Jodi Diekmann Email & Phone Number

Hopewell, New Jersey

-Responsible for the research and analysis of medical techniques, procedures, and products for the recommendation and the formulation of draft reimbursement policies-Responsible for identifying areas and pursuing solutions where medical policy is not being applied correctly in claim payment outcome-Responsible for staying abreast of all mandates, policy changes, and workflow changes impacting outcomes-Assists with the teams quality assurance and training -Assists other departments in the company with coding, claim processing, and policy related questions

Mt. Laurel, New Jersey

-Drafted arbitration reports to aid client’s defense counsel in arbitration hearings or trials and testifies as needed as an expert witness-Clinically reviewed Treatment Plan requests, Audits, Code reviews, and Retrospective Reviews for medical necessity and appropriateness of CPT/CDT/HCPCs codes and/or DRG assignments

Marlton, New Jersey

-Oversees all operational departments including AICRA, Arbitration Support, Audit, Appeals, Case Management, Code Reviews, Dispute Support, Physician Services, and Utilization Review-Stays abreast of industry and jurisdictional issues related to Medicare and Personal Injury Protection (PIP) including fee schedules for NJ, NY, and FL -Creates monthly productivity & compliance reports for staff and client service level agreements-Analyzes data and assesses for trends; performs root cause analysis as needed and implements solutions for any issues found-Clinically reviews Treatment Plan requests, Audits, Code reviews, and Retrospective Reviews for medical necessity and appropriateness of CPT/CDT/HCPCs codes and/or DRG assignments-Drafts arbitration reports to aid client’s defense counsel in arbitration hearings or trials and testifies as needed as an expert witness-Performs quality assurance (QA) on all Clinical and Clerical staff in the Operations Department-Presents quarterly clinical training for claims adjusters on trends in the industry sand hot topics-Assists in training and cross-training all employees in the Operational Department as needed based on quality assurance data and trends-Mentors and handles questions from two (2) direct supervisors as well as escalated questions from nurses, coders, product support associates, patients, physicians, facilities, adjusters, and attorneys

Mt. Laurel, New Jersey

-Specialized in spinal cord injury patients-Provided care to various patients in homes by evaluating their physical, mental, social, and environmental health status-Performed a full head to toe assessment every 4 hours, medication administration as ordered, catheter placement, vent/trach care as needed, and total care for each patient-Ensured safety in the home and with equipment as well as educated the patient and the families as needed-Trained all new nurses to assigned patients and provided a detailed orientation

Education record

RN to BSN

Associate Of Arts And Sciences (Aas), Registered Nursing/Registered Nurse