Alicia Scott has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medical Records Abstractor and Analyst. It has taught her medical coding, billing and medical law & ethics at a private college. She also did contract work in Risk Adjustment. She is currently working towards her Masters in HCA with an emphasis on education. She is the Director of Education at Certification Coaching Organization and can be reached at www.CCO.us
Ms. Boynton has served in the health information management field for nearly 20 years across provider, payer, and educational capacities. She is principal of Boynton Healthcare Management Solutions, LLC specializing in practice and payer consulting, compliance, and education. Boynton holds several certifications in coding and has degrees in health information technology and healthcare management. She recently completed graduate work in health & hospital and financial services compliance law at Seton Hall University. She is the president of the Worchester, Massachusetts, local chapter.
Angela Snyder is a CHONC certified Coder with over 30 years’ experience in the medical field. The last 21 years of her career has been with the University of Michigan Comprehensive Cancer Center, now known as the University of Michigan Rogel Caner Center where I am a billing & finance manager. Her specialty is “Infusion Confusion”. My focus is on how to increase revenue and decrease out of pocket expenses for cancer patients. She was honored to have presented at the NCCN (National Comprehensive Cancer Network) Best practices committee relating to “Increasing Revenue and Decreasing Financial Toxicity in Cancer Patients” back in 2016.
Angeline Ford has over 16 years of insurance experience, most recently in the Quality and Risk Adjustment areas as a provider educator conducting webinars and in person training. She currently holds AAPC certifications of CPC-I, CPC, COC, CRC. 2008, Angeline obtained her MBA in Healthcare management. She can be reached at www.amc-ne.com.
Barbara Hays, a 21-year veteran to the healthcare management industry, is a proud member of the SCBI team as a Senior Managing Consultant. Prior to joining SCBI, Barbara (Barbie) filled the role of Coding and Compliance Strategist for the American Academy of Family Physicians. She possesses a depth of experience encompassing front office operations, practice management, coding analytics, payor contract negotiations, and compliance reviews. Barbie is well acquainted with many specialties, has an extensive background in physician and coder education, has authored several articles for health care business journals, and is a sought-after speaker for many professional organizations.
Brad Hart is a nationwide billing and coding consultant, specializing in OB/GYN and OB/GYN subspecialty services. He is a faculty member of ACOG'S renowned coding workshops and author/presenter for the SMFM coding course and frequent presenter at other subspecialty national meetings. He is a member of both the ACOG and SMFM Coding Committees.
Chad is a Sr. Coding Technical Manager. He has worked as a billing/coding manager, a Sr. Coding Analyst for a large health insurer, and a Sr. Coding Consultant, where he audited and educated clinicians and coders. He regularly presents to large groups and teaches the CPC course for a local community college. Chad has been featured on several coding pod-casts, webinars, and coding advisory committees.
As a Coding Consultant, Christopher works on a system-wide level to consult, educate, and present to providers, staff, and operations leaders regarding coding guidelines and payer policies. He specializes in surgery, non-physician practitioners, and GME coding. He has spoken at the AAPC’s HEALTHCON and regional conferences and been a speaker for multiple webinars. He teaches the medical coding class for Salt Lake Community College.
Christopher Parrella focuses on matters relating to Medicare/Medicaid/Commercial overpayment litigation representation, licensee/facility regulatory and operational compliance, as well as billing, coding and reimbursement issues. Chris works extensively with clients to develop compliant business strategies to address the complexities of the current health care environment. He assists in developing compliance policies in accordance with various state/federal settlements following government investigations. Chris travels the country on behalf of a wide range of health care organizations lecturing on varying topics affecting their particular industries. He is a member of the American Academy of Professional Coders (AAPC) National Legal Advisory Board and Ethics Committee. Chris is a Certified Professional Coder and Certified Professional Compliance Officer designated by the AAPC. He is also Certified in Healthcare Compliance by the Health Care Compliance Association of America (HCCA.) Chris participated in developing the national certification examination for the American Society of Health Informatics Managers (AHIM) on the Hi-Tech Act and AAPC’s Certified Professional Compliance Officer designation. Chris received his Bachelor’s Degree from Stony Brook University and his Juris Doctor from the Massachusetts School of Law.
Colleen Gianatasio has nearly 20 years of experience in the health insurance field. She has experience in customer service, claims, quality and coding. As Risk Adjustment Quality and Education Program Manager for CDPHP Colleen’s primary responsibilities are provider engagement and clinical documentation improvement for accurate coding. Colleen serves as President-Elect for the National Advisory Board.
Cynthia Swanson has three years of hospital and clinical nursing experience, five years of Quality Assurance, DRG and Utilization Review knowledge, five years as Supervisor of Medicare Part B Medical Review with Blue Shield of Iowa and twenty-nine years with Seim Johnson, LLP.
Craig is AAPC’s Education Manager, where he directs course instructors and develops print and online curriculum. His 10-year career includes teaching CPC exam preparatory courses for the past seven years at AAPC and other companies. He has a degree in psychology and pursued pre-medicine. Craig loves coding, as does his coder wife, with whom he has "a coding nerd romance."
Danielle is an Optum360 coding educator with 14 years background in the healthcare industry. She has held roles in multiple settings to include private practice, facility, the DoD, and RAC. She has a broad range of experience from billing and coding, revenue cycle management, audits for internal and external clients, development and delivery of coding and billing education, as well as risk adjustment and trend analysis.
Dr. Friedenson is an Emergency Physician and the Chief Medical Officer for Reventics, the Chair of the ACEP Coding and Nomenclature Committee, a member of the Novitas Contract Advisory Committee, and several task forces on Medicaid and insurance issues. He lectures around the country on the correct documentation and coding.
