Lori brings over 25 years of experience in healthcare operations, consulting, coding and auditing, edit and denial management, quality assurance and training support. Lori specializes in provider coding and compliance, leading large-scale coding and audit initiatives and providing oversight and education for providers, staff, academic centers and FQHC/RHC organizations.
With over two decades in management and operations more than 25 years dedicated to coding and compliance audit and education, she has developed advanced expertise in ICD-10-CM, CPT/HCPCS, modifiers, and coding conventions for multi-specialty Evaluation and Management and surgical services. Her dep understanding of electronic medical records and operational systems enables her to help clients strengthen compliance, improve documentation accuracy, and enhance overall efficiency. Most recently Lori has served as part of an Independent Review Organization (IRO) and 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.
Lori is highly proficient in coding system training and has utilized leading software platforms to develop regulatory guidance tools and professional education materials focused on coding and documentation improvement. She has extensive experience performing comprehensive professional-fee coding and compliance audits for provider groups, academic medical centers, and health plans across a wide range of settings – including multi-specialty inpatient, outpatient, resident teaching facility, FQHC/RHCs, telehealth and emergency departments. Her background also includes in-depth knowledge of CMS, commercial carrier, and worker’s compensation regulations and guidelines. Known for her strength in compliance and auditing of coders and physicians, Lori is an accomplished physician educator who effectively engages with leaders, peers, and clients. She is highly motivated, dedicated, and goal-oriented toward advancing organizational strategy and performance.
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