Jodi Nayoski

CPC-I, CCS-P, CHC, CDIP

Director

Jodi Nayoski

San Diego, CA

630-890-5079
jnayoski@askphc.com

Jodi joined Pinnacle as a Managing Consultant (Director) of Professional Services, and brings more than 19 years of healthcare leadership experience to the Pinnacle team. Her expertise is extensive including consulting and management for a wide variety of provider types. This includes implementing large scale compliance plans for physician groups, physician education, compliance auditing, and development of training curriculum. Jodi’s coding expertise includes: primary care, urgent care, pediatrics, evaluation and management across all specialties, ICD-9-CM and ICD-10-CM coding. And, as a certified coding instructor and experienced compliance auditor, she also teaches physician facilities / staff.

Before Pinnacle Jodi managed ICD-10-CM education, coding, billing and documentation for physicians / professional coding for a national healthcare consulting firm. In this role she managed internal/external ICD-10-CM education implementation that included curriculum development and training facilitation. She also managed / performed all provider education, including post audit results, group trainings and health plan risk adjustment. As the manager of professional coding, she was responsible for overseeing multiple client audits for provider groups, academic medical centers and health plans, analyzing documentation for correct usage of CPT and ICD-10-CM codes, and assisting clients with evaluating reimbursement and denial patterns.

Jodi has also held the position of Senior Coding Analyst at Blue Cross Blue Shield of Illinois. In this position, she managed project implementation of edit disclosure software and composed over 1,800 guidelines for appeal units to handle individual ClaimCheck edit inquiries. In addition, she was responsible for reviewing medical records for appeals denied due to edit system/medical necessity, and ruled whether the denial was upheld or overturned, serving as the main resource for answering all coding inquiries from medical directors / staff.

In her history as an educator, Jodi has instructed students in most specialties of medical coding using her personally developed and unique  educational materials used in alignment with Professional Medical Coding Curriculum (PMCC). She has also developed and delivered many training programs and seminars for local and national healthcare organizations such as the Healthcare Compliance Association (“HCCA”) and the American Academy of Professional Coders (“AAPC”).

Professional Designations and Affiliations:

  • ICD-10-CM Trainer, American Academy of Professional Coders and American Health Information Management Association
  • Certified in Healthcare Compliance, Health Care Compliance Association
  • Certified Coding Specialist- Physician, American Health Information Management Association
  • Certified Professional Coder and Instructor, American Academy of Professional Coders
Highlights
  • Director with over 20 years of healthcare leadership experience
  • Has worked with a wide variety of provider types in various capacities
  • Expertise includes implementation of large scale compliance plans
  • Develops educational tools and curriculum for medical coding
  • Facilitates courses, programs and seminars as a certified instructor