Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tara Rose Conte

Wolcott

Summary

Accomplished healthcare compliance and auditing professional with more than 35 years of progressive experience in coding compliance, professional auditing, provider education, documentation integrity, reimbursement accuracy, risk adjustment, and regulatory compliance. Recognized as a trusted advisor to physicians, residents, leadership teams, and coding professionals, with a proven ability to improve documentation quality, strengthen compliance performance, reduce audit risk, and protect organizational revenue.

Subject Matter Expert in CPT, ICD-10-CM, HCPCS, E/M auditing, HCC risk adjustment, CMS regulations, documentation integrity, and coding compliance. Extensive experience translating complex regulatory requirements into practical, actionable guidance that enhances provider performance and supports compliant reimbursement.

Proven record of organizational impact through provider education, audit program support, workflow improvement initiatives, and identification of revenue opportunities, including recovery of more than $650,000 in lost revenue through audit-driven process improvement.

Known for professionalism, integrity, and the ability to work both independently and collaboratively, fostering strong relationships and effective teamwork across multidisciplinary healthcare teams.

Overview

1
1
Certification
28
28
years of professional experience

Work History

Senior Professional Auditor and Provider Educator

Trinity Health Of New England
Waterbury, CT
05.2011 - Current

Serve as a senior auditing and provider education resource supporting physicians, residents, leadership, and coding professionals in the areas of documentation integrity, coding compliance, reimbursement accuracy, and regulatory compliance. Partner with clinical and operational stakeholders to improve documentation quality, reduce organizational risk, and support compliant reimbursement.

Key Responsibilities:

  • Conduct comprehensive audits of CPT, ICD-10-CM, HCPCS, and E/M documentation.
  • Deliver individualized provider education and feedback based on audit findings.
  • Design and deliver educational programs and training initiatives that improve coding accuracy, documentation quality, and regulatory compliance across multiple specialties.
  • Lead onboarding and competency development programs for new providers and residents.
  • Develop and present educational content aligned with CMS, AMA, and payer requirements.
  • Conduct compliance and documentation risk assessments.
  • Prepare detailed audit reports and recommendations.
  • Collaborate with providers, leadership, and coding teams to strengthen documentation integrity.

Selected Achievements:

  • Recovered $650,000+ in lost revenueby identifying and helping resolve a systemic encounter-processing failure.
  • Improved documentation accuracy for newly onboarded providers through targeted education, training, and competency development initiatives.
  • Reduced coding errors and strengthened compliance performance through audit-driven provider education and corrective action planning

Coding Compliance Specialist

Franklin Medical Group
Waterbury, CT
07.1998 - 05.2011

Oversaw coding compliance, reviewed documentation, educated providers, and supported auditing in a large multi-provider practice. Collaborated with physicians, residents, and leadership teams to enhance coding accuracy, improve documentation quality, and ensure regulatory compliance.

Key Contributions.

  • Performed comprehensive chart reviews to validate E/M level selection, diagnosis coding accuracy, sequencing, and documentation support.
  • Educated providers, residents, and clinical staff on documentation standards, coding guidelines, and compliance requirements.
  • Conducted orientation and onboarding education for newly hired providers and incoming residents.
  • Collaborated with leadership to promote consistent documentation practices and reduce coding variability.
  • Maintained expertise in evolving coding, reimbursement, and regulatory requirements affecting physician services.

Education

Bachelor of Arts - Economics/Finance Minor in English

Albertus Magnus College
New Haven, CT

Skills

    Compliance & Auditing

  • Professional Fee Auditing
  • CPT, ICD-10-CM, HCPCS Validation
  • E/M Auditing
  • HCC & Risk Adjustment Auditing
  • Documentation Integrity Reviews
  • Revenue Cycle Compliance
  • CMS, AMA, HIPAA Compliance
  • Internal Audit Programs
  • Regulatory Risk Assessment
  • Corrective Action Planning
  • Provider Education & Documentation Excellence

  • Provider and Resident Education
  • Clinical Documentation Improvement (CDI)
  • Onboarding & Competency Development
  • Curriculum Development
  • Audit-Based Education
  • Documentation Clarification
  • Physician Engagement
  • Clinical Communication
  • Provider Performance Improvement
  • Revenue Integrity & Analytics

  • Revenue Recovery Initiatives
  • Claims Review
  • Reimbursement Validation
  • Error Rate Reduction
  • Denial Prevention
  • Trend Analysis
  • Audit Reporting
  • Revenue Optimization Strategies
  • Technology

  • Epic
  • TogetherCare
  • Healthicity
  • Electronic Medical Records
  • Learning Management Systems (LMS)
  • Audit Reporting Platforms
  • Digital Documentation Systems

Certification

PROFESSIONAL CERTIFICATIONS

  • CMCS – Certified Medical Coding Specialist
  • CFPCS – Certified Family Practice Coding Specialist
  • CPEDCS – Certified Pediatric Coding Specialist
  • CEMAS – Certified Evaluation & Management Auditing Specialist
  • CPMAS – Certified Professional Medical Auditing Specialist

PROFESSIONAL MEMBERSHIPS

  • PAHCS – Professional Association of Health Care Coding Specialists
  • NAMAS – National Alliance of Medical Auditing Specialists
  • AAPC – American Academy of Professional Coders

PROFESSIONAL RECOGNITION

  • Archbishop Award for Integrity, Trinity Health of New England / St. Mary's Hospital (2013)
  • Who's Who Among Executive Women (2007)
  • Dean's List
  • Tau Pi Phi Honor Society

Timeline

Senior Professional Auditor and Provider Educator

Trinity Health Of New England
05.2011 - Current

Coding Compliance Specialist

Franklin Medical Group
07.1998 - 05.2011

Bachelor of Arts - Economics/Finance Minor in English

Albertus Magnus College
Tara Rose Conte