People
Areas of Expertise
- Coding and Documentation Assessments and Audits
- HIPAA Compliance
- Revenue Cycle Optimization
- Regulatory Compliance
Education/Memberships/Credentials
University of Wisconsin-La Crosse
Bachelor of Science, Management – Human Resources Emphasis
La Crosse, WI
Certifications
Certified Professional Coder (CPC)
Certified Coding Specialist (CCS)
Professional Memberships
American Academy of Professional Coders (AAPC)
American Health Information Management Association (AHIMA)
Erika Fisch is a senior associate at Coker Group. She has over 11 years of experience working in an integrated health system providing various audits and education to clinicians. Skilled at teaching E/M to clinicians, coders, and administrative staff, she has worked with several departments on system-wide projects that ultimately affected coding and reimbursement for the health system, including consulting on implementing new services, rolling out RN-led Medicare Annual Wellness visits, and giving feedback on write-off data. Erika is experienced in many areas of inpatient professional coding (Hospitalists, Intensivists, Pediatric Hospitals, and Critical Care) and outpatient professional coding (Internal & Family Medicine, Pediatrics, OB/GYN, Neurosciences, Pulmonology, etc.). She has provided quarterly benchmark reporting to clinicians and administrative staff, from which audits and education services were often performed as a result.
Experience
- Provides expert advice on CPT and ICD coding guidelines, clinical documentation, risk adjustment methods, billing and revenue integrity policies, and denials analysis prevention to physicians, associate staff, and department leadership.
- Subject matter expert on evaluation and management coding, teaching physician guidelines including primary care exception clinics, Medicare annual wellness visits, Split/shared billing, critical care billing, and E/M performance.
- Demonstrates in-depth knowledge and technical expertise in code sets including CPT, HCPCS, and ICD-10 as well as the current national, regional, and local payer policies for coding, billing, and claims processing.
- Obtains audit documentation for content and validity/medical necessity as it relates to coding and billing.
- Collaborates with leadership to research and