Not Elsewhere Classified

Dr. Richard Pinson is a leading expert in both the technical and clinical requirements of effective healthcare coding and compliance and has consulted with scores of organizations to improve the effectiveness of clinical documentation integrity (CDI) programs. He is an accomplished and trusted physician educator, having conducted hundreds of physician lectures and training sessions throughout the course of his over 15 years as a physician consultant and advisor to academic medical centers, health systems and community hospitals.

He received his Medical degree from Vanderbilt’s School of Medicine and served his 4 years of Internal Medicine Residency at the University of Pennsylvania and Vanderbilt. He is board-certified in both Internal Medicine and Emergency Medicine.

Together with Cynthia Tang, he is coauthor of the CDI Pocket Guide now available as an electronic, web-based version and was written the Coding Corner column of the ACP Hospitalist magazine for 13 years. He and Cynthia Tang name are “household” names in the CDI community for their expertise and contributions to the industry.

Dr. Richard Pinson is a leading expert in both the technical and clinical requirements of effective healthcare coding and compliance and has consulted with scores of organizations to improve the effectiveness of clinical documentation integrity (CDI) programs. He is an accomplished and trusted physician educator, having conducted hundreds of physician lectures and training sessions throughout the course of his over 15 years as a physician consultant and advisor to academic medical centers, health systems and community hospitals. 

He received his Medical degree from Vanderbilt’s School of Medicine and served his 4 years of Internal Medicine Residency at the University of Pennsylvania and Vanderbilt. He is board-certified in both Internal Medicine and Emergency Medicine. 

Together with Cynthia Tang, he is coauthor of the CDI Pocket Guide now available as an electronic, web-based version and was written the Coding Corner column of the ACP Hospitalist magazine for 13 years. He and Cynthia Tang name are “household” names in the CDI community for their expertise and contributions to the industry.

Sean M. Weiss

Partner, Vice President of Compliance

CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC

Sean has dedicated his more than 25 – year career to helping healthcare facilities reduce the risk of noncompliance and achieve measurable financial results. An accomplished compliance and management professional, Sean has extensive knowledge of the inner workings of government agencies at both the federal and state level, including the Office of Inspector General, Department of Justice and The United States Attorney’s Office.

Sean has earned and maintains numerous certifications including Certified in Healthcare Compliance (CHC), Certified Evaluation & Management Auditor (CEMA), Certified Medical Compliance Officer (CMCO), Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC), Certified Medical Practice Executive (CMPE) and Certified Professional Coder-Payer (CPC-P).

Sean M. Weiss

Partner, Vice President of Compliance

CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC

Sean has dedicated his more than 25 – year career to helping healthcare facilities reduce the risk of noncompliance and achieve measurable financial results. An accomplished compliance and management professional, Sean has extensive knowledge of the inner workings of government agencies at both the federal and state level, including the Office of Inspector General, Department of Justice and The United States Attorney’s Office.

Sean has earned and maintains numerous certifications including Certified in Healthcare Compliance (CHC), Certified Evaluation & Management Auditor (CEMA), Certified Medical Compliance Officer (CMCO), Certified Professional Medical Auditor (CPMA), Certified Professional Coder (CPC), Certified Medical Practice Executive (CMPE) and Certified Professional Coder-Payer (CPC-P).

Watch the video version of this podcast episode on the Medical Coding Geek YouTube Channel and stay tuned for the follow-up video with Merilee:

https://youtu.be/KwFrxiQ1wbA

Janice Amon, CCDS, CCS is a visionary, innovative, and highly motivated compliance professional with a strong regulatory, clinical, coding, and billing knowledge and skills. She currently works for the largest health system in San Diego, California as Sharp Healthcare’s (SHC) Corporate Compliance Audit and Clinical Manager. Janice is responsible for assisting Compliance Director for the oversight and maintenance of a high-quality, effective, best practices billing, coding, and reimbursement of SHC’s Audit Compliance Program. She leads investigations and multidisciplinary projects and helped developed and implemented Sharp Healthcare’s ethics and compliance strategic work plan. She has held previous leadership roles in 3M Health Information systems (3M HIS) and TrustHCs, where she provided education across the nation’s top hospitals and health systems’ staff. She is most proud of my strong leadership skills, passion, determination, and work ethics.

Janice Amon, CCDS, CCS is a visionary, innovative, and highly motivated compliance professional with a strong regulatory, clinical, coding, and billing knowledge and skills. She currently works for the largest health system in San Diego, California as Sharp Healthcare’s (SHC) Corporate Compliance Audit and Clinical Manager. Janice is responsible for assisting Compliance Director for the oversight and maintenance of a high-quality, effective, best practices billing, coding, and reimbursement of SHC’s Audit Compliance Program. She leads investigations and multidisciplinary projects and helped developed and implemented Sharp Healthcare’s ethics and compliance strategic work plan. She has held previous leadership roles in 3M Health Information systems (3M HIS) and TrustHCs, where she provided education across the nation’s top hospitals and health systems’ staff. She is most proud of my strong leadership skills, passion, determination, and work ethics.

