Applicable Employment Experience Senior Director, HIM/Payment Error Prevention Program, IPRO [2000-2002] Developed and conducted internal/external education programs and conferences regarding health information management compliance and physician education. Editor of the PEPP newsletter, PEPP Update. Senior Manager, Deloitte & Touche Health Care Regulatory Consulting, New York [1999-2000] Marketed the health care regulatory and corporate compliance practice to providers, payors, and other health care agencies. Developed an APC Breakfast Briefing for health care executives. Durable Medical Equipment Regional Carrier (DMERC) audit. Medicare Evaluation and Management (E/M) Services audits for outpatient clinics for APC readiness. Medical record review for Medicare and Medicaid DRG validation audits. President, CML Consulting, Inc. [1995-1999] Medical record review for Medicare and Medicaid DRG validation and appeals. Recovered more than $1.87 million of unrealized revenue for client hospitals. Physician Advisor Consultant in the Clinical Peer Review Network of Oxford Health Plans, Inc. Manager, Training and Education Programs, GNYHA Consulting, Inc., Greater New York Hospital Association [1991-1995] Developed and conducted physician, health information management staff, UR/QA, and nursing staff education inservice and coding workshops. Medical record review for DRG validation and appeals. DRG Manager, St. Vincent’s Hospital and Medical Center of New York [1988-1991] DRG Specialist and Discharge Summary Specialist, Midway Hospital Medical Center      (Los Angeles, CA) [1986-1988] Medical Record Coder/Chart Analyst, Washington Medical Center      (Los Angeles, CA) [1986-1986] Professional Claims Examiner, Blue Cross of California (Woodland Hills, CA) [1984-1986] Certification/Affiliations/Education Certified Coding Specialist, 1996, American Health Information Management Association New York Medical Coding Section (NYMCS) Chair-Elect ‘97-‘98, Chair ‘98-‘99, Past-Chair ‘99-‘00 Society for Clinical Coding (SCC) Roundtable Coordinator for New York State, ‘98-‘99 American Health Information Management Association (AHIMA), Active Member Doctor of Medicine, 1982, Cebu Doctors’ College of Medicine, Philippines B.A. Interdisciplinary Studies, 1977, Ateneo de Manila University, Philippines Technical Training Developed/Conducted IPRO PEPP Update at New York Health Information Management’s (NYHIMA) 2002 Annual Conference, June 2002. Documentation Issues - Front and Center at IPRO’s Second Annual Payment Error Prevention & Corporate Compliance Conference, May 2001. 2001-2002 PEPP Interventions on specific DRG and medical necessity projects (e.g., DRG 416 - Septicemia and DRGs 174/182 - GI hemorrhage/GI disorders without hemorrhage) to the regional chapters of the New York Health Information Management Association, New York hospitals, and the New York State Capital District Professional Coders. Developed CD-ROM and web-based education programs (e.g., DRG 416 and DRGs 174/182) for physicians, offering CME credits. Inpatient Coding Review for GI Bleeding/Hemorrhage at the Long Island Health Information Management Association’s Coding and Data Quality Meeting, September 2000. APC Executive Breakfast Briefing at the Delotte & Touche WFC Board Room, May 2000. Managed Care Trends at the Healthcare Financial Management Educational Foundation seminar, January 2000. Compliance Hot Topics at the 1999 Annual Health Care Compliance Institute in Chicago. Clinical Aspects of Coding in Cardiology and Pulmonology at the 1997 NYHIMA Annual Conference, LIHIMA educational seminar, and NYHIMA Medical Coding Section seminar. APCs and APR DRGs at the Tappan Zee Health Information Management Association Meeting, March 1995. Coding Workshops in Cardiology, Pulmonology, Gastroenterology, Obstetrics/Gynecology, AIDS at the Greater New York Hospital Association, May 1991 and at the Metropolitan Chicago Healthcare Council, October 1994. DRGs and UR at the Greater New York Hospital Association - UR Committee Conference, March 1993. DRGs and Physician Documentation at hospitals in New York and Chicago, 1991-1995.