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Jacob Swartzwelder, CPC, CPMA, CRC, CIC, CEMC, AAPC Approved Instructor
About
Jacob Swartzwelder, CPC, CPMA, CRC, CIC, CEMC, AAPC Approved Instructor, SAFe 5 Practitioner, is the Director of Coding Operations at Coker. He brings over 15 years of healthcare experience working in private offices, well-known hospitals, consulting firms, as well as international coding companies. He specializes in Evaluation and Management (E/M), Risk Adjustment, operational risk reduction, and leadership development. Mr. Swartzwelder is a National AAPC Healthcon Conference Speaker and an AAPC National Advisory Board Officer.
Experience
- Accomplished Evaluation and Management auditor specializing in nationwide payer audit risk identification.
- Knowledgeable about health insurance, co-pays, co-insurance, deductibles, and complete revenue cycle.
- Professional grasp of ICD-10 CM/PCS diagnosis codes, CPT procedure codes, HCPCS codes, modifiers, medical terminology, anatomy, and physiology.
- Skilled in provider and coder education, documentation improvement, and audit risk reduction.
- Experienced user of Epic, Athena/Athena Clinicals, GE Centricty/IDX, Mosaiq and CERNER EMRs.
Areas of Expertise
- Coding and Documentation Assessments and Audits
- Compliance Services/Programs
- MACRA/MIPS/APMs
- Patient Access
- Performance Improvement
- Population Health Management
- Healthcare Analytics and Business Intelligence
- Due Diligence
- Expert Witness
- HIPAA Compliance
- Hospital/Physician Alignment/Integration
- Quality-Based Healthcare Initiatives
- Revenue Cycle Optimization
- Strategic Planning
- Value-Based Care & Reimbursement
- Regulatory Compliance
Education
Certifications
Certified Professional Coder (CPC)
Certified Professional Medical Auditor (CPMA)
Certified Risk Adjustment Coder (CRC)
Certified Inpatient Coder (CIC)
Certified Evaluation and Management Coder (CEMC)
AAPC Approved Instructor
SAFe 5 Agile Practitioner