Janice Amon

About Janice Amon

Visionary, innovative, passionate, and highly motivated Compliance professional with a strong regulatory, clinical, coding, and billing knowledge and skills with 12+ years of healthcare experience. Currently working at Sharp Healthcare’s Corporate Compliance department as an Audit and Clinical Manager responsible for the oversight and maintenance of a high-quality, effective coding and billing audit compliance program. Leading high-risk investigations and multidisciplinary system-wide projects. Developing and implementing Sharp Healthcare’s ethics and compliance strategic work plan. Provided education across the nation’s top hospitals and health systems during former leadership roles at 3M Health Information systems (3MHIS) and TrustHCs. My passion for healthcare and education helps me become an excellent and effective educator for physician, clinical, and non-clinical staff. I am most proud of my strong leadership skills, motivation, and work ethics.Recently co-presented with medical necessity national expert Dr. Ronald Hirsch in the webinar \"Addressing the Three Ms of the CMS Provider Compliance Program: Medicare, Medicare Advantage and Medical Necessity” on September 23, 2021. Has been featured as an industry expert and contributed expertise and knowledge regarding CDI Program in the article entitled \"CDI Makes Its Mark\"​ By Susan Chapman For The Record Magazine Vol. 27 No. 4 P. Developed clinical educational materials and was the speaker for the California Health Information Association (CHIA) seminar \"CDI Program in Place, Now What?\" held on Sept. 9, 2015.Summary of Healthcare & Compliance Skills Subject matter expertise in Inpatient coding rules & regulations, and clinical documentation Knowledgeable of coding and billing compliance regulations in the outpatient and ambulatory care setting Strong critical thinking skills in resolving highly complex compliance issues Expertise in high-risk Compliance areas such as the National Coverage Determination (NCD) and Local Coverage Determination (LCD) and Medicare’s Inpatient-Only Procedures Excellent in developing and presenting education and training Expertise with 3M Encoder, HDM, & 360 Proficient with Cerner, Microsoft Office, and other major healthcare applications Excellent verbal and communication skills with a knack for negotiations and influencing behavior change Strong knowledge of healthcare compliance trends and regulations and well-informed with Code of Federal Regulation’s (CFR), Medicare Benefits Manual, and Medicare Claims Processing Manual

Experience

1. Director Regulatory & Reimbursement

   Sharp HealthCare

   Sep 2023 — Present

Education

• Cerro Coso Community College

  Associate's degree, General education

• California State University-Long Beach

  Bachelor's degree, Health Science

• University of the East Ramon Magsaysay Memorial Medical Center

  Doctor of Medicine (MD), Medicine