Summary
Overview
Work History
Education
Skills
Timeline
Generic

DANIELLE FRONTANI

Avenel,NJ

Summary

OBJECTIVE: To obtain a position in a challenging field where my experience and ability will offer an opportunity for learning and growth.

Overview

15
15
years of professional experience

Work History

Senior Outpatient Auditor

Northwell Health
Long Island, NY
07.2022 - Current
  • Conduct monthly audits on outpatient coders to ensure accuracy of diagnoses and procedure codes assigned.
  • Provide educational support and guidance on the proper use of CPT and HCPCS codes as needed.
  • Built effective working relationships with internal departments by providing input on coding challenges faced by the organization.
  • Participate in meetings focused on developing best practices around outpatient coding processes.
  • Educate healthcare staff on coding standards and changes in coding guidelines.
  • Support external audits by providing coded data and documentation, as requested.
  • Perform preliminary audits for new hire coders throughout the Northwell Health system for various sites and multi-specialties as it relates to complex coding for Compliance and Reimbursement purposes for Pre-bill review and monthly post bill. Advise on the impact of coding decisions on reimbursement and compliance.

Auditor/Denial and Appeals Specialist- Ambulatory

Northwell Health- Centralized Coding
Lynbrook, NY
10.2015 - 07.2022
  • Provided instruction to internal ASU coding staff for errors encountered in ASU denials.
  • Re-trained/educated ASU coders remotely to ensure quality and understanding of coding guidelines for errors encountered in monthly audits, and respond to rebuttals from coders in a timely manner, providing additional education when necessary.
  • Analyzed ambulatory denials and fixed any coding errors to ensure accurate reimbursement.
  • Assigned CPT-4 codes to ASU downgrades and distributed work for Cardiac Downgrades Remote/Onsite Medical Records Coder.
  • Coded and abstracted ambulatory, endoscopy, and ER encounters as needed.

Outpatient Coding Specialist

Ochsner Health System
New Orleans, LA
02.2019 - 04.2021
  • Assigned appropriate ICD-10 codes based on diagnosis, procedures, services rendered and other information in the patient record.
  • Assigned appropriate facility and professional CPT codes for multiple specialties.
  • Assigned E/M levels for various professional specialties.
  • Educated providers on correct documentation requirements that support medical necessity criteria.
  • Tracked provider compliance with regulatory requirements through ongoing monitoring activities.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.

Remote Ambulatory Coder

Lenox Hill- Northwell Health
New York, NY
09.2011 - 10.2015
  • Coded and abstracted Ambulatory and Endoscopy encounters, while maintaining 95% accuracy.
  • Assisted in coding Ambulatory encounters for Manhattan Eye and Ear Infirmary.
  • Completed 5-9 Ambulatory/Endo charts per hour.
  • Reviewed Ambulatory coding discrepancies for Lenox Hill and MEETH for Patient Accounts.
  • Queried Physicians for documentation accuracy to ensure compliance with coding guidelines.
  • Assisted in training new ASU coders to ensure quality and understanding of coding guidelines.

Remote Physician Coder

Brooklyn Family Multi-Practice
Brooklyn, NY
09.2011 - 09.2015
  • Assigned diagnostic and procedural codes in accordance with coding principles and established guidelines.
  • Analyzed provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code.
  • Verified and/or requested documentation to support compliance.
  • Monitored, researched and corrected claim denials within health plan requirements and documented any trends with which to follow-up.

Physician ER Coder

Continuum Health Partners, Inc
New York, NY
05.2010 - 09.2011
  • Emergency Room Coding for Physicians (Long Island College Hospital).
  • Engaged in selection of E/M codes and diagnosis codes for claims.
  • Assigned procedure codes according to CPT description and documentation.
  • Coded 150+ claims per day using ICD-9-CM and CPT-4 codes.
  • Assisted in coding for Kings Highway Hospital (Beth Israel).

Coder

The New York Eye & Ear Infirmary
New York, NY
09.2009 - 12.2010
  • Clinical and Ambulatory Coding for ENT and EYE Services for Hospital Reimbursement
  • Reimbursement research and compliance with federal and state regulations.
  • Usage of ICD-9, CM and CPT classification systems.
  • Analyzed and reviewed records for completeness.

Education

ICD 10 Certificate -

AAPC
12.2015

CPC Certification -

AAPC
12.2008

Certificate in Out Patient Coding -

Roxbury Institute
06.2008

Certificate in DRG Coding -

Roxbury Institute
09.2008

Skills

  • 3M, 3M 360, Optum 360 Ecac, Epic, Invision, HDM, E-Abstract, Alpha Systems, Sunrise, Huron Healthcare, Health Matics, EM-STAT, Microsoft Excel, Microsoft Power Point, Microsoft Word, and allstandard office Equiptment
  • CPT, ICD-10, ICD-9, Quality, Production Coding, Coding Instruction, Research, Proficiency in General Surgery, ENT, Eye, GYN, Ortho, Plastics, Urology, Vascular, GI/Endo, Respitory, and Integumentary

Timeline

Senior Outpatient Auditor

Northwell Health
07.2022 - Current

Outpatient Coding Specialist

Ochsner Health System
02.2019 - 04.2021

Auditor/Denial and Appeals Specialist- Ambulatory

Northwell Health- Centralized Coding
10.2015 - 07.2022

Remote Ambulatory Coder

Lenox Hill- Northwell Health
09.2011 - 10.2015

Remote Physician Coder

Brooklyn Family Multi-Practice
09.2011 - 09.2015

Physician ER Coder

Continuum Health Partners, Inc
05.2010 - 09.2011

Coder

The New York Eye & Ear Infirmary
09.2009 - 12.2010

ICD 10 Certificate -

AAPC

CPC Certification -

AAPC

Certificate in Out Patient Coding -

Roxbury Institute

Certificate in DRG Coding -

Roxbury Institute
DANIELLE FRONTANI