Dana Levine-Gelber
Plainview
Summary
Certified Professional Coder and Doctor of Chiropractic with expertise in educating and consulting physicians on reimbursement, documentation, and compliance. Able to bridge medical knowledge and coding proficiency to improve financial health and operational efficiency of healthcare practices.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
The Coding Network
06.2018 - Current
- Independent Contractor for many clients in all facets of coding, including but not limited to Rheumatology, Endocrinology, Pediatrics, Chiropractic, Family Practice, Internal Medicine, General Surgery, Orthopedics, Behavioral Health, ENT, Infectious Disease, Physical Therapy, Urology, GI, ED, Radiology in all settings
- Experience in most EMR’s, such as EPIC, Allscripts, Athena, Centricity, Cerner, PowerChart, NextGen, Dr. Chrono, ASOBGYN, MEDENT, and ECW
Director of Coding
PM Pediatric Care
07.2017 - Current
- Implemented artificial intelligence (AI) coding for all payers within our organization (95+ locations, 14 states) with an outside vendor. Trained the company’s software extensively for 6 months to code at a 98% accuracy rate
- 13+ years of multi-specialty, CPT, ICD-10 (since implementation), and HCPCS coding experience
- Lead, mentor, and motivate two offshore coding teams and our onshore coding professionals in a high-volume environment
- Lead daily claims operations, productivity goals, system updates and efficiencies, payer updates, and maintain constant integrity of claims
- Experience with Business Process Outsourcing (BPO) for our coding denials
- Provide all training and education for our providers on coding, guidelines, and upcoming changes
- Lead and built a team of coders and continue to provide extensive training on the new coding guidelines to keep an accuracy rate of at least 98%
- Collaborate with leadership to develop department goals, policies, and procedures that align with organization objectives
- Provide live Q&A through Microsoft Teams for coding related matters for all staff
- Review all high acuity claims with my team to ensure accuracy while providing training on those specific illnesses and injuries
- Promote ongoing growth and encouragement for our coding team
- Run extensive data analysis reports in our EMR on coding trends and deficits to try to avoid possible areas of vulnerability
- Generate reports on coding productivity, accuracy, and financial impact for leadership review
- Advanced level experience in Microsoft Word, Excel and PowerPoint
- Create coding tools and education sheets for all coders and providers to stay consistent
- Extensive knowledge of telemedicine coding for all states/payer mixes
- Discuss weekly goals with my team which includes daily quotas, team building, and Q&A of any claims questions or concerns
- Provide one on one training with all providers when needed as well as meet with all new providers during the onboarding process
- Created the PM Pediatric Care Compliance Policy Manual for coding, including quarterly internal audits for all providers to consistently meet departmental standards and goals
- Created a streamlined audit process consisting of different case modules for all providers to maintain accuracy and compliance
- Maintain strong interdepartmental relationships with our Business Intelligence team, RCM team, CFO/CMO/COO, and Informatics team to consistently work on improvement of claims performance and processes
- Successful appeals process for several UHC payers post pandemic which resulted in zero overpayments
- Lead the Philanthropic Partnerships group for our DE&I program
- Conduct a yearly coding webinar for UCLA’s Primary Care Pediatric Nurse Practitioner Clinical Practicum
Owner, Provider, Documentation and Coding, RCM
Gelber Family Chiropractic
07.2009 - Current
Department Coding Reimbursement Coordinator for the OBGYN Service Line
Northwell Health
08.2013 - 07.2017
- Evaluate medical records for inaccurate or missing documentation
- Provide hands-on training and webinars to educate physicians, focusing on compliance and regulatory guidelines
- Conduct internal audits to ensure proper documentation and coding
- Claims Scrubbing to identify and correct improper coding
- Review denials and correct claims for resubmission
- Avoid under coding, over coding, unbundling and incorrect modifier usage
- Ensure “Incident to” services have been properly provided and billed correctly
- Identify missed opportunities to capture lost revenue
Owner, Administrative Director, Chiropractor, Documentation/Coding Review
Massapequa Pain Mgmt. & Wellness Center
03.2010 - 07.2013
Education
Certified Professional Coder
American Academy of Professional Coding
01.2013
Doctor of Chiropractic - undefined
Palmer College of Chiropractic Florida
03.2009
Bachelors of Science - Biology
University of South Florida
06.2004
Skills
- Artificial intelligence application development
- Efficiency enhancement
- Knowledge of HIPAA compliance
- Proficient in medical terminology
- Compliance with regulatory guidelines
- Expertise in anatomy and physiology
- Organizational growth
- Continuing education commitment
- Clinical documentation review
- HIPAA compliance awareness
- Diagnostic coding accuracy
- Analytical decision-making
- ICD-10 proficiency
Certification
CPC- Certified Professional Coder
COBGC- Certified Obstetrics and Gynecology Coder
CEMC- Certified Evaluation and Management Coder
CPMA- Certified Professional Medical Auditor
BH Certification- Behavioral Health Coder
Doctor of Chiropractic
Timeline
Certified Professional Coder
The Coding Network
06.2018 - Current
Director of Coding
PM Pediatric Care
07.2017 - Current
Department Coding Reimbursement Coordinator for the OBGYN Service Line
Northwell Health
08.2013 - 07.2017
Owner, Administrative Director, Chiropractor, Documentation/Coding Review
Massapequa Pain Mgmt. & Wellness Center
03.2010 - 07.2013
Owner, Provider, Documentation and Coding, RCM
Gelber Family Chiropractic
07.2009 - Current
Doctor of Chiropractic - undefined
Palmer College of Chiropractic Florida
Bachelors of Science - Biology
University of South Florida
Certified Professional Coder
American Academy of Professional Coding
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