Dr. Pougatsch is a board-certified podiatrist, fellowship-trained in diabetic limb salvage, wound care, and reconstructive surgery. He is a Clinical Instructor of Surgery at Western University of Health Sciences, and is on the teaching faculty at Cedars-Sinai Medical Center in Los Angeles. Dr. Pougatsch has lectured at national and international conferences. He is the co-founder of Wound Institute of America, a multi-location, multi-disciplinary wound care and surgical group.
David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC is the founder and President of ZHealth Publishing. As the primary author and editor of each ZHealth publication, "Dr. Z" works closely with vascular surgeon Dr. David Dunn, interventional cardiologist Dr. Don Crumbo, radiology coding expert Ruth Broek, and ICD-10 coding expert Sara Wolf.
Dr. Z practiced as an interventional radiologist for fourteen years and has over twenty-five years experience as a coding reviewer and coding expert. He is Board Certified in Radiology with the Certification of Added Qualification in Interventional Radiology (1995, 2005).
Dr. Z has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country, and he has served as an instructor in over 100 coding seminars. Dr. Z was also on the AAPC National Advisory Board from 2005-2009.
A graduate of Oregon State University and Oregon State Sciences University School of Medicine, Dr. Z completed his internship, radiology residency, and interventional radiology fellowship at Emory University Hospital in Atlanta, GA.
David Young attained his D.O. degree in 1981. He then trained in Dayton, Ohio (Internal Medicine, Pulmonary) and Detroit, Michigan (Sleep Disorders). He is Board Certified in all. He began the practice of Pulmonary, Critical Care and Sleep Medicine in 1988 in Lansing, Michigan where he continues. His lectures whether to peer physicians, residents and interns or members of the community are informative, down to earth and include his own style of wit and humor.
Deborah oversees development of adult-learning for professionals in coding, CDI, and revenue cycle. She is an RHIA, holding degrees in Management and Social Psychology. Deb is involved with performance improvement, is a national speaker, author, and presenter. Prior experience includes Revenue Cycle Analyst, Compliance Officer, educator, and senior consultant.
Debra is currently employed with a hospital system in Western PA as Manager of Coding and Education. Her education consists of an Associate’s Degree in HIT, CPC and CPMA. Debra is a member of the Warren, OH AAPC Chapter and currently serves as Vice-President.
Dorothy Steed is an independent Healthcare Consultant and Educator in Atlanta. She was a Medicare specialist for a large hospital system and a physician audit supervisor for another hospital system, with 41 years of experience in healthcare. Additionally, she is an instructor at a state technical college in Atlanta, provides auditing and training in both facility and physician services, and has been a speaker at several healthcare conferences.
Donna Malone, CPC, CRC and AAPC MACRA Proficient, Sr. Manager Enterprise Risk Adjustment Coding, Quality Assurance, and Provider Education with Tufts Health Plan and President of the Watertown AAPC Chapter as the Sr. Manager of Coding, Quality Assurance and Provider Education, she is responsible for audit and coding review management, development and implementation of department and vendor policies and procedures, governmental audits (e.g., CMS and HHS RADV, OIG Audits), coding team performance management. She is responsible for provider and coder education, which includes development of support materials for the entire network. Additionally, Donna serves at the MassBay Community College in Framingham, where she has been an advisor and adjunct professor currently in her 15th year. Her specialty area is the Medical Coding and Medical Office Administration Programs. Donna also is the Chair of the RISE Risk Adjustment Academy HC Coding Faculty Advisory Group. Prior to Tufts Health Plan, Donna worked for ENJOIN as the Director of Ambulatory CDI – Risk Adjustment, Blue Cross Blue Shield of Massachusetts as an HCC Professional Audit III for four years. Earlier, she worked for AM B Care for 9 years. Donna also has served as Education Officer (2016) and President (2017 – current) for the AAPC chapter in Watertown, MA.
Elin Baklid-Kunz is an expert in medical coding compliance who supports clients in matters across the United States with over 20 years of experience in the field.
Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Governance in Paris for the Organization of Economic Cooperation and Development; American Bar Association 2018 Physician Legal Issues Conference, 2017 American Health Information Management Association National Conference; 2016-2008 American Academy of Professional Coders Coding & Compliance workshops; 2018-2009 keynote presentations for Eli Research Coding Institute & Audio Educator.
In addition to teaching documentation guidelines and ICD-10 to physicians, Ms. Kunz’ experience includes six years as an adjunct professor and curriculum developer at Seminole State College where she taught courses pertaining to healthcare reimbursement and data analysis and served on the advisory committee for the health information management (HIM) program.Ms. Kunz earned her master’s degree in business administration from Stetson University where she currently serves as Head Judge for the Southeast Regional Business Ethics Case Competition. She is certified in Healthcare Compliance. She is a Certified Professional Coder; a Certified Professional Medical Auditor; a Certified Coding Specialist and an American Health Information Management Association-Approved ICD-10-CM/PCS Trainer.
Erika's professional background is in the field of Health Information Management (HIM). Erika focused heavily on performance improvement and quality within her department and played integral roles on both the Compliance Committee and the Electronic Medical Record Implementation Committee. Erika has been in higher education for eight years.
George Blake is a specialist at Deloitte Advisory in the Regulatory and Operational Risk, Healthcare Provider practice. He has more than 25 years of diverse healthcare experience that includes physician practice manager, outpatient facility reimbursement manager, medical coding instructor, and recovery audit chart reviewer. He is a member of the AAPC's National Advisory Board.
