Michelle Poole

Michelle Poole Email and Phone Number

Risk Adjustment Coding Auditor @ Cotiviti
atlanta, georgia, united states
Michelle Poole's Location
Wake Forest, North Carolina, United States, United States
Michelle Poole's Contact Details

Michelle Poole work email

Michelle Poole personal email

n/a

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About Michelle Poole

Michelle Poole is a Risk Adjustment Coding Auditor at Cotiviti. She possess expertise in healthcare, hipaa, medical records, medical terminology, medical coding and 13 more skills. She is proficient in English.

Michelle Poole's Current Company Details
Cotiviti

Cotiviti

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Risk Adjustment Coding Auditor
atlanta, georgia, united states
Website:
cotiviti.com
Employees:
3283
Michelle Poole Work Experience Details
  • Cotiviti
    Auditor, Risk Adjustment Coding
    Cotiviti Oct 2023 - Present
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  • Ciox Health
    Hcc Auditing Specialist
    Ciox Health Oct 2022 - Mar 2024
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  • Cotiviti
    Risk Adjustment Coding Manager
    Cotiviti Apr 2021 - Oct 2022
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  • Cotiviti
    Coding Team Lead
    Cotiviti May 2015 - Apr 2021
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  • Verscend (Formerly Verisk Health)
    Clinical Coding Specialist
    Verscend (Formerly Verisk Health) Jun 2014 - May 2015
    Raleigh-Durham, North Carolina Area
    Perform targeted audit review of new revenue-generating diagnosis codes before submission to CMSComplete HCC risk adjusment coding/auditing per CMS and client specific guidelinesReview medical charts for proper diagnosis coding from various chart types (physician, hospital outpatient, hospital inpatient) Utilize ICD-9-CM Guidelines for Coding and Reporting to insure that the highest level of diagnosis code(s) is applied for each date of service reviewed Document Hierarchical Conditions Category (HCC) mapped codes in company data storage program
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  • Wake Health Services, Inc
    Patient Financial Services Intern
    Wake Health Services, Inc Feb 2014 - May 2014
    Raleigh, Nc
    Reviewed, veriied, edited, and submitted claim data to third party payors, insurance carriers, federal and state governmental agencies in a timely, accurate, and compliant mannerResearched all account information on paid or partially paid claims and analyze the status of the payment related to the expected payment calculation and itemization provided by the remittance adviceAnalyzed denied, disallowed, or non-covered claims and determines if non-payment is based on medical or technical reasonsResolve any technical issues, when warranted, within electronic accounting systemPrepared requests for account balance adjustments in accordance with departmental specific proceduresReviewed Electronic Data Interchange (EDI) submissions for clearinghouse errors; correct errors according to departmental proceduresWorking knowledge of electronic patient accounting systems (GE Centricity)
  • Wake County Public School System
    School Psychologist
    Wake County Public School System Aug 2008 - Jun 2013
    Raleigh, Nc
    Provided consultation to administrators and other school staff regarding ways to implement new initiatives and improve student achievementReviewed student records for compliance with state and federal regulationsPsychoeducational evaluations of students in grades K-12Member of the school psychology leadership teamChairperson of the Intervention Support TeamStaff development
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  • Union County Public Schools
    Lead School Psychologist
    Union County Public Schools Aug 2006 - Jul 2008
    Monroe, Nc
    Supervised staff of 23 School Psychologists and mentored newly hired staffReviewed and interpreted federal and state guidelines as applicable to School PsychologistsAssisted in the development local procedures and guidelinesConducted over 20 county-wide staff development training on compliance with state/local procedures and district-wide initiativesCollaborated weekly with Director of Special Education, Program Specialists, Preschool Coordinator, Lead Speech Language Pathologist, and other related service personnel
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Michelle Poole Skills

Healthcare Hipaa Medical Records Medical Terminology Medical Coding Icd 9 Icd 9 Cm Cpt Hcpcs Microsoft Excel Microsoft Word Human Anatomy School Psychology Special Education Educational Leadership Staff Development Behavior Management Student Counseling

Michelle Poole Education Details

Frequently Asked Questions about Michelle Poole

What company does Michelle Poole work for?

Michelle Poole works for Cotiviti

What is Michelle Poole's role at the current company?

Michelle Poole's current role is Risk Adjustment Coding Auditor.

What is Michelle Poole's email address?

Michelle Poole's email address is mi****@****iti.com

What is Michelle Poole's direct phone number?

Michelle Poole's direct phone number is +170499*****

What schools did Michelle Poole attend?

Michelle Poole attended Winthrop University, Durham Technical Community College, University Of North Carolina At Chapel Hill.

What skills is Michelle Poole known for?

Michelle Poole has skills like Healthcare, Hipaa, Medical Records, Medical Terminology, Medical Coding, Icd 9, Icd 9 Cm, Cpt, Hcpcs, Microsoft Excel, Microsoft Word, Human Anatomy.

Who are Michelle Poole's colleagues?

Michelle Poole's colleagues are Christine Kratz, Beth Ralph, Rn, Ccs, Prathibha Raja, Naveen Kumar Tammina, Nikki Rupp, Rajeev Sivaraj, Jagadishwara Chary.

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