Danita Ruszkowski is the owner of Integrity Coding.   Danita is an experienced coder in Orthopaedics, Dermatology and is specialty certified in Obstetrics and Gynecology.  Danita has written an article for AAPC Healthcare entitled “Do what you have to do, so you can do what you want to do”.

Integrity Coding is dedicated to teaching students the foundations of Medical Coding, which is Coding Guidelines.   Coding Guidelines are the Bible of coding and is where all coding truth lies.  Integrity Coding offers courses in the AAPC CPC Certification, Risk Adjustment, Medical Billing and Certified Professional Medical Auditor.   Danita also teaches Exam Prep Boot Camps for the CPC and the COBGC.   The motto that Danita stands by is “teach one, show one, do one”.   Simply said, Integrity Coding will teach students the coding foundation, show you the coding foundation by going over examples and then we will “do one” together so students can actually see how to code various scenarios.

Integrity Coding has a free, four-week Introduction to Medical Coding Course, which begins August 31, 2021 and goes until September 21, 2021.

Sabita Ramnarace, MS, RHIA, CCS, is the Director of Coding at Health System Solutions. She oversees the coding of Outpatient Surgeries, Ancillary, Inpatient, Emergency Department, and Radiation Oncology. In addition, she manages Inpatient and Outpatient Auditing as well as coding for Pre-Authorization.  

In 1998, Sabita successfully completed her Bachelors in HIM at Florida International University and went to get her RHIA while working as a Coder at Baptist Hospital. She went to become a traveling Healthcare Consultant at Lexicode and KForce where she worked at organizations in the US such as Fairbanks Memorial in Alaska, Detroit Receiving in Michigan, and Hilton Head Hospital in South Carolina. 

After her traveling days, Sabita worked as the Assistant HIM Director at Memorial Regional Hospital, HIM Director at Northwest Medical Center, HIM Director & Chief Patient Experience Officer at Boca Raton Regional Hospital and Executive Revenue Cycle Director at BocaCare. Sabita also holds a master’s degree in Health Informatics from Walden University as well as the Strategic Leadership Diploma from The Pacific Institute. 

Sharol Pausal Noblejas earned her Associate Degree from the University of Florida, her Bachelor of Science from the University of Central Florida in Health Information Management and her MBA from Orlando College. Sharol is a Commissioner for the City of Jacksonville Housing and Community Development Commission, Chair of the City of Jacksonville Mayor’s Asian American Advisory Board, President of Night of Asia and President of the Filipino Language and Cultural School, In addition to her volunteer work, Sharol is a Senior IT Program Manager at Florida Blue with vast experience as an IT consultant, an HIM Director, Project Manager and in implementing electronic health records.  

Sharol Pausal Noblejas earned her Associate Degree from the University of Florida, her Bachelor of Science from the University of Central Florida in Health Information Management and her MBA from Orlando College. Sharol is a Commissioner for the City of Jacksonville Housing and Community Development Commission, Chair of the City of Jacksonville Mayor’s Asian American Advisory Board, President of Night of Asia and President of the Filipino Language and Cultural School, In addition to her volunteer work, Sharol is a Senior IT Program Manager at Florida Blue with vast experience as an IT consultant, an HIM Director, Project Manager and in implementing electronic health records. 

Bleu is a certified medical coder and active member of The American Health Information Management Association where she currently holds a Certified Coding Associate credential.  She has been perfecting her craft since 2008, dedicated to sharpening her skills in the outpatient setting. Her experience in the clinical setting includes specialties such as: Orthopedics, Podiatry, Rheumatology, Physical Medicine & Rehabilitation, Urology, Pulmonology, Psychiatry, Traumatic Brain Injury, OBGYN, Cardiology, Oncology, and Neurology.  She is also proficient in Same Day Surgery, Emergency Room Department and Pro-fee coding as well.  A self-described “Provider Whisperer” she understands the importance of Provider-Medical Coder relationships. Taking the time to cultivate and nurture those relationships is an important component to her brand of magic.  In her capacity as a medical coder, she has also served as an instructor, motivational speaker, coach, and mentor.  Medical coding is not just a job to her, it is a career.  She is the host of her very own YouTube and Patreon channels both titled: “Medical Coding with Bleu” where she details about the field and shares her adventures as a medical coder.  She is a native Texan who has affections for fast cars, cowboy boots, cooking and reading.