Gina has over 15 years’ coding experience. She has worked on all sides, pro fee, facility, revenue cycle, and auditing. She also is responsible for opening the Ellenville, NY Local AAPC Chapter. She is currently the Region 2 AAPCCA Board of Directors representative.
Glenda has presented for Optum360's Essentials Conference every year, which would make that 17 years now. She was requested to continue speaking at the conference even after she resigned in 2014 and went to work for HCS. Speaking engagements for many state hospital associations (North Dakota, Texas, Wisconsin), AHIMA (twice) and AAPC (4 conferences). She continues to personally conduct chargemaster reviews, coding and reimbursement audits and speaking engagements.
Ms. Greene has approximately 20 years of experience in a variety of health information management roles, including as a coding instructor and an HIM manager. She is a Coding and Documentation Consultant for First Call Consulting Group. Heather performs coding and documentation audits and physician and HIM education for clients nationally. Additionally, she is a frequent speaker/author on HIM topics for various organizations, such as the AAPC, AHIMA, and AHLA. Heather has a B.S. in Health Information Management and an MBA.”
Jaci Kipreos has been in the field of medical coding and auditing for 29 years. She has been a Certified Professional Coder (CPC) since 1994 and attained her COC for facility-based coding issues in 2005. She has also obtained her credential as a Certified Professional Medical Auditor and is certified in the specialty of Evaluation and Management Coding. Jaci has worked in a variety of practice settings and has expertise in coding for family practice, urgent care, OB/GYN, general surgery, Medicare’s Teaching Physician Guidelines, with an emphasis on compliance with Evaluation and Management guidelines. Jaci has been with Practice Integrity since 2003. There she leads a group of AAPC Certified Instructors in teaching the Professional Medical Coding Curriculum. She also manages a national client list in monitoring provider documentation and performing audits for physician practices. Jaci provides a wide range of educational topics to assist clients in the area of chart documentation, Medicare’s Teaching Physician Guidelines, surgical coding, modifier usage and basic coding skills. Kipreos has been an instructor for various AAPC workshops for the past five years and is a Certified ICD-10 Instructor through AAPC for both ICD-10 CM and ICD-10 PCS. She has spoken at the annual AAPC HEALTHCON event over the past seven years as well as AAPCs regional conferences. She has provided presentations for the American Association of Nurse Practitioners state event in Virginia and for the national event for the American Association of Medical Assistants.
Dr. Taylor, MD, Certified Coder, EMR Expertise (20+ yrs.); Responsible for 90,000 MA lives for Kaiser Colorado. He developed the Education and CDI processes for those members Awards: RISE Martin H. Block: Clinical Excellence and Innovation Award; Kaiser Permanente: Distinguished Leadership Award; Harvard MBA Executive Leadership Program. Wrote "EMR's: What you need to know now for AAPC. 10+ Webinars (3 for AAPC); 6 Published articles; 25+ presentations at AHIMA, AAPC, and HCCA.
Janae Ballard has 17 years of experience in professional coding, auditing, billing, compliance and provider education. She specializes in provider coding, audits and education and has worked with many small and large medical practices and hospitals throughout the country. She is a national speaker and has presented at multiple conferences including The Coding Institute, Decision Health and most recently at the AHIMA national convention in Oct 2017.
Janna’s professional background is in the field of Health Information Management (HIM). After managing in a healthcare setting, Janna transitioned into education. She serves as Clinical Coordinator for the HIM program at GVSU. Janna is currently pursuing her Doctorate from Capella University in Health Administration with a concentration in Health Care Leadership.
Jean Jones, CPC, PCS-P, CCS-P, has more than 20 years of coding and billing experience with nationally recognized provider organizations. She is well-versed in E/M guidelines, has tested software for CMS, and has trained and audited coding professionals for over 10 years in her work for 3M Health Information Systems.
Jennifer Latva works as the Coder Educator and trainer for the Outpatient Facility and Professional practice coding groups at Moffitt Cancer Center. While at Moffitt she has developed and successfully lead a Coder Trainee and Fast-track coding program, graduating 4 groups in 3 years. Jennifer has more than 10 years ‘experience working in coding, both in private practice and facility environments.
Dr. Plichta is a breast surgeon at Duke University, where she cares for patients with breast cancer and other breast problems. She is also the Director of the Breast Risk Assessment Clinic, and her current grant-funded research focuses on genetic testing for women with high-risk breast lesions.
Jennifer Simmons is a graduate of both Charleston Southern University and Southern Wesleyan University holding a master’s degree in Business Administration accompanied by a Bachelor of Arts in Management with over 20 years of healthcare experience. She has over 20 years of healthcare experience to include education, medical coding, corporate compliance and auditing.
Dr. John Zazaian is board certified in Internal Medicine and an associate clinical professor at Michigan State University. He attended medical school in Missouri at A.T. Still University (KCOM). He has been training medical students and residents for thirty years and is in private practice in metro Detroit.
Julie Alles is the Assistant Professor/Program Director of the Health Information Management at Grand Valley State University. Julie obtained a doctorate degree from Capella University in Health Administration with a concentration in Health Care Leadership. Prior to teaching Julie worked as a health information management professional including coding, release of information, educating physicians on documentation.
Ms. Abel is the director of curriculum for AAPC. A prior healthcare consultant, Katherine has over 25 years of practical experience working in healthcare, including extensive work with billing offices, insurance carriers, and provider offices. Her experience includes responsibility over coding, compliance, reimbursement, and technology initiatives.
