Highly ambitious executive with background in documentation analysis, public speaking, research and billing operations. Known as subject matter expert in physician education, coding compliance, and staff development and education. Experienced in E/M, behavioral health, pathology, urology, anesthesia, pain management, orthopedics, spinal surgery and dentistry.
Overview
22
22
years of professional experience
Work History
Consultant -Auditor, Provider Education
Cheryl Loper Fimreite - Self Employed
07.2019 - Current
Developed audit plans outlining scope, objectives, and methodologies for effective risk assessment.
Provider multi-specialty documentation audits
Medical Chart and Staff Auditing
New provider documentation and coding analysis.
Developed comprehensive reports outlining findings and recommendations for client presentations.
Respectively presented audit results providing feedback to providers and staff.
Annual Coding Updates Presentations - Provider Education, including new, deleted, revised CPT, HCPCS and ICD10 codes. Explanation and examples of new CMS guidelines for the upcoming year, including updates as they are released through out the year.
Provided cost analysis and fee recommendations for annual new CPT codes.
Provided resources and assistance to RCM staff on coding related claim denials and appeals.
Research for providers on new technology, services and procedures.
Vice President, Coding and Compliance
Integrated Medical Partners
11.2003 - 01.2019
Met with IT, Training, Client Services and OPS departments, and clients, to reduce clinical denial rates
Accomplished ICD10 transition without issue, including preparation, training, and IT implementation
Respectfully educated physicians on compliant documentation practices
Performed initial documentation assessments and ongoing auditing
Effectively managed coding and compliance department budgets
Managed and educated 28 onsite and remote CPCs
Hired, trained, and efficiently managed off-shore coding team
Researched and approved purchase of coding software
Organized and hosted coder CME conferences
Represented at trade shows
Education
Business Management -
Ashford University
Clinton, IA
Medical Assistant -
Concordia College
Milwaukee, WI
Skills
Auditing – Government
Auditing – 3rd Party, Staff, Compliance
CMS/Government Regulations
CPT and ICD10 validation
HIPAA Compliance
MIPS reporting and performance
Experienced in MS One Note, Access, Projects, Smartsheet
Certified Nursing Assistant at UW Hospital, Oncology/Hematology/BMT/Palliative CareCertified Nursing Assistant at UW Hospital, Oncology/Hematology/BMT/Palliative Care