Bleu is a certified medical coder and active member of The American Health Information Management Association where she currently holds a Certified Coding Associate credential.  She has been perfecting her craft since 2008, dedicated to sharpening her skills in the outpatient setting. Her experience in the clinical setting includes specialties such as: Orthopedics, Podiatry, Rheumatology, Physical Medicine & Rehabilitation, Urology, Pulmonology, Psychiatry, Traumatic Brain Injury, OBGYN, Cardiology, Oncology, and Neurology.  She is also proficient in Same Day Surgery, Emergency Room Department and Pro-fee coding as well.  A self-described “Provider Whisperer” she understands the importance of Provider-Medical Coder relationships. Taking the time to cultivate and nurture those relationships is an important component to her brand of magic.  In her capacity as a medical coder, she has also served as an instructor, motivational speaker, coach, and mentor.  Medical coding is not just a job to her, it is a career.  She is the host of her very own YouTube and Patreon channels both titled: “Medical Coding with Bleu” where she details about the field and shares her adventures as a medical coder.  She is a native Texan who has affections for fast cars, cowboy boots, cooking and reading.

Stacie Buck is President & Senior Consultant at RadRx based in Stuart, FL. RadRx provides diagnostic and interventional radiology coding and consulting services to a nationwide client base consisting of hospitals, imaging centers, radiologists, billing companies, and various consulting companies. 

Dr. John Zelem is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. As a previous Vice-President, he has over 13 years of experience in compliance, utilization management/review, federal regulations, sales, account management, and many other aspects of healthcare. He has extensive experience in quality assessment and improvement, with emphasis on case management, physician and hospital executive education for a variety of topics including Medicare and Medicaid compliance and regulations, medical necessity, Recovery Audit Contractors, utilization review, denials management, and length of stay. He has attained a passion for improving physician documentation and has extensive experience in developing new and improving existing physician advisor programs. He has recently developed a revolutionary new concept utilizing a holistic approach to “Utilization Management 360”. He is now the President and Owner of Streamline Solutions Consulting, Inc. offering services to evaluate, and improve many of the above aspects of healthcare. In addition, Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success.  

Sue Chamberlain is a graduate from Ferris State University with a bachelor's degree in Health Information Management, and a Master's in Career and Technology Education, with a focus on training and development in the workforce. With 30 years in the field, Sue's career has included working in acute care hospitals, large multi-specialty physician groups, integrated healthcare systems, a staff-model HMO and within Education. She has enjoyed teaching, both on the job in traditional healthcare settings as well as in the classroom, working with HIM students, physicians, support staff, coders, billers, and administration.

Sue Chamberlain is a graduate from Ferris State University with a bachelor's degree in Health Information Management, and a Master's in Career and Technology Education, with a focus on training and development in the workforce. With 30 years in the field, Sue's career has included working in acute care hospitals, large multi-specialty physician groups, integrated healthcare systems, a staff-model HMO and within Education. She has enjoyed teaching, both on the job in traditional healthcare settings as well as in the classroom, working with HIM students, physicians, support staff, coders, billers, and administration.

NEC Podcast host and producer, Brian Cui, shares his LinkedIn Strategies that will help you get noticed and promote your professional brand. 

Happy Thanksgiving!
Here's a solo episode (longer than 30 minutes) that discusses some advice on connecting (keeping them awake) with your virtual audience with suggested audio, video, and presenting tips. 

Robin Sewell CDIP CCS CPC CIC is a 25-year Healthcare Consultant and SME with a background that includes Physician, Outpatient and Inpatient Revenue Cycle as well as DRG and Clinical Validation audits on the Payer side of healthcare. Robin is the owner of HIM Analytic Solutions and Founder and Creator of Cleopatra "Queen of Denial" Revenue Cycle Denial Management and Prevention Application on behalf of hospitals.

Robin Sewell CDIP CCS CPC CIC is a 25-year Healthcare Consultant and SME with a background that includes Physician, Outpatient and Inpatient Revenue Cycle as well as DRG and Clinical Validation audits on the Payer side of healthcare. Robin is the owner of HIM Analytic Solutions and Founder and Creator of Cleopatra "Queen of Denial" Revenue Cycle Denial Management and Prevention Application on behalf of hospitals.

Mrs. Hopkins has been the Health Science CTE teacher for Houston Independent School District since 2016. She began a career in Healthcare administration in 1994 and in addition to being a teacher, is still a medical biller and coder for a Family Medicine physician since 1999.

Mrs. Hopkins has been the Health Science CTE teacher for Houston Independent School District since 2016. She began a career in Healthcare administration in 1994 and in addition to being a teacher, is still a medical biller and coder for a Family Medicine physician since 1999. 

This is a replay of episode 4 with Pam Kulczar, founder of Jobs for American Medical Coders. 