Karina Johnson, Esq, COC, CPC, CPCO, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CCC, CGSC, CHONC, COBGC, COSC, CPCD
Ms. Johnson brings a unique insight and passion to the healthcare industry by bridging her two great passions of healthcare and the law as a healthcare litigation attorney. Ms. Johnson is the current Head of the Litigation Department at Physicians’ Advocates, one of the nation's most acclaimed law firms specializing in the nationwide representation of doctors, medical groups, and physician organizations.
The law firm is only one of a small handful in the nation to focus exclusively in advocacy for physicians on issues unrelated to malpractice litigation. Ms. Johnson champions providers in litigation involving diverse employment law matters, business practices, business contracts, practice formation, discrimination, wrongful termination, and medical board licensing disputes.
Ms. Johnson has medical coding experience in a variety of medical specialties. She has managed small medical offices throughout her career prior to being admitted to the bar in 2006 and has additional experience in compliance and auditing. In addition, Ms. Johnson loves to teach and share her expertise, avidly serving as volunteer assistant Medical Coding instructor and speaker.
Kathleen is an Educator for Moffitt Cancer Center in Tampa FL and a healthcare instructor for several universities. With 25 years of experience with physician practices, she is familiar with issues facing healthcare organizations. She is a CPA in FL & GA with BS & MBA degrees from FSU. Kathleen is an AAPC Fellow, CPC, CPCO, CPMA, CPC-I and CCS-P and is a Past President of the Tampa FL AAPC.
Kathy has over 25 years in the areas of Healthcare Administration & Management. Twelve years of this time spent specifically in the development and implementation of practice-based compliance plans, auditing, education and litigation support.
Kathy Burkhardt is a graduate of Stephens College with a bachelor’s degree in health information administration and a master’s degree in Strategic Leadership. Kathy currently serves on the board of FHIMA and received the outstanding New Professional award from FHIMA in 2016. She has held positions with Gulf Coast Regional Health Information Management Assoc and serves on the advisory board of Ultimate Medical Academy. Mentoring and sharing knowledge of the HIM field is a passion Kathy enjoys.
Khushwinder Singh, MD is a trained clinician, and an experienced healthcare management professional, having over 14 years of HIM experience. Dr. Singh has been working in the HIM since early 2000's and has been involved with the health data management for various Clinical trials, Medicare & Medicaid Health Plans.
Kimberly Vegter has been working in the medical billing and coding field for 23 years and has been teaching billing and coding for the last 15 years. Kimberly currently works in the field as an educator for coders and providers. She’s an AAPC Certified ICD-10 Trainer and has served as Vice President and President of the Bettendorf AAPC Chapter.
Kim Huey is an independent coding, reimbursement, and compliance consultant. She completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a Bachelor of Science in Health Care Management from the University of Alabama and a Master of Jurisprudence in Health Law from Loyola University Chicago School of Law. Kim has served as the president of Magic City Professional Coders and was a founding member of Capital City Coders. Kim’s passion is helping physician practices successfully navigate the complex regulations and reimbursement environment. She is known as Kim the Coder, and she and her husband, Don the Cruiser sponsor an annual coding cruise where she teaches continuing education in a fun, relaxed environment.
After graduating from a Medical Coding program with an Honor's award Kristine went straight into the work force as a manager for a spine surgeon. Coding over 800 spine surgeries and procedures a year. Kristine is now the instructor of the Medical Coding Program from which she graduated.
Lee Williams has more than 15 years health information management (HIM) experience as a coding director, auditor, educator, trainer, practice manager, and mentor. Williams has provided coding leadership and oversight on programs sponsored by the Centers for Disease Control and Prevention National Center for Health Statistics, the U.S. Consumer and Product Safety Commission, and Industrial Economics, Inc. She has extensive experience in regulatory compliance, CDI, and risk management. Williams is a frequent speaker and is published at the national level. She is founder of the Covington, Georgia, local chapter where she has served as president and mentor.
Lewanda is a passionate coder who thrives from challenges, which is why she love her profession. Over the past 15 years she has coded for multiple specialties including Ambulatory Surgery, ED, Podiatry, Orthopedics, & OB/GYN. Lewanda is a full-time Outpatient Coding Supervisor for a multi-specialty facility and a part-time Medical Coding instructor, which brings a different challenge each day.
Linda King has over 30 years in Healthcare, including practice management, auditing consulting, education and extensive work in billing and reimbursement. Linda has served the APPC as a Local Chapter president, vice president, education officer and partnered to form a new local chapter. Initially she started coding anesthesia but found a passion for cardiac and vascular surgery. She is currently the Coding and Compliance manager for Harvard Medical Faculty Physicians, Department of Surgery, Boston Mass.
Linda Duckworth has over 30 years of experience in coding and compliance. She has developed audit programs for several organizations and has been a featured speaker for two physician specialty societies. She has authored articles for coding, reimbursement, and physician publications. Recently her focus has been on writing powerful appeal responses for physicians.
Dr. Campbell is a multi-faceted health care professional with 27 years of experience. Having a passion for working with physician practices, Dr. Campbell enjoys helping providers improve their operational effectiveness with a focus on documentation improvement and integrity.
Dr. Campbell received a Ph.D. in Healthcare Administration, Master of Health Administration (MHA) and Masters in Project Management (MPM). Further, she holds the following credentials: Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Instructor (CPC-I) and an AHIMA ICD-10-CM/PCS Trainer.
