Cyndi Smith
Brownsburg,IN
Summary
Thorough Compliance Auditor with over 10 years of hands-on experience in coding and compliance auditing. Highly organized individual with strong attention to detail. Strong analytic skills coupled with clear communication and documentation in medical records. Detailed report preparation for individual department heads and broad summary reports for the Compliance Committee.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Coding and Compliance Auditor
Axia Women's Health
Carmel, Indiana
06.2013 - Current
- Perform over 25 compliance audits per month including audits of fee-for-service Medicaid providers
- Analyze all audit results and resolve all compliance issues
- Prepare reports and supporting documentation for audit findings
- Conduct regular follow-up audits to verify that previously identified issues were effectively resolved or mitigated
- Collaborate with cross-function teams to ensure timely implementation of correcting actions, mitigating potential compliance issues
- Perform OIG work plan audits including analyzation of audit results, preparing reports and implementing training based on audit findings.
Education
Associate of Science: Medical Billing and Coding -
MedTech College
06.2013
Skills
- CPC, CPMA and CBOGC certified with 11 years of experience in coding and auditing
- Extensive experience with establishing and implementing provider auditing protocols, policies and procedures based on State and Federal Law including Indiana Medicaid program requirements
- Expert experience and knowledge of creating and implementing provider training for documentation compliance based on State and Federal law, CMS requirements and OIG compliance
- Supported the development of company-wide policies and procedures in alignment with industry standards and legal requirements
- Maintain up to date knowledge of regulatory changes affecting the business landscape proactively adapting audit strategies as needed
- Outstanding risk assessment skills
- Strong computer skills
- Data Analytics
- Regulatory knowledge
- Industry Expertise
- Fraud identification
Certification
- CPC, Certified Professional Coder
- CPMA, Certified Professional Medical Auditor
- COBCG, Certified Obstetric Gynecology Coder
Timeline
Coding and Compliance Auditor
Axia Women's Health
06.2013 - Current
Associate of Science: Medical Billing and Coding -
MedTech College
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