Janice Compton, Cmc, Chts-Pw Email & Phone Number

Austin/Houston, Texas Area

Established and support revenue cycle enhancements for multiple disciplines in the medical community. Medical billing proficiency in Physical and Occupational Therapy, Home Health, Genetic Testing, Medical Devices, Chiropractic, Pain Management, Radiology, Return to Work Programs, Biologics, Pharmacy and Laboratory testing for drug testing, wellness and.

Certified Medical Coding Consultant - Management oversight of medical chart audits to confirm compliance with documentation and billing rules and regulations set forth by CMS, Medicare Administrative Contractor, federal and state laws and regulations.

Prospective and retrospective inpatient and outpatient documentation audits to confirm compliance with documentation and billing rules and regulations set forth by CMS, Medicare Administrative Contractor, federal and state laws and regulations including institutional policies and procedures. Maintains a comprehensive knowledge of ICD, CPT and HCPCS coding.

Results-oriented professional with 20+ years of experience in diverse areas of healthcare management, medical billing/coding, reimbursement management, and claims administration. Adept in revenue cycle management and collections. Exposure to working with ICD-9 codes, medical terminology, and healthcare insurance protocols. Skilled in streamlining business.

Research, analysis, instruction and development of training materials regarding appropriate billing practices for all payor types to support continued employee education.

Development, of a national medical bill review system specializing in the workers' compensation product line implementing effective work units and streamlined workflow process resulting in increased department revenue.