Dr. Campbell has written and self-published, Procedural Coding Concepts: A Review Guide and ICD-10-CM Coding Concepts: A Review Guide. Lastly, Dr. Campbell is a regular speaker for the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
Lee is an educator with a 30-year background in the healthcare industry. She has had management roles in physician-based services in multiple settings. Including private practice, academic health systems and managed care companies. She has extensive experience leading coding departments, development and delivery of coding education training for all audiences, quality audits for internal staff and external clients, workflow improvement, coding and billing support, and revenue cycle management.
Loretta M Jarrett-McDonald; Degrees-BA, MPS, Certifications- CPC, CPMA, AAPC Fellow, CHI, CBCS, CEHRS, CMAA and NCICS. Loretta is the owner of LJM Healthcare Information Mgmt., LLC. She has over 26 years of experience which includes consulting, teaching healthcare classes at the post-secondary level, Vice-Chair Board of Testing for NCCT, SME, CEU Vendor, biller and coder.
Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC Regional Director, Healthicity Audit Services Lori has 20 years of experience working in the business side of medicine. Lori began her career in patient accounts and then moved into billing and coding for a multi-specialty clinic. She was eventually promoted to Billing Supervisor and then to Compliance Officer, where she wrote, maintained and trained employees and providers on fraud and abuse. In 2015, Lori received her MBA from Quincy University in Quincy, IL. Lori has traveled the country educating coders and physicians on complex coding topics such as Hem/Onc and E/M guidelines. Lori is the Member Relations Officer for the AAPC National Advisory Board, an active member of her local AAPC Chapter, and is a Regional Director for Healthicity Audit Services.
His experience spans adult, pediatric, and neonatal critical care. In addition, Mr. Jimenez has experience in cardiopulmonary invasive and noninvasive diagnostics as well as in the field of hyperbaric medicine. Mr. Jimenez was also a professor teaching cardiopulmonary physiology, diagnostics, advanced life support and critical care medicine
Lyndia Smith has been in the medical field for more than 15 years. She earned her CPC in 2007, and CGSC in 2014. Lyndia has experience coding in multiple specialties with Trauma being her favorite. Her best times are spent with her sons and her granddaughter.
Lynn has over 30 years’ experience in Healthcare form Nursing to Medical Group Management to Coding, Auditing and Training. She speaks at national conferences on many coding topics, has authored articles for AAPC, AAFP and other organizations. Lynn is a PMCC instructor and has trained hundreds of coders to take their CPC exam. She trains providers and coders on many coding, billing and compliance topics.
As a 28-year veteran in the pediatric industry working for the Physician’s Computer Company, Gratton brings a wealth of knowledge in new client implementation and consulting to PCC and the pediatric marketplace. Gratton is best known for her extensive knowledge of pediatric practice management and practice workflow improvement.
Marianne Durling has been involved in many different aspects of healthcare and allied health education for over 37 years, creating a very diverse healthcare background. She is currently an Associate Compliance Officer for Duke Health System. Marianne has her CPC, CPCO, CIC, CPC-I, RHIA, CDIP and CCS credentials. She has a Master’s degree in Healthcare Administration and a Post-Baccalaureate Certificate in Health Information Administration. She has authored articles for professional publications and speaks nationally. She has served many years as an officer in her local AAPC and NCHIMA chapters, as well as on the AAPC National Advisory Board. She currently is a member of the AAPC Healthcon Education Committee.
Dr. Wymore is a board certified family physician with 20 years of clinical experience in inpatient and outpatient medicine for patients of all ages, and 20 years as a professional speaker and consultant. She educates providers across the country on how to improve clinical documentation, including ICD-10-CM, risk adjustment (HCCs) and STARS (quality measures). Dr. Wymore understands the increasing demands placed on providers, coders, and other healthcare professionals with more codes and documentation specificity requirements, EHR, and the importance of value based care. Using her experience as an MD, she makes improving specificity and documentation of diagnoses more user friendly for her physician and coder colleagues to generate accurate codes.
Dr. Wymore’s speaking style is humorous, engaging, and interactive. As a physician, she provides clinical perspectives on how providers can expand their diagnostic thought processes for more specific medical record documentation, improved coding, risk adjustment, and quality. As a certified coder (CPC, CRC), she is intimately aware of where improvements in documentation would result in more accurate code assignment, severity of illness, risk, and quality. Dr. Wymore is also passionate about educating and motivating people to improve and manage their health and to prevent diseases.
Rita currently serves as President of the Greater Philadelphia Chapter of the AAPC, after serving as chapter president and vice president in previous years. She is a former member of the AAPC’s National Advisory Board and is a former member of the Chapter Association Board of Directors of the AAPC 2015-2018. Rita served on the Executive Board for the AAPCCA in 2016. She has contributed articles to Healthcare Business Monthly as well as the popular AAPC Blog. Rita is a frequent speaker at AAPC National and Regional Conferences. Rita is the Director of Revenue Cycle and Business Operations for MD Anderson Cancer Center at Cooper. She has over 20 years of experience in billing and practice management, most recently in the areas of family medicine and medical oncology. She is active in educating the physicians and staff in medical coding and compliance regulations.
Mary Wood has worked in the medical industry for 30 years. She has consulted for hospitals and physicians’ groups across the United States. She teaches coding documentation and compliance to Kaiser physicians. She served in the U.S. Air Force and is president of the Kaiser Permanente Veterans Association. She is a 2018 AAPC National Advisory Board member.
