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Lori Carlin

CPC, COC, CPCO, CCS, CRC

Principal

HIGHLIGHTS
  • 25+ 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 25 years of experience in healthcare operations, consulting, coding and auditing, quality assurance, and training.  She specializes in provider professional coding and compliance audits, as well as education for providers, staff, academic centers, and FQHC/RHC organizations.  She has advanced expertise in ICD-10-CM, CPT/HCPCS, modifiers, and coding conventions for multi-specialty Evaluation and Management and surgical services.  Her strong understanding of electronic medical records and operational systems allows her to help clients improve accuracy, efficiency, and compliance across all areas of their practices.

Most recently Lori has served as part of an Independent Review Organization (IRO) and as a subject matter expert for critical care and Evaluation and Management reviews.  In addition to her consulting work, she contributes thought leadership to Pinnacle Healthcare Consulting’s website and provides insights on medical coding, documentation, and compliance best practices to numerous industry publications and healthcare conferences.