Joli Fitzgibbons, RHIA, CPC, CEMC Senior Manager

AHIMA Approved ICD-10-CM/PCS Trainer

Joli has over 19 years of experience in the healthcare provider and payer community; managing Revenue Integrity coding 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.

    EDUCATION

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

    AREAS OF SPECIALIZATION

    Senior Manager for Revenue Integrity Solutions with an in-depth background in MS-DRG, 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