Barbara Aubry Email and Phone Number
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Barbara Aubry personal email
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RN regulatory analyst, ICD 10 translation expert (lead team member translating CMS NCD policies to ICD 10), coder, auditor, business analyst, writer, blogger, content development, revenue cycle, medical necessity compliance, documentation improvement, case management, utilization review, quality improvement, strategic thinker, knowledge base expert, SME, project manager, client advocate, problem solver, Six Sigma trained. Experienced in:Translation of medical contracts/forms and policies from ICD 9 to ICD 10•Creation of data and logic for healthcare compliance, claims and reimbursement systems•Experience working with software development teams•Book and article(s) author and speaker – topics include health care reimbursement, medical necessity compliance, utilization and quality, managed care, Chargemaster, coding and regulations, utilization and case management, consumerism and transparency•Analysis of complex payor regulations for utilization, risk, compliance, quality and reimbursement necessary to create logic for healthcare IT products •HCC auditor and coder•RADV/RAPS auditor•Knowledge of RAC compliance and PQRS requirements•Certified healthcare compliance and quality expert•Certified ICD-10 Professional Coder (CPC)•Physician educator•Documentation improvement specialist•Case manager•Utilization manager•Appeals/denials management •Medical record auditing for compliance and coding•Created and managed a new peer review and medical necessity auditing team for a privately owned company that grew from 0 dollars to $2 millionInterest: creation of custom content, writing, consulting, auditing, managed care, (EHR, EMR. IS), PPC and PPR edits, RAC reviews, coding and auditingCertifications: Registered Nurse (RN), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Healthcare Quality Management (CHQM), Fellow, American Institute for Healthcare Quality (FAIHQ)
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VolunteerDoodle Dandy Rescue May 2018 - PresentDallas Texas
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Regulatory Analyst And 3M His Award Winning Blogger3M Health Information Systems Jan 2002 - PresentFor the second year in a row, Healthcare IT Leaders has named the 3M HIS blog as one of the industry's best healthcare IT blogs. I am proud to be one of the 3M bloggers and hope you visit our blog @ http://3mhealthinformation.wordpress.com/category/medical-necessity/.I monitor and analyze industry regulations and trends and translate that information into actionable product improvements. I am fluent in ICD-9, CPT, HCPCS, ICD 10, PQRS,HCC. RAC, MAC, MIC and ZPIC. I translate medical necessity and regulatory documents from ICD 9 to ICD 10, See http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html. Using my clinical, coding and regulatory skills, I create and maintain core data and provide guidance for development of new data, edits and products. I am also an active blogger and author of articles published in multiple industry journals. -
ConsultantHealth First 2002 - 2010Audited and correctly coded inpatient hospital and outpatient clinic, PT, ED and provider medical records for validly of ICD, CPT, DRG and HCC assignment. Audits resulted in millions of dollars of increased revenue for the health plan. -
Managing Clinical EditorPersonal Path Systems Mar 2000 - Nov 2001Managed on-site writing and editing staff and contract writers for one of the first web based personal health records sites. Supported education of non clinical writers, worked with phsician advisors to vet content. Supported staff to meet 100% of content deadlines. Created and managed clinical editorial calendar and contributed to the research, writing, editing and management of 300+ online clinical articles.
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Utilization ManagerIndependent Health Apr 1999 - Apr 2000Managed registered nurse case managers and administrative utilization staff for the utilization management department of an independent HMO in Westchester County, New York. Worked directly with medical director and specialty physician panels to create utilization and medical necessity policies for the HMO. Assigned appropriate ICD, CPC and HCPCS codes to the policies for use in the claims system. Supported the department director and team in the choice of a new case management software system. Supported and taught staff use of new system. Personally reviewed high dollar claim denials and appeals. Worked with medical director, providers, Department Of Insurance and legal staff toward accurate appeals resolution. Position included significant interaction with the claim system and data bases. -
Clinical Nurse LiaisonMagellan Specialty Health (Subsidiary Magellan Behavioral Health) Jun 1997 - Apr 1999Coding and compliance nurse auditor working with commercial payers to identify and review services reported on claims that potentially did not meet coding and medical documentation requirements. Acted as coding and documentation expert in concert with specialty peer review physicians, to determine if medical records supported coded services. Conducted extensive one-on-one physician and staff coding support and education based on AMA and specialty society requirements. Hosted and spoke at large physician specialty group meetings to teach coding and documentation improvement strategies. Position required frequent query of multiple payer claim systems and data bases and high proficiency with audit software.
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Director, Audit And Peer ReviewClaim Stat 1992 - 1997Created an audit product that resulted in a two million dollar ($2,000,000) revenue stream for a small privately owned company. Managed registered nurse reviewers and administrative staff. Recruited and trained physician peer reviewers. Educated staff, physicians and customers on coding and clinical documentation standards. Marketed product to PIP and worker's compensation payers. Spoke at conferences on medical necessity and clinical documentation requirements.
Barbara Aubry Skills
Barbara Aubry Education Details
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Professional Nursing -
Marketing
Frequently Asked Questions about Barbara Aubry
What company does Barbara Aubry work for?
Barbara Aubry works for 3m Health Information Systems
What is Barbara Aubry's role at the current company?
Barbara Aubry's current role is Volunteer at Doodle Dandy Rescue.
What is Barbara Aubry's email address?
Barbara Aubry's email address is baubry@3m.com
What schools did Barbara Aubry attend?
Barbara Aubry attended Bergen Community College, Fashion Institute Of Technology.
What are some of Barbara Aubry's interests?
Barbara Aubry has interest in Children, Economic Empowerment, Education, Disaster And Humanitarian Relief, Health.
What skills is Barbara Aubry known for?
Barbara Aubry has skills like Healthcare Information Technology, Healthcare, Managed Care, Medical Coding, Ehr, Hospitals, Strategic Planning, Healthcare Management, Emr, Process Improvement, Leadership, Revenue Cycle.
Who are Barbara Aubry's colleagues?
Barbara Aubry's colleagues are Daniele Battagion, Joy Arends, Jingwen Li, Aleksandra Szymanowicz, Patrick Mechelke, Eduarda Cruz, Shawn Crosby.
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Barbara Aubry
United States
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