2019
Coding Educator Start
15+
Years Revenue Cycle
3
Core Certifications
Professional Experience

Coding Education & Revenue Cycle Leadership

December 2019 – Present
Palo Alto Medical Foundation / Sutter Health Bay
Coding Educator · Scotts Valley, CA

Leads enterprise coding education, audit alignment, compliance support, and continuous improvement initiatives across assigned foundations. Partners with leadership to research, summarize, and disseminate annual CPT updates, regulatory changes, and payer policy updates to providers, leadership teams, and coding staff.

Serves as an organizational subject matter expert for accurate and ethical coding standards, regulatory interpretation, compliance guidance, provider onboarding, auditing, individualized performance improvement plans, and enterprise coding resource development.

December 2009 – December 2019
Palo Alto Medical Foundation
Coding Analyst II · Palo Alto, CA

Resolved provider disputes related to documentation, billing, and coding accuracy; analyzed denial reports for documentation discrepancies; supported physician education on specialty coding topics; identified insurance denials; and verified correct coding for appeals, reports, and operational improvement.

October 2007 – December 2009
Palo Alto Medical Foundation
Patient Account Representative II · Santa Cruz, CA
December 2004 – October 2007
Eye Medical Group of Santa Cruz
Back Office Assistant · Santa Cruz, CA
Core Capabilities

Coding, Compliance & Operational Improvement

01
Provider and coder education. Designs and delivers instructor-led and virtual education programs across multiple specialties, including onboarding, audit feedback, and targeted improvement plans.
02
Audit and compliance support. Supports Ethics and Compliance audits, manages corrective action plans, and assesses documentation practices against CMS, ICD-10, HCPCS, NCCI, and organizational policies.
03
Denial trend analysis. Analyzes coding variances, edits, denial reports, and root causes to build targeted education strategies that reduce rework and improve quality.
04
Revenue cycle systems. Experienced with Epic EMR, charge edits, interface reports, billing appeals, refund workflows, patient inquiries, and coding-related operational reporting.
05
Standardization and workflow optimization. Partners with operational leaders on coding standardization, SharePoint-based education resources, cross-functional process improvement, and Lean workflow initiatives.
CPTHCPCSICD-10CMS ComplianceNCCIEpic EMRDenial AnalysisProvider Training
Education

Academic Background

June 2011
Cabrillo College
Associate degree · Medical Insurance Specialty · Aptos, CA
Credentials

Certifications

Certified Professional Coder CPMA COBGC
Professional Strengths

Summary

Self-motivated and cooperative team player
Excellent investigative and analytical skills
Strong internal and external customer service
Able to prioritize, multi-task, and perform under pressure
Executive communication and presentation experience
Technical Skills

Healthcare Systems & Tools

Medical BillingMedical CodingOutpatient CodingAuditingDocumentation ReviewMedicareMicrosoft ExcelMicrosoft WordMedical TerminologyTeaching
Process Focus

Operational Impact

Revenue Cycle Performance Analysis
Financial & Operational Reporting
Coding Education Program Development
Denial Trend & Root Cause Analysis
Government Payor Reimbursement
Lean Process Improvement
Cross-Functional Leadership

Get In Touch

Make An Appointment

Phone
1-833-923-7873
Practice
Medical Billing & Coding Expert
Location
California
Contact Courtney Polito