Melissa Minski
Yaphank,NY
Summary
Compliance and coding leader with 20+ years of experience in revenue integrity, coding quality, DRG/APC validation, audit readiness, and regulatory compliance across academic medical centers, community hospitals, and payer organizations. Expert in CMS, Medicaid, SPARCS, HIPAA, and coding regulations. Adept at bridging compliance, HIM, and revenue cycle operations to strengthen audit outcomes, reduce denials, and ensure regulatory alignment.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Assistant Director, Hospital Compliance
Stony Brook University Hospital
Stony Brook, NY
01.2023 - Current
- Lead compliance operations leveraging HIM and revenue cycle expertise.
- Conduct internal audits, monitor regulatory adherence, and support audit readiness.
- Partner with IT and Revenue Cycle to ensure data integrity and system compliance.
- Develop compliance education for coding, CDI, and operational teams.
Associate Director, Coding & Staff Development
Stony Brook University Hospital
Stony Brook, NY
01.2021 - 01.2023
- Oversaw coding quality, outpatient coding operations, and vendor performance.
- Identified charge capture risks and implemented corrective workflows.
- Revised coding policies to align with CPT/HCPCS and CMS guidelines.
- Served as SME for system testing and regulatory updates.
Associate Director, Staff Development
Stony Brook University Hospital
Stony Brook, NY
01.2015 - 01.2021
- Designed DRG denial tracking database supporting compliance and appeals.
- Standardized system implementations to reduce downtime and improve audit trails.
- Developed coding and CDI training aligned with regulatory requirements.
Assistant Director/Coordinator, Inpatient Coding
Stony Brook University Hospital
Stony Brook, NY
01.2012 - 01.2015
- Managed coding operations, vendor oversight, and audit responses.
- Optimized PwC SMART system for monitoring/reporting compliance metrics.
- Improved coder accuracy through targeted training and documentation review.
DRG Validator
Good Samaritan Hospital
West Islip, NY
01.2008 - 01.2012
- Developed clinical validation program in collaboration with CDI, reducing denials.
- Increased reimbursement by $1M through accurate DRG validation.
- Collaborated with Quality, UM, and CDI to strengthen quality outcomes.
HIM Validator / Auditor
IPRO
Lake Success, NY
01.2004 - 01.2008
- Conducted DRG validation for Medicare, Medicaid, and private payer contracts.
- Performed dispute resolution reviews and HEDIS audits.
- Provided compliance-focused coding education to hospitals and state agencies.
Education
Master of Science - Healthcare Administration
Stony Brook University
Stony Brook, NY05.2024
Bachelor of Science - Health Information Management
Long Island University, CW Post Campus
Brookville, NY05.2004
Skills
- Attention to detail
- External auditing
- Internal auditing
- Industry expertise
- Root-cause analysis
- Continuing education
- Cerner/Oracle
- Solventum (3M)
- PwC SMART
- Trisus/Craneware
- Medhost
- UDS/DataGen
Certification
- RHIA
- CCS
- CCDS
- CHC
Timeline
Assistant Director, Hospital Compliance
Stony Brook University Hospital
01.2023 - Current
Associate Director, Coding & Staff Development
Stony Brook University Hospital
01.2021 - 01.2023
Associate Director, Staff Development
Stony Brook University Hospital
01.2015 - 01.2021
Assistant Director/Coordinator, Inpatient Coding
Stony Brook University Hospital
01.2012 - 01.2015
DRG Validator
Good Samaritan Hospital
01.2008 - 01.2012
HIM Validator / Auditor
IPRO
01.2004 - 01.2008
Master of Science - Healthcare Administration
Stony Brook University
Bachelor of Science - Health Information Management
Long Island University, CW Post Campus
Awards
- HIM Champion Award (2020, 2022)- LIHIMA
- Distinguished Member Award- LIHIMA
- Mentor of the Year- NYHIMA
- HLNY Achievement Award of Distinction Scholarship- 2020