Joli Fitzgibbons, RHIA, CPC, CEMC, SENIOR DIRECTOR

Joli has over 24 years of experience in the healthcare provider and payer community; managing Revenue Integrity coding, compliance and CDI projects, and assisting clients with solutions to enhance their documentation, coding and billing environment. Joli has provided professional consulting services for various healthcare providers including academic medical centers, large health systems, small community hospitals, inpatient specialty providers, critical access hospitals, behavioral health facilities, hospital based and multi-specialty physician practices.

AREAS OF SPECIALIZATION

Director for Revenue Integrity Solutions with an in-depth background in HCPCS/CPT, ICD-10 CM, ICD-10-PCS, coding guidelines, hospital and physician charging processes, EMR’s, order-entry system interfaces and clinical operations.  

  • Assists facilities with targeted proactive, quality and diagnostic sample reviews to ensure appropriate revenue generation for services rendered and mitigate compliance exposure. 

  • Manages retrospective claim reviews to include assisting clients with quantification and settlement strategies in response to ongoing compliance initiatives. 

  • Experience with clinical system functionality related to EMR’s (Epic, Cerner, Meditech, Allscripts, NextGen, eClinicalWorks). 

  • Develops program content and assists with outreach and educational sessions for clinical, coding, compliance and finance teams. 

  • CDI and charge capture solutions to improve processes and increase reimbursement. 

EXPERIENCE

  • RHIA, Registered Health Information Administrator

  • CPC, Certified Professional Coder

  • CEMC, Certified Evaluation and Management Coder

  • AHIMA, American Health Information Management Association

  • AAPC, American Academy of Professional Coders

  • AHIMA Approved ICD-10-CM/PCS Trainer

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EDUCATION

Bachelor of Science, Health Information Management
York College, York, PA