Cynthia Gautreau
CPC
Irvington,AL
Summary
Accomplished Compliance Medical Auditor at Infirmary Health Systems, adept in CPT, ICD-10 and HIPAA compliance. Enhanced billing accuracy and compliance through meticulous audits, fostering collaboration with healthcare professionals. Leveraged problem-solving skills to identify billing discrepancies, contributing to cost savings. Recognized for attention to detail and effective communication, ensuring improved patient care quality and safety.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Compliance Medical Auditor
Infirmary Health Systems
07.2003 - Current
- Provided support during external audits conducted by governmental agencies or third-party payers, ensuring timely completion and submission of required documentation.
- Collaborated with healthcare providers to ensure accurate documentation for improved patient care quality and safety.
- Contributed to cost savings by identifying areas of potential overbilling or underbilling in medical claims processing.
- Clarified complex medical coding concepts for non-clinical staff members, providing necessary context to improve understanding of relevant guidelines.
- Enhanced the accuracy of medical billing by thoroughly auditing patient records and identifying discrepancies.
- Improved overall compliance by conducting regular audits of coding practices and providing recommendations for improvement.
- Established strong working relationships with physicians and other healthcare professionals to facilitate open communication channels regarding best documentation practices.
- Prepared working papers, reports and supporting documentation for audit findings.
Education
Medical Certification - Coding And Auditing
AAPC
Salt Lake City, UT07-2008
Skills
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Clinical documentation
- Regulatory research
- Auditing techniques
- Compliance monitoring
- Medical coding
- Certification maintenance
- Medicare guidelines
- Teamwork and collaboration
- Attention to detail
- Problem-solving abilities
- Multitasking
Accomplishments
- Documented and resolved several coding issues which led to complete understanding to providers about Government guidelines.
Certification
CPC - Certified Professional Coder.
Work Type
Part TimeWork Location
RemoteTimeline
Compliance Medical Auditor
Infirmary Health Systems
07.2003 - Current
Medical Certification - Coding And Auditing
AAPC
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