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Lori Carlin

Lori Carlin

CPC, COC, CPCO, CCS, CRC

Principal

HIGHLIGHTS
  • More than 20 years of experience in Professional Coding Operations
    and Revenue Cycle Management
  • Develops/monitors coding staff productivity standards & quality assurance measures
  • Works with a variety of health systems and academic centers
  • Experience with EMR implementation and work queue management

Lori brings over 20 years of healthcare experience to the Pinnacle team including a wide variety of expertise/services including revenue cycle management, coding and auditing, quality assurance, training, operations and litigation support. She specializes in coding, compliance, edit and denial management, with responsibility for large scale coding and audits, oversight and training for providers and staff, as well as reimbursement consulting. Lori has also worked with a wide variety of healthcare clients during her tenure including community, rural and independent hospitals, large/multi-hospital health systems, specialty health service providers and single and multi-specialty medical groups.

She has extensive experience in evaluation and management for both outpatient and inpatient professional services and is certified through the AAPC for professional coding and compliance. Her experience also includes developing and implementing policies and procedures, coding standards and implementing quality assurance programs. Given her depth and breadth of expertise, she is also a regular facilitator and guest speaker at regional and national healthcare coding conferences.