Gianni Gonzalez, CPC, CPMA, RHIT, CMCO
Gianni, the Founder, and CEO of HealthCare Management Solutions bring a
wide array of skills, certifications, and education to every client. She has 20+ years of experience in health information and reimbursement management in hospitals and physician offices of all sizes (solo, group and academic) – always delivering up-to-date compliance programs, chart audits and educational services uniquely tailored to each client.
As a female, minority business owner in the healthcare industry, Gianni is familiar with hard work and overcoming obstacles. She applies her work ethic and dedication to success to find solutions for every client.
Gianni specializes in revenue and denials management, including physician coding, provider-based implementation, fee schedule analysis, chart review, and coding/billing education. As an expert in coding, reimbursement issues, and practice management, she works to access the operational efficiency opportunities.
Education:
- Certified Professional Coder – CPC Health Information Management Degree
- Registered Health Information Technician – RHIT
- Certified Professional Medical Auditor – CPMA
- Certified Medical Compliance Officer – CMCO
Experience:
Gianni has increased revenue at numerous practices through detailed audits, reports and educating providers in different specialties (Orthopedics, Family Practice, Internal Medicine, Ophthalmology, Critical Care, Emergency Medicine, Nephrology, Oncology, and Neurology).
- Northeast Georgia Physician Group Practice: Evaluate and manage chart audits, provided training on medical record documentation, created and managed a coding department, transitioned single specialty providers to the group, assisted in provider credentialing
- Mayo Clinic: Physician evaluation and management auditing, denials management, Anesthesia coding and billing, Oncology training and billing
- University of Florida Jacksonville Physicians: Educator for CMS medical record guidelines, chart auditing for compliance according to CMS guidelines, provided training on medical record documentation, employee training and implementation of curriculum in medical terminology, CPT and ICD9 coding, specialized in multi-specialty coding
- P.A.M.I.: Audited medical charts for compliance with CMS guidelines
- Sterling Medical: Interim Account Posting Director, revenue analysis
- MDI: Created a system for tracking estimates for medical services
Professional Affiliations:
- AHIMA
- American Academy of Professional Coders
- Medical Group Management Association