Expert Witness 501916
Medical Coding
Out of State, New Jersey
Bachelor, Rutgers University-New Brunswick
Cases
Deposition Experience
Court Testimony Experience
Loading
Cases
Deposition Experience
Court Testimony Experience
She's a medical billing, coding, and healthcare compliance specialist serving as an expert witness with more than 20 years of experience in healthcare reimbursement systems, regulatory compliance, and medical record auditing, this expert’s work focuses on the evaluation of billing and coding practices within healthcare organizations, including compliance with Medicare and Medicaid regulations and healthcare documentation standards. The expert has more than 15 years of experience providing medical billing expert witness services.
Professional expertise includes auditing and reviewing medical records, coding practices, and reimbursement processes to evaluate compliance with federal healthcare regulations and payer requirements. Work in this area includes medical billing and coding audits, documentation reviews, and compliance program evaluations involving CPT coding, physician documentation, and reimbursement practices. Additional areas of specialization include due diligence reviews, corporate integrity agreement compliance activities, independent review organization engagements, and investigations involving Medicare and Medicaid fraud and abuse allegations, including matters related to Physicians at Teaching Hospitals requirements.
The expert has held leadership and management roles in healthcare compliance, coding, and documentation oversight. Responsibilities have included serving as a senior manager overseeing clinical documentation integrity and coding compliance engagements and as a compliance audit manager responsible for healthcare billing, coding, and documentation audits for healthcare organizations. Additional experience includes directing coding and charge entry operations for a large multispecialty physician practice affiliated with an academic medical center and providing independent consulting services through a healthcare compliance consulting practice.
Credentials include a Doctor of Medicine and a Master of Business Administration. Professional certifications include Certified Professional Coder, Certified Professional Coder–Instructor, Certified Professional Medical Auditor, Certified Risk Adjustment Coder, Certified Revenue Cycle Representative, and Certified Specialist Payment and Reimbursement. Professional affiliations include membership in the American Academy of Professional Coders and the Healthcare Financial Management Association.
Full Name
Title / Credentials
Contact Information
Request this expert to view the full information
Degree Type
Bachelor
Field of Study
Science
Institution
University of Illinois Urbana-Champaign
Degree Type
Master
Field of Study
Engineering
Institution
Virginia Polytechnic Institute and State University
Type
Certification
Certification / License
Certified Professional Coders (CPC)
Issuing Authority
American Academy of Professional Coders (AAPC)
Type
Certification
Certification / License
Certified Risk Adjustment Coder (CRC)
Issuing Authority
American Academy of Professional Coders (AAPC)
Tags:
Healthcare Fraud
Insurance Billing
Medicare and medicaid
Medical Records Review
Type
Certification
Certification / License
Certified Professional Medical Auditor (CPMA)
Issuing Authority
American Academy of Professional Coders (AAPC)
Type
Certification
Certification / License
ICD-10 Proficiency
Issuing Authority
American Academy of Professional Coders (AAPC)
Type
Certification
Certification / License
Certified Professional Coder – Instructor (CPC-I)
Issuing Authority
American Academy of Professional Coders (AAPC)
Type
Certification
Certification / License
Certified Revenue Cycle Representative (CRCR)
Issuing Authority
Healthcare Financial Management Association (HFMA)