Maryann has over 30 years of experience in the health care arena including work with the Medicare Administrative Contractor and a large, academic physician practice. For the past 20 years Maryann's focus has been on physician billing compliance. She is employed with the University of Florida Jacksonville Physicians, Inc. as the director of physician billing compliance and is responsible for providing professional direction and oversight to the billing compliance program of the University of Florida College of Medicine - Jacksonville. Maryann is board-certified in health care compliance through the Health Care Compliance Association. She served on the AAPC's National Advisory Board from 2011-2013 and was subsequently selected to serve as the National Advisory Board secretary for the 2013-2015 term. Maryann was named the AAPC's 2010 "Member of the Year." She currently holds the office of vice president with the Jacksonville, FL local chapter and has held numerous officer positions since joining the AAPC in 1998.
Maureen is a dedicated coding director with more than 15 years of coding experience. She has mastered the implementation of coding processes to decrease denials and increase revenue. Maureen has worked very closely with physicians and provided coding education to implement correct coding standards. She is proficient in handling sensitive and confidential data. Maureen has also worked with the Chief Compliance Office and legal counsel relative to difficult compliance issues.
With over 25 years of experience in health care industry and a passion for researching complex coding and reimbursement issues across diverse specialties, Melissa's expertise includes fee analysis, budgeting, and quality related activities, teamwork and communication. A frequent presenter at conferences and seminars, Melissa served as co-director for “Coding on the River” in Jacksonville, Florida, for many years and is a past-chair of the AAPCCA board of directors. She remains active with AAPC members and activities and was honored as the 2014 AAPC Member of the Year.
Melissa McLeod-Seyfert has over 16 years of management, coding, auditing and education experience in all disciplines of medical coding and auditing. Her extensive experience in the field has led her to understand the need for strong collaborative relationships between coders, CDI and physicians. She is proficient with both MS and APR DRG Grouping systems and holds credentials as an IP/OP Coder, Coding Instructor, Risk Coder and is certified in CDI through both ACDIS and AHIMA. Melissa also holds the approved ICD-10 CM/PCS trainer through AHIMA and has served on multiple AHIMA councils. Melissa volunteered as the 2010 President –AAPC– Salisbury Chapter and has performed multiple speaking engagements for AHIMA, AAPC and ACDIS on both regional and national platforms.
Mr. Miscoe has over 25 years of experience in healthcare coding and over 20 years as a forensic coding/compliance expert and consultant. He has provided forensic analysis and testimony as an expert witness on a wide range of coding and compliance issues in civil and criminal cases on behalf of providers and payers. Mr. Miscoe’s law practice concentrates on representation of healthcare providers involved in post-payment disputes with commercial and government payers. He has an extensive national speaking background and has been published in numerous publications on a variety of coding, compliance and health law topics. He is the incoming President of the AAPC National Advisory Board, is a member of the AAPC Legal Advisory Board and is the Chair of the AAPC Ethics Committee.
Dr. Michael Kushner provides both inpatient and outpatient family medicine care at El Rio Health, a federally-qualified health center in Tucson, Arizona. As the Director of Documentation and Coding Compliance, he also directs their internal auditing department and provides clinical documentation and coding education for both coders and providers.
Dr. Warner consults as a medical forensic auditor and is a 2018-2021 AAPC National Advisory Board Member. He represents the AOA as an alternate advisor on the AMA Specialty Society Relative Value Update Committee (RUC) and is president of a non-profit that empowers individuals to be their won patient advocate.
Myra J. Simmons has over 25 years of experience in the medical field. From a Medical Assistant, to an LPN, Medical Biller, Certified Coder and a Compliance Officer. She held the position of President, Vice President and Educational Officer in several AAPC Local Chapters in the DMV areas. She currently has her own coding school, Simmons Medical Coding in the DC area.
Nate Felt, MS, CPC, ATC, PTA, is a senior consultant for orthopedic physician coding at Intermountain Healthcare. He has experience in auditing and educating physicians, as well as, working with staff and operational leadership regarding correct coding guidelines. Nate has a graduate degree in athletic training and has worked as a clinician at The Orthopedic Specialty Hospital for over 10 years.
Patrick Harper, MD obtained his bachelors in respiratory therapy from the University of Kansas and doctorate of medicine from the University of Kansas School of Medicine. He completed his residency in anesthesia at the Mayo Clinic in Rochester, MN last June and is currently a pain management fellow at the Mayo Clinic. He will be starting his interventional pain practice at Lawrence Memorial Hospital in Lawrence, Kansas in the summer of 2019. Patrick enjoys sailing, hiking, camping and canoeing with his three kids- daughter, Kyra, and twin boys, Logan and Bryson.
Ms. Jimenez currently manages AAPC’s member and certification solutions, is a coding liaison to the AMA CPT® Editorial Panel, and has more than 22 years of experience in the medical field. She has also served as AAPC’s clinical development manager for the exams program, national externship director, and as an advertising coordinator. Prior to joining AAPC, she spent many years as an instructor for coding and medical assistant programs. Ms. Jimenez has also worked as a medical assistant, billing and coding manager, instructor, auditor for outpatient and physician services, and physician educator. She received her bachelor’s degree in Psychology from Florida Atlantic University.
Rebecca Young has spent over 15 years in the medical billing and coding field along specialties such as vascular surgery, dermatology and urgent care. She takes great pride in onboarding new employees and preparing them for their CPC exams, many of which have no prior coding experience. She is also currently serving as the President for her local chapter in sunny Orlando, Florida.
Rhonda Buckholtz has more than 25 years of experience in healthcare, working in the management, reimbursement, billing, and coding sectors, in addition to being an instructor. She was responsible for all ICD-10 training and curriculum at AAPC. She has authored numerous articles for healthcare publications and has spoken at numerous national conferences for AAPC, AMA, HIMSS, AAO-HNS, AGA and ASOA.
