AMY PIERE

Lead compliance audits and provide specialty-specific coding and documentation education to physicians and APCs. Utilize CPT, E&M, modifiers, ICD-10-CM, HCPCS, and payer requirements to conduct internal audits. Collaborate with CMOs to standardize coding practices, conduct orientations and documentation reviews for new clinicians, and respond to coding inquiries from internal and external partners. Monitor Epic work queues to ensure timely charge resolution and support ongoing compliance through education, reporting, and coordination across departments.

Reviewed patient records to ensure accurate coding and billing, collaborated with healthcare providers to clarify documentation, and assigning appropriate codes using specialized software. Maintained strict confidentiality of patient information and actively participated in team discussions to address coding challenges and process improvements. Investigated and corrected rejected or denied claims, and submitted clean claims electronically to secure timely reimbursement from insurance companies.

Verified patient demographics, insurance eligibility, and financial responsibility to ensure accurate billing and reimbursement. Provided financial counseling, coordinated payment arrangements, and facilitated financial assistance. Resolved billing inquiries, corrected account data, and submitted claims. Communicated with providers, payers, and internal teams to address issues, while maintaining strong knowledge of payer policies and building collaborative relationships across departments.