Michael Sanko Email & Phone Number

Philadelphia, Pa, Us

Washington, District Of Columbia

As a Consultant at Berkeley Research Group LLC, I specialize in providing comprehensive audit and compliance services within the healthcare sector, with a particular focus on due diligence in mergers and acquisitions. My responsibilities include conducting in-depth audits of medical records to ensure accurate coding and clinical documentation compliance, as well as auditing billing practices to identify potential risks.I review Medicare Contractor Local Coverage Determinations (LCDs) and analyze sampled data to identify trends and areas for improvement. I also develop detailed audit reports and deliver actionable insights to clients involved in both buy-side and sell-side transactions, helping them make informed decisions during the due diligence process. My work supports private equity firms and other investors in mitigating risks and maximizing value in their healthcare transactions.

Philadelphia, Pennsylvania

As a Senior Compliance Analyst at Penn Medicine, I was responsible for auditing medical records across all professional fee services and specialties within the healthcare system. My role involved reviewing medical records and billing activities to ensure compliance with government and private payer regulations, as well as adhering to AMA guidelines. I utilized my knowledge of CPT, ICD-10, and HCPCS coding to maintain accurate and compliant documentation and billing practices.I also played a key role in training providers on compliance standards, developing educational materials, and delivering training sessions to groups ranging from small teams to large-scale audiences, both in person and virtually. Additionally, I created comprehensive reports and analyses that identified opportunities for compliance improvement, which I presented to providers and administrators to enhance the overall effectiveness of our compliance program.

Philadelphia, Pennsylvania

Cherry Hill, New Jersey

Conshohocken, Pennsylvania

Moosic, Pennsylvania

Scranton, Pennsylvania

B.S, Health Administration, Business Minor

Activities and Societies: Health Administration Association, Vice President (2007-2008), President (2008-2009)

Master Of Business Administration (Mba)