Maria DeMarco

Experience

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  (QIO) Quality Improvement Organization of New Jersey

  Jan 1988 - Nov 2001

  Co-Project Leader for the Payment Error Prevention Program (PEPP)

  Coordinate, advise and assist hospitals, providers, medical staff and professional organizations with the implementation of the Payment Error Prevention Program (PEPP) in accordance with Medicare program guidelines. Collaborate with hospitals to develop intervention strategies to correct future billing errors. Collaborate with hospitals to decrease medically unnecessary admissions. Identify areas for improvement and conduct educational sessions based on errors identified. Participate in project design. Ensure timely completion of tasks assigned to team members. Specific and generalized analysis of data reports. Perform chart (data) abstraction of the projects developed for PEPP. DRG validation on all cases referred under PEPP. Show less

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  The Valley Health System/ A UHS Hospital

  Nov 2001 - Jun 2006

  Coding Supervisor
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  Universal Health Services

  Jun 2006 - Mar 2009

  Manager of HIM Services
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  Huron Healthcare Consulting Group

  Mar 2009 - Jan 2020

  Manager, CDI Practice

  30 plus years of experience in the area of inpatient coding, external and internal auditing as well as DRGs and DRG reimbursement methodology. Credentialed as a Registered Health Information Technician, Certified Coding Specialist and a Certified Clinical Documentation Specialist. In addition, AHIMA-Approved ICD-10-CM/PCS Trainer

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  Huron

  Jan 2020 - now

  Director, CDI practice

  Director with a focus on coding, auditing and CDI