Medical Billing & Coding Expert 501916 NJ


Expertise Description

With over 15 years experience in medical billing and coding, I have worked with Eclaims, Zyantus, Accuchecker, Medisoft, Billflash, Crystal Reports, Navinet and Emdeon for a variety of medical practices and specialties. I am offering my services as a medical billing and coding expert witness.

Areas of Expertise


Relevant Experiences

With over 18 years of experience in Medical Billing and Coding as well as Practice Management Consulting, I am an expert in all facets of a medical practice. I am an expert on Revenue Cycle Management with a unique understanding of insurance litigation cases for self-funded (ERISA), fully-funded, Medicare, and state funded plans. I have extensive experience in local and national coverage policies and how they correlate to medical documentation for billing purposes. As a certified Professional Coder, Certified Professional Outpatient Coder, and a Certified Professional Medical Auditor by the American Academy of Professional Coders (AAPC) in additional to my medical billing company being certified by the Department of Banking and Insurance in New Jersey, I have extensive schooling and experience in reviewing medical files as they relate to coding, auditing, risk adjustment, fee scheduling, Medicare, Commercial plans, Worker’s Compensation policies, LOPs, No Fault plans/Personal Injury Protection, payment posting and adjustments, out of network benefits, in-network benefits, patient responsibility, HIPAA compliance, practice compliance plans, patient benefits, appeal processes, claim submission, claim follow-up, ambulatory surgical billing, and all physician billing. I am able to apply my expertise in billing, coding, and practice management to all specialties. I am offering my services as a Medical Billing and Coding Expert, Practice Management Expert, and Medical Auditor for billing and coding services.


Education

Degree Subject Institution
B.S. Bio-Medical Engineering Rutgers University – New Brunswick NJ

Licenses Certifications

Certified Professional Medical Auditor (CPMA)
Certified Professional Outpatient Coder (COC)
Certified Professional Coder (CPC)

Awards & Affiliation

American Academy of Professional Coders
New Milford Education Foundation

Primary Affiliation

American Academy of Professional Coders



SELECT EXPERT