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- Forensic Medical Coding and Healthcare Compliance Expert Witness
Forensic Medical Coding and Healthcare Compliance Expert Witness
This expert brings extensive experience in healthcare operations, medical coding and billing management, compliance auditing, and forensic medical coding. Certified in fraud examination, healthcare compliance, reimbursement, and professional coding, the expert has a comprehensive understanding of healthcare revenue cycle management and clinical documentation requirements. Experienced across diverse healthcare delivery settings such as teaching hospitals, medical networks, rural clinics, and telehealth, the expert provides services including compliance consulting, medical documentation analysis, coding and billing reviews, report writing, and training in healthcare fraud and billing standards. Active in professional education and program design, the expert has testified in numerous cases and offers national-level consulting services.
Professional Affiliations:
Association of Certified Fraud Examiners (ACFE)
American Health Information Management Association (AHIMA)
Health Care Compliance Association (HCCA)
American Academy of Professional Coders (AAPC)
Association of Forensic Medical Coders (AFMC)
Education:
MBA in Healthcare Management
Areas of expertise:
Auditing
Health Care Administration
Health Care Litigation
Health/Medical/Disability Insurance
Hospital & Medical Ethics
Hospital Administration
Medical Billing
Medical Fraud
Medical Insurance
Medical Records
Case Study:
Healthcare Compliance
Medical Coding and Billing Disputes
Healthcare Fraud Investigations
Usual, Customary, and Reasonable (UCR) Billing Analysis
Revenue Cycle Management
Provider Education and Compliance Program Design
Third Party Biller Disputes
Deposition and Trial Testimony
Certifications:
Registered Health Information Administrator (RHIA)
Certified Fraud Examiner (CFE)
Certified in Healthcare Compliance (CHC)
Certified Professional Coder (CPC)
Certified Professional Coding Instructor (CPC-I)
Certified Medical Reimbursement Specialist (CMRS)
