Medical billing and coding specialist that has over 15 years of experience in healthcare reimbursement, coding, and compliance, with a focus on education, government regulations, electronic health record development and implementation, and healthcare management. The expert has prior experience providing services as a medical billing and coding expert witness, with work grounded in health information management, coding practices, and regulatory compliance within healthcare systems. Their experience includes inpatient and outpatient medical coding, claims processing, and use of ICD-10-CM/PCS, CPT, and DRG coding systems.

Their technical experience includes performing data quality reviews to validate coding accuracy, evaluating clinical documentation for completeness and consistency, and identifying coding errors through claims analysis. This work also includes supporting coding practices and ensuring compliance with federal and state laws, regulations, and standards related to health information and coding principles. Additional experience includes development of healthcare reimbursement and compliance training curricula, implementation and management of electronic health record systems, and establishment of medical coding and billing departments.

Their professional background includes involvement with healthcare consulting, healthcare administration, and health system organizations, where they have developed and implemented healthcare reimbursement and compliance training programs and managed medical coding and billing operations. Additional experience includes work with government agencies, health insurers, consulting firms, and healthcare systems, supporting healthcare compliance, coding practices, and reimbursement processes. Their work also includes evaluating coding practices, supporting coder education and training, and monitoring health information management systems for data quality, confidentiality, and regulatory compliance.

Educational credentials include a Bachelor of Science in Business System Analysis and an Associate of Applied Science in Health Information Management, along with certification as a Coding Specialist. Credentials include Registered Health Information Technician, Certified Professional Coder, Certified Professional Coder-Instructor, and designation as an AHIMA ICD-10-CM/PCS approved trainer.