Working in the HIM departments of Level I Trauma Centers since 1991, Rik has held positions in Chart Analysis/Completion, Documentation Integrity, and ED/OP Coding. He is currently an Outpatient Coding Specialist for Himahine Solutions.
Robert Gilbert, FHFMA, COC is Senior Manager in the Healthcare Consulting Practice at Baker Newman Noyes. Rob specializes in operational areas including charge capture, revenue cycle, revenue integrity, charge master, claims, provider reimbursement, and business systems. Rob has dedicated his career to assisting healthcare organizations with revenue cycle. firstname.lastname@example.org
Mr. Liles’ background is somewhat unique. In addition to a law degree, he holds both an M.B.A. and an M.S. in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents providers in audits and investigations. While working as a federal prosecutor, Robert served as the first National Health Care Fraud Coordinator for the Department of Justice, EOUSA.
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As a leading expert with over 30 years in healthcare, Robin has provided consulting and education in most areas of practice management, compliance, correct coding and billing practices. She is the Executive Director of Operations and Auditing for the Association of Health Care Auditors and Educators (AHCAE) and is CEO of Robin Linker & Associates, Inc., a nationally known healthcare consulting firm, located in Aurora, Colorado. Robin is the past Director of Education and Technical Development for the American Academy of Professional Coders (AAPC) where she wrote and presented numerous specialty related coding and training programs nationwide. She has been a frequent guest speaker for AHIMA, AAPC, HFMA, HCCA as well as numerous medical societies, associations and other healthcare organizations.
Robin assists various healthcare venues with expertise in compliance, coding, auditing, and as an expert case witness. She is an experienced IRO assisting providers and organizations under mandated OIG Corporate Integrity Agreements. As a co-author and presenter of the AMA's ICD-10-CM Workshops and CPT Coding Updates Workshops, she is a true advocate in the healthcare industry, Robin has dedicated her career to her clients by increasing industry awareness and contributing to systems improvement. She is a member of the National Speakers Association and has provided thousands of educational and keynote presentations throughout the United States and on occasion, internationally over the past 20 years.
With a strong back ground in research and development, Robin has a knack for the technical side of healthcare, evaluating, developing and contributing to cutting edge technology. She is the coauthor of college curriculum, "Understanding Medical Coding: A Comprehensive Guide" currently in its 4th edition, and is currently writing a book for the AMA. Robin enjoys active participation with her audience and a touch of humor in her workshops.
Dr Reed is both a clinician and pharmacist. His roles have been in decentralized hospital pharmacies as well as a working pharmacist in a central hospital pharmacy. His time on the unit has been in rounding with providers and providing medication input as well as education for the patient population. He has provided ongoing Cardiac Rehab Education as well as Total Joint Classes. He has also been responsible for onboarding new nurses at the hospital regarding pharmacy. As a working pharmacist in the central hospital pharmacy Dr Reed has worked in all aspects of medication including compounding, IV, TPN, and medication order completion. As part of an urban hospital team Dr. Reed is involved in the day to day patient status and Opioid use as it relates to health conditions and care. He currently serves on the Alumni Association Board and works on continuing education at the UMKC School of Pharmacy.
Samuel Le Church is a solo private practice rural family physician, providing both inpatient and outpatient services. His practice is recognized as a Level 3 NCQA Patient Centered Medical Home. Dr. Church teaches medical students for the Medical College of Georgia and as is on faculty for Northeast Georgia Medical Center Family Medicine residency program, where he is responsible for the coding and practice management curriculum. In addition to speaking and teaching on various coding topics at regional and national conferences, Dr. Church consults for both small practices and health systems on HCC coding, practice workflow, and Chronic Care Management implementation and coding. Dr. Church serves as Alternate Advisor to the AMA CPT Editorial Panel for the AAFP and also serves on numerous quality and compliance advisory groups.
Sandy Giangreco Brown is the Director of Coding & Revenue Integrity at CliftonLarsonAllen, LLP. (CLA) She has more than 28 years of experience in healthcare and medical records management, coding, auditing and compliance in the hospital, outpatient and physician settings. Her areas of specialty include Chargemaster, Rev Cycle, Oncology, OBGYN, General Surgery, E/M & Radiology.
Shannon Cameron brings years of medical revenue cycle experience including chart acquisition, physician and facility coding and billing, A/R management, reimbursement strategies for medical device manufacturers, provider education and CPT and APC /DRG analyses for medical facilities and physician groups across the U.S. Her expertise covers all areas of billing and reimbursement across multiple specialties.
Shannon DeConda has been in the healthcare industry for over 20 years with experience from working in a physician practice, to providing healthcare as a respiratory therapist, to working as a biller & coder, to now providing medical audit investigations and educating others in this process. Ms. DeConda founded NAMAS, the National Alliance of Medical Auditing Specialist, 8 years ago while working as a senior auditor for its parent organization DoctorsManagement. At the time, there were no national certification organizations validating the medical auditor, so she founded NAMAS and established the CPMA (Certified Professional Medical Auditor) certification and began a grassroots effort to education and certify professionals (through a partnership arrangement the credential is now offered through another certifying body). NAMAS is committed to training medical auditors and investigators, but we are also committed to the continued education of those auditors and investigators in the industry by ensuring that myths and legends about the rules and guidelines are separated from the facts. The pursuit that Ms. DeConda is focused on for NAMAS is standardization of processes and efforts with investigations and audits as well as working to provide full and comprehensive interpretations of guidelines and policies in an otherwise ambiguous and ever-changing industry
Sheri Poe Bernard, CPC, CRC, CDEO, CCS-P has developed medical coding curricula and referential material for more than 25 years. She is an expert communicator of coding concepts. Bernard is a risk adjustment consultant as well as a freelance writer and educator. She is the author of Risk Adjustment Documentation and Coding and Netter's Atlas of Surgical Anatomy for CPT Coding, published by the AMA in 2018 and 2015 respectively, and the AMA's annual ICD-10-CM Chronic Disease Cards. She previously was vice president of clinical coding content at AAPC. Prior to joining AAPC as an employee, she served on its National Advisory Board for eight years and on the executive team of that board for four years. For 15 years, she created clinical coding products at Optum360, where she developed a love for the International Classification of Disease. She is a frequent national speaker on topics including anatomy and pathophysiology, coding and documentation, and risk adjustment coding.
