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.
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.
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.
Claresia Ross, CPC, CPMA, RHIT, AHIMA approved ICD-10-CM/PCS train the trainer, has more than 18 years of experience working in the Compliance and auditing sector. She is a member of AAPC, NAMAS and AHIMA. She holds a bachelor’s degree in health services administration and an Associate degree in Health Information Technology. Claresia is currently pursuing her master’s degree with the College of St. Scholastica in Health Information Management. Her extensive experience includes coding/billing compliance and reimbursement issues. She has worked in several positions over the years to include Coding Educator, as well as a Compliance Specialist. Her current role consists of working as a Sr. Lead Auditor for Third Party Vendor Corporation. She is responsible for overseeing the Outpatient Professional Audit team as well as providing education to clients/and or coders as it pertains to audit findings, and compliance issues.
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.
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. Pougatsch is a board-certified podiatrist, fellowship trained in diabetic limb salvage, wound care, and reconstructive surgery, clinical instructor of surgery at western university of health sciences. Lectured at national and international conferences. He co-Founded a multi-location, multi-disciplinary wound care surgical group - wound institute of Arizona.
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.
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.
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.
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.
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.
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.
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.
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. Lisa L. 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 revenue integrity. Dr. Campbell received a Ph.D. in Healthcare Administration and is a Certified Professional Coder (CPC) and Certified Outpatient Coder (COC).
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.
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.
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.
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. email@example.com
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.
Robin has over 30 years’ experience in coding, auditing, healthcare management and compliance. She is the CEO of the Association of Health Care Auditors and Educators (AHCAE) and Robin Linker & Associates, Inc. She is an author/educator for the AMA and Past Director of Education and Technical Development for AAPC.
Samuel Le Church is a private practice rural family physician in Hiawassee, GA, where he lives on a small farm with his wife and four children. His practice is recognized as a Level 3 NCQA Patient Centered Medical Home. Dr. Church also serves as Alternate Advisor to the AMA CPT Editorial Panel for the AAFP.
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.
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.
Trevor Wasden, MPH, CPC, is the lead consultant for hospitalist and radiation oncology physician coding at Intermountain Healthcare. He regularly consults, educates, and presents to providers, billing staff, and operational leadership regarding coding guidelines and payer policies. He completed his graduate work in Public Health at the University of Utah.