Denise Peffer, Rhia, Cdeo, Cpc, Coc, Chonc Email & Phone Number

Experience & SkillsOver 25 years of progressive healthcare experience resulting in 10 years of expanded hospital coding management experience and systemic continuous revenue cycle improvement projects; Academic Health System consisting of Level 1 Trauma Center, Clinical research, Teaching and Community hospitals, On and Off-Campus Provider-Based clinics, free-standing radiation practice, off-campus surgical practice, and an extensive amount of professional coding practices. Successful at leading onsite and remote Coding teams, providing education and staff development while meeting organizational revenue key performance indicators. Coding expertise in Hospital Ambulatory/Outpatient Coding practices. Experience in Professional Coding, Inpatient Coding and HCC Coding.Extensive knowledge in Hospital Revenue Cycle practices with focus on Hospital Outpatient/Ambulatory services including Patient Access processes, HIM documentation interpretation and needs, Charge capture, integrity and reconciliation processes, Charge Description Master, Coding accuracy, productivity metrics, and monitoring, Claims Edit and Denials resolution requiring extensive knowledge of in ICD-10-CM and PCS, CPT, HCPCs, Revenue codes, Modifier usage, NCCI and MUE methodology, Medicare Regulations including LCD/NCDs needs, Commercial payor policies, billing rules for government and commercial payors. Ability to work independently or collaborative as part of teams with effective communication skills across various levels of organization. Proficient at same applicable skills within Inpatient and Professional Coding. Extensive knowledge of OPPS, MS-DRG, and HCC coding payment models. Computer Assisted Coding, Healthcare Compliance, Regulatory & Auditing, HIM Documentation processes and hospital business operations. Epic Subject Matter Expert, Epic SuperUser, Development of Epic workflow, Software/System testing and implementations projects. Experience with Epic System, 3M 360 Encompass Coding System, McKesson HBI, Siemens, MediTech, eCW, Elektra’s Mosaiq, SoftMed, GE’s CCw, ProVation, KRONOS, Microsoft Suite including SharePoint, Teams, Skype and Zoom communication platforms.