Marissa Clemmer, Cpc, Ccs, Cpma, Cpb, Canpc, Cpedc Email & Phone Number

Gastonia, NC, US

Chicago, Illinois, United States

• Offers recommendations grounded in data analysis and industry trends.
• Collaborates with healthcare organizations to implement changes and foster improvements.
• Facilitates training and development initiatives for staff to enhance their skills and knowledge.
• Serves as Consultant and national speaker at AAOS Orthopaedic reimbursement and coding workshops.
• Conducts educational sessions for physicians, coding, and billing staff on E/M coding guidelines and surgical coding concepts.
• Conducts medical record reviews and provides feedback with focused educational sessions for clients.

Palm Beach Gardens, Florida, United States

• Developed and implemented coding strategies aligned with organizational goals to ensure accurate and efficient coding practices.
• Led, mentored, and managed the coding team to promote a culture of excellence and continuous improvement.
• Ensured adherence to regulatory requirements and compliance with coding guidelines.
• Analyzed coding data to identify trends, improve accuracy, and enhance revenue cycle performance.
• Collaborated with clinical staff, billing departments, and external partners to streamline processes and enhance coding efficiency.
• Established and maintained coding policies and procedures that support best practices in orthopedic coding to stay current with coding changes and regulations.

Lewisville, Texas, United States

• Provided detailed feedback to coding staff on coding errors, trends, and areas for improvement, resulting in enhanced accuracy and efficiency.
• Generated reports summarizing findings for management and stakeholders.
• Developed and delivered training sessions to coding staff on coding standards, best practices, and updates to coding guidelines.
• Stayed current with changes in coding guidelines, regulations, and payer policies to ensure organizational compliance.
• Conducted 5% coding quality review of each coder’s work per reviewer assignment, ensuring high accuracy levels.
• Reviewed and assessed coding and abstracting of various patient types, including inpatient, ambulatory surgery, E/M multi-specialty, and diagnostics, to ensure 95% coder accuracy.

Harrisburg, Pennsylvania, United States

• Conducted client consultations with hospital and physician practice clients, assessing needs and developing tailored strategies.
• Performed comprehensive operational analysis to identify areas for improvement in workflows and processes.
• Analyzed healthcare data and performance metrics to provide insights for optimizing clinical and financial outcomes.
• Assisted clients in understanding and adhering to healthcare regulations and standards for compliance in all operational areas.
• Supported the development and implementation of strategic plans.
• Facilitated training sessions for hospital staff and physicians on operational changes, best practices, and compliance requirements.

Charlotte, North Carolina, United States

• Applied appropriate codes to diagnoses and procedures utilizing ICD, CPT, and HCPCS coding.
• Reviewed medical documentation for accuracy, completeness, and regulatory compliance.
• Collaborated with healthcare providers to clarify documentation and coding inquiries.
• Mentored junior coders and conducted training sessions on coding practices and software.
• Coded Orthopedic surgical cases daily for 25+ physicians, totaling 700+ cases per month.
• Assisted in the pre-certification process for surgical cases by assigning CPT codes based on surgical orders.

Chicago, Illinois, United States

• Provided strategic consulting services to healthcare organizations, offering advice on operational improvements, financial management, and strategic planning to enhance overall performance.
• Led consulting projects from inception to completion, ensuring deliverables met client expectations and deadlines.
• Conducted data analysis on healthcare data to identify trends, inefficiencies, and opportunities for improvement.
• Engaged with stakeholders, including healthcare executives and clinical staff, to understand their needs and provide tailored solutions.
• Supported organizations in implementing changes and ensuring stakeholder buy-in for new processes or systems.
• Assisted clients in navigating healthcare regulations and ensuring compliance with local, state, and federal laws, including conducting medical record reviews, while providing feedback, and educational sessions on.

Charlotte, North Carolina, United States

• Ensured compliance with healthcare laws and regulations by identifying areas for improvement.
• Collaborated with clinical and administrative staff to resolve coding issues and enhance documentation practices.
• Conducted on-site audits of Physician E/M coding to ensure accuracy and regulatory compliance, while providing training on best practices and coding updates to staff.
• Developed a Coding and Compliance Manual for physicians and delivered education on its content.
• Managed daily coding of Orthopedic surgical procedures for over 25 physicians.
• Prepared detailed audit reports with recommendations, comparisons, and financial impact, while overseeing coding staff to ensure accuracy.

Charlotte, North Carolina, United States

• Monitored changes in laws and regulations affecting healthcare compliance.
• Implemented policies and procedures to ensure compliance with laws, regulations, and standards.
• Developed and delivered compliance training programs for staff and management.
• Prepared reports for senior management and regulatory bodies.
• Assisted in the development and revision of compliance-related policies and procedures.
• Conducted quarterly APC outpatient coding compliance audits at Acute Care and Provider Based Clinics.