Lisa S. Kozakoff
CDI Manager, Health Information Services at Grady Health System
- Role
- Lead Appeals Auditor at Advize
- Location
- Marietta, GA, US
- LinkedIn followers
- 500 followers
About Lisa S. Kozakoff
In today’s world, healthcare management doesn’t require just healthcare or just…
Experience
Lead Appeals Auditor
Feb 2022 — Present · St Petersburg, FL, US
Conducted denial reviews, DRG clinical and coding validations for all payors using payor specific guidelines and wrote appeal and denial letters for level one and level two denial reviews. Utilized clinical validation guidelines defined by the payor and templates to use as a guide. The appeal letters were customized based on the review according to clinical validation or coding guidelines. Performed reviews for claims in Post-pay and Pre-pay departments for various payors. Additionally, for pre-pay, performed 2nd and 3rd level appeals. Utilized encoder and client proprietary claim entry systems to enter data and send client appeal submissions.
Education
The Lean Six Sigma Company
Green Belt Six Sigma
2004
Western Governors University
Master’s Degree, Nursing Leadership
2018
University of Mobile
Associate’s Degree, Nursing Science
1983 — 1986
AHIMA
AHIMA Approved ICD-10 Trainer
2013
Skills
- Healthcare Information Systems
- Icd-9 Coding
- Customer Relations
- Clinical Documentation
- Hospital Reimbursement
- Case Management
- Project Management
- Strategy
- Proposal Writing
- Documentations
- Consulting
- Healthcare Information Technology
- Medical Coding
- Healthcare Collaboration
- Healthcare
- Healthcare Reimbursement
- Business Process Redesign
- Presentations
- Ehr
- Medicare
- Provider Strategies
- Icd-10 Transformation
- Hospital Revenue
- Business Process Re-Engineering
- Hospitals
- Six Sigma
- Process Improvement
- Cmi Analysis & Reporting
- Performance Improvement
- Public Speaking
- Icd-10
- Sales and Presentations
- Healthcare Consulting
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