Lolita Ekedi
Dacula,Georgia
Summary
Certified Professional Medical Auditor (CPMA) with over 10+ years of experience in compliance, clinical trials billing, and coding accuracy. Expertise in auditing medical records, identifying compliance risks, and ensuring adherence to federal regulations including CMS and DOJ requirements. Proven ability to design audit tools, improve documentation integrity, and lead quality assurance processes that reduce financial risk and enhance reimbursement accuracy.
Overview
17
17
years of professional experience
2
2
Certification
Work History
Compliance Audit Analyst
Emory Healthcare
08.2024 - 11.2024
- Responsible for monitoring and reviewing various compliance systems, reports and databases including but not limited to Epic, eDisclose, and Open Payments Data to identify and analyze key compliance risks
- Assists with the development of audit structures as well as ongoing monitoring and reviews.
- Performs additional departmental duties, as assigned.
Compliance Analyst, Clinical Trials
Emory University
10.2010 - 08.2024
- Conduct comprehensive audits of clinical trial billing and medical records to ensure compliance with federal regulations and payer requirements
- Serve as sole quality assurance lead, validating all billing determinations and ensuring accuracy across the Clinical Trials Billing Department
- Identify coding discrepancies and compliance risks, providing actionable recommendations to mitigate financial and regulatory exposure
- Designs and implements audit tools conforming to institutional reporting requirements to the Department of Justice
- Partner with cross-functional teams to improve billing processes, strengthen compliance, and enhance documentation integrity
- Deliver detailed audit findings and reports to leadership, influencing corrective actions and policy improvements
- Conducts follow-up reviews to assure ongoing compliance
- Provide subject matter expertise on CPT, ICD-10-CM, and clinical trial billing compliance
- Proficient with EPIC, OnCore, ERMS, and MDAudit systems
Compliance Assistant
Emory Healthcare
07.2008 - 10.2010
- Reviews, retrieves, and prepares medical records for analysis by Emory Healthcare's Compliance Program
- Effectively communicates with medical records departments at both internal and external (nonEmory) facilities
- Performs CPT and ICD-9-CM coding reviews
- Tracks refunds/rebills in physician billing system on accounts modified by compliance analysis
- Proficient with IDX and multiple EEMR systems
Medical Records Clerk
Emory University
03.2008 - 07.2008
- Reviewed, retrieved, and prepared copies of medical records from various Emory and Emory-affiliated medical facilities
Education
Bachelor of Arts (B.A.) - Health/Health Care Administration/Management
University of Phoenix
Phoenix, AZSkills
- Audit Tools Design
- Billing Data Review
- Clinical Trials Billing Reviews
- CMS Correct Coding Accuracy
- Compliance Analyst
- Compliance Reporting
- CPT Physician Coding
- EPIC system
- MDAudit system
- Medical Records Management
- OnCore system
- Process Improvement
- Quality Assurance
- Knowledge of HIPAA and Stark-Law
- Refunds/ Rebills Tracking
Certification
- Certified Professional Medical Auditor (CPMA), 03/2026
- Certified professional Coder (CPC) , 08/2014
Timeline
Compliance Audit Analyst
Emory Healthcare
08.2024 - 11.2024
Compliance Analyst, Clinical Trials
Emory University
10.2010 - 08.2024
Compliance Assistant
Emory Healthcare
07.2008 - 10.2010
Medical Records Clerk
Emory University
03.2008 - 07.2008
Bachelor of Arts (B.A.) - Health/Health Care Administration/Management
University of Phoenix