Jim Zelem is a former VP of Operations who transitioned to be an effective leader that coached many successful teams. Jim started his career as a simple factory worker who held many positions such as Industrial and Manufacturing Engineer as he worked his way up to VP. Jim currently resides in Madison, Wisconsin. He loves sports as he officiated high school football for 18 years. Jim still remains active as he volunteers for the Red Cross and the Senior Center. He enjoys walks in the woods, swimming and golf. Jim strongly believes that experience is a great teacher as it helped him throughout his career. He believes his experiences in leadership and teamwork can definitely help others. Jim created a blog site “urjustanumber.com” to share these experiences and has opened the blog site for others to tell their story as well. Additionally, Jim has written a book “Stepping Stones of Leadership” that lists some essential steps that he believes will guide you on becoming an effective leader. Every step is supported by stories of his own personal experiences. He is presently working on his next leadership book with more stepping stones.

Brian is currently a CDI specialist at Penn Highlands Healthcare, in DuBois, Pennsylvania. Simpson has been a registered respiratory therapist for 28 years, spending a large portion of his career involved in acute care, non-invasive cardiology, pulmonary and cardiac rehab. He received his BS in Respiratory Care from Indiana University of Pennsylvania and a MS in Exercise Science. Simpson transitioned into CDI after experiencing health issues, but has enjoyed every day for the last four and a half years as a CDI specialist. Brian is currently a member of ACDIS, AHIMA and AAPC. Although there is no local ACDIS chapter in his home in western PA, he has recently joined the Central Pa chapter and is looking forward to attending future meetings.

Brian is currently a CDI specialist at Penn Highlands Healthcare, in DuBois, Pennsylvania. Simpson has been a registered respiratory therapist for 28 years, spending a large portion of his career involved in acute care, non-invasive cardiology, pulmonary and cardiac rehab. He received his BS in Respiratory Care from Indiana University of Pennsylvania and a MS in Exercise Science. Simpson transitioned into CDI after experiencing health issues, but has enjoyed every day for the last four and a half years as a CDI specialist. Brian is currently a member of ACDIS, AHIMA and AAPC. Although there is no local ACDIS chapter in his home in western PA, he has recently joined the Central Pa chapter and is looking forward to attending future meetings.

Renown for his successful track record of acquiring Healthcare and Information Technology industry-leading talent, Bertram Lansiquot was the highest performing recruiter at the largest Health Information Management staffing vendor in the United States. During the competitive ICD-10 medical coding implementation, Bertram and the recruiters under his leadership were able to fully staff every medical coding opening and grew headcount over 500% within 8 months. Seeking to assist more employers find great talent, he founded Renown Talent and started the #AskARecruiter video series. The video series geared toward providing guidance to new and tenured professionals get hired, promoted, stand out from their peers, and be more knowledgeable about the HIM job market.  

Natasha C. Miller also known as The Medical Mompreneur is an Entrepreneur, Health Information Educator, Consultant, Author, Speaker, & Coach to inspire and motivate moms and women to achieve their mission on entrepreneurship and help empower women through educating them through obtaining a certification that allows them to work from home while being able to provide for their families. She published her first book, “Faith for the Mompreneur” in 2018. Natasha C. Miller is the Founder & CEO of NCM Healthcare. 

Natasha C. Miller also known as The Medical Mompreneur is an Entrepreneur, Health Information Educator, Consultant, Author, Speaker, & Coach to inspire and motivate moms and women to achieve their mission on entrepreneurship and help empower women through educating them through obtaining a certification that allows them to work from home while being able to provide for their families. She published her first book, “Faith for the Mompreneur” in 2018. Natasha C. Miller is the Founder & CEO of NCM Healthcare.

Victoria Moll, CPC, CPMA, CRC, CPRC, Approved Instructor, Fellow, has more than 10 years of multi-specialty experience in coding, auditing, and healthcare management. She has spoken at various AAPC conferences, seminars, and meetings and is known for her infectious enthusiasm. Victoria is a frequent contributor to Healthcare Business Monthly as well as a content creator for her medical coding blog and dynamic YouTube channel, Contempo Coding.

Victoria Moll, CPC, CPMA, CRC, CPRC, Approved Instructor, Fellow, has more than 10 years of multi-specialty experience in coding, auditing, and healthcare management. She has spoken at various AAPC conferences, seminars, and meetings and is known for her infectious enthusiasm. Victoria is a frequent contributor to Healthcare Business Monthly as well as a content creator for her medical coding blog and dynamic YouTube channel, Contempo Coding.

Deanna has over 20 years of experience in the healthcare industry. She has a real passion for coding and compliance and loves teaching both coders and providers.  She lives Aurora, Colorado and in her free time she enjoys being outdoors, hiking, camping and photographing her beautiful home state.

Brian Cui, RHIA, CDIP introduces Not Elsewhere Classified to the podcast world and addresses the following questions.

- What does it mean?
- Where did it come from?
- What is this podcast all about?