Prod ID: 538Health care providers have a duty to ensure that claims submitted to federal health care programs are true and accurate. This course will help medical coders and auditors work with clinical providers to assess and gather the information needed in documentation to support appropriate code assignments.
3
172 min
$239.00
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Jan HaileyMHL, CMC, CMCO, CMIS, CMOM, CMCA E/M |
Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
This is an intermediate-level course that will help medical coders and auditors work with providers to gather and assess the information needed in documentation to support appropriate code assignments. Consultants, compliance officers, and office managers may also benefit.
Content assumes basic level knowledge of outpatient coding and reimbursement. Access to a current ICD-10-CM code set manual or resource is required for full participation and completion of included clinical scenario exercises.
Comments from past participants:
"The instructor did a great job at presenting the content and explained everything clearly."
"Very informative; I learned a lot! Thank you for all the helpful information."
"Excellent program. This was a great training."