriaLegal databases
Audited and processed provider bills ensuring compliance with NYS Worker's Comp Fee Schedule. Handled complex specialty queues and mentored new coders.
Medical CodingWC Fee ScheduleIMEDRGFee Schedule ReviewHealthcare Cost ContainmentNYEAPGSOP DevelopmentTrainingMentorship
Audited and processed provider bills in Coding 1 and Approved For Pay queues. Handled specialty queues and mentored new hires.
Medical CodingAuditQueue ManagementMentorship
Coded 600 medical charts across multiple specialties and researched RVUs, NCCI edits, and guidelines. Obtained removal of 'Apprentice' designation from CPC.
Medical CodingCPCRVUsNCCIPatient Chart Audits
Oversaw daily operations of a dog boarding and training facility, including client communications, billing, and payments. Implemented a new registration database and organized transportation routes.
Operations ManagementClient CommunicationBillingDatabase ImplementationGoogle Office SuiteExcelGingr
Handled registrar duties, student report cards, and school-wide communications. Implemented a new parent database and performed unofficial school nurse duties.
Office ManagementCommunication SkillsRegistrar DutiesDatabase ImplementationFirst Aid CPRDiabetes Management
Coordinated all aspects of Annual Appeal mailing, managed fundraising events, and communicated with donors and alumni.
FundraisingDonor RelationsEvent ManagementDatabase ManagementCommunication Skills
Coordinated Annual Appeal mailing, managed fundraising events, and communicated with donors and alumni.
FundraisingDonor RelationsEvent ManagementDatabase ManagementCommunication Skills
Managed household and volunteered in the community.
Answered phone lines, maintained files for over 300 clients, coordinated manuscript submissions, and managed schedules.
Administrative SupportClient ManagementManuscript PreparationSchedulingTranscription
Provided auxiliary phone and filing support, negotiated permissions rights, and read unsolicited manuscripts.
Administrative SupportPermissions NegotiationManuscript Reading
Completed distance learning courses for CPC certification, including Anatomy & Physiology, Medical Terminology, and CPC Physician Based Medical Coding. Currently studying for CPMA.
Earned a Bachelor of Arts in Art History and Psychology from New York University.
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