This medical coding and reimbursement specialist brings more than 30 years of experience working across hospitals, physician groups, managed care organizations, and consulting environments, with a focus on coding accuracy, compliance, and revenue optimization. Her expertise spans CPT, ICD-10-CM/PCS, DRG, APC, and HCPCS systems, along with Clinical Documentation Improvement (CDI), MIPS, HCC coding, and reimbursement methodologies such as RBRVS and wRVUs. She has conducted extensive chart audits, developed compliance programs, and led coding and documentation training for clinical and administrative teams, identifying revenue risks and missed reimbursement opportunities through detailed data analysis and workflow evaluation. Her experience also includes provider compliance audits, revenue cycle management, QAPI support, payer guideline analysis, and enterprise-wide coding education involving hospitals, ambulatory surgery centers, medical groups, and physician practices.

Her background combines hands-on auditing with operational leadership, including roles such as Senior Reimbursement Consultant, CDI and Coding Compliance Senior Manager, Director of Client Services, Claims Manager, Reimbursement Manager, Accounts Receivable Manager, and Interim Revenue Cycle Management consultant within healthcare systems and consulting organizations. She has overseen coding compliance initiatives, developed internal policies and workflows, and improved revenue cycle performance across complex healthcare systems. She has also provided training and education involving CMS documentation guidelines, HIPAA compliance, HCC coding, reimbursement analysis, coding certification preparation, and payer compliance requirements. Her experience includes consulting and expert support in legal matters for more than 10 years, primarily through consultation and deposition work involving coding practices, documentation standards, reimbursement disputes, and healthcare compliance analysis. She maintains professional affiliations with organizations including AHIMA, HFMA, MGMA, ACMCS, IGMA, and AAPC. Her experience aligns with evaluating provider compliance, payer requirements, and the practical application of federal healthcare regulations in real-world billing environments.