Stephani has over 25 years’ experience in the healthcare industry working closely with physicians and staff in Health Information Management. Stephani has worked in a variety of settings including: Hospital, Long-term care, large multi-specialty physician practice, and Electronic Health Record software design and development. Stephani was also a part owner of a consulting company for many years providing services in best practices for physician practice management services including coding and documentation audits, compliance, and revenue cycle management. She has extensive experience in inpatient and outpatient auditing and coding compliance. Throughout her career Stephani, has enjoyed teaching Evaluation and Management Coding, Compliance, and EMR utilization to many physicians and staff locally as well as nationally.
Stephanie Sjogren works with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining ConnectiCare, she performed provider audits and education at a women's healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to be compliant with CMS’ rule and regulations.
Steven worked both the payor and provider sides. On the insurance side, he was a claims fraud adjustor and is currently the assistant director of the medical billing. He develops bill adjudication methodologies and strategies for internal rules and litigation defense support, including certifications. On the provider side, he owned 3 billing companies, managed a law firm and pursued insurance carriers on the underpaid/unpaid bills.
Susan Roelant has over 17 years of experience in physician coding, auditing, revenue cycle and consulting. She is currently a Clinical Documentation Educator for Team Health. She has done IRO work as well as created education modules on the documentation requirements to support evaluation and management services.
Ms. Hauptman is the Director of Compliance Auditing for the Cancer Treatment Centers of America. She has spent many years educating physicians, advanced practice providers and coders around documentation principles, auditing, and providing an excellent patient experience. She is active with the AAPC having been on the Board of Directors for local chapters as well as the National Advisory Board, and an officer for the local chapters. She is also the Senior Principal for ACE Med Group specializing in auditing and assessments, coding and compliance, and education, expert testimony, editing and writing.
Shalonda P. Holmes is currently the Hospital Coding Manager at the Medical University of South Carolina. She has over 10+ years of service within the Revenue Cycle Include billing, claims, and coding. She is a graduate of Francis Marion University of SC where she received her Bachelors in Business Management and University of Phoenix where she received her Masters in Health Administration and informatics.
Stacy is a partner at Spencer Fane LLP where she counsels clients regarding regulatory compliance, healthcare reimbursement, and privacy and cybersecurity. Stacy assists healthcare providers and insurance companies in navigating complex requirements including HIPAA, Stark, Anti-Kickback, Medicare Conditions of Participation, corporate practice doctrine, state licensure, and state data laws. She is a certified professional coder and former compliance officer. Stacy is a former National Advisory Board member and currently serves on AAPC’s Legal Advisory Board.
Tyler Griffeth has been employed as a Coding Consultant for Intermountain Health Care for over 10 years. During that time he has written coding recommendations,devised best practices across numerous specialties and presented to hundreds of Physicians,management teams and their staff regarding coding audits, guidelines, and updates. He recently graduated from Gonzaga University with a Master’s Degree in Organizational Leadership. He holds two National Coding Certifications with the AAPC. He has held his Certified Professional Coder (CPC) certification for the last 10 years and also has a Plastics and Reconstructive Surgery Coding (CPRC) Certification.
Timothy P. Blanchard practiced health care law for 20 years as a member of the top-ranked health care practice of a leading international law firm in Los Angeles, and in 2009 formed his own firm to focus on health care issues. His practice comprises health care regulatory issues, including Medicare and Medicaid coverage, billing and payment; fraud and abuse audits and investigations, and health care compliance programs; managed care, including Medicare Advantage issues; clinical trials billing and compliance; electronic health records and HIPAA privacy; certification, licensing, and enrollment; and medical necessity and utilization review. The firm’s clients, located throughout the nation, are health care providers ranging from large healthcare systems and teaching institutions to specialty physician groups and individual providers.
Tim frequently speaks and writes on health care reimbursement, regulatory and false claims issues. Tim is active in the American Health Lawyers Association, which has elected him a Fellow of the Association. He served as chair or co-chair of AHLA’s Annual Institute on Medicare and Medicaid Payment Issues from 2006 to 2013, and served two terms on the AHLA Board of Directors (2001-2007). Tim is a Fellow of the Healthcare Financial Management Association and serves on the Legal Advisory Committee of the American Academy of Professional Coders.
Tim has consistently been ranked as a leading lawyer in health law in such guides as The Best Lawyers in America. Blanchard Manning LLP has been designated a Best Law Firm in Health Law (Seattle, Tier 1), 2015, and Tim has twice been designated Best Health Care Lawyer, Seattle region (2011, 2018).
Tim received the Bachelor of Science degree, with honors, from Oklahoma State University in 1982. He participated in the Saint Louis University School of Law Joint Degree program, and was awarded the Juris Doctor, cum laude, and the Master of Health Administration in 1986. Tim is admitted to the State Bar of California, the State Bar of Washington, and the District of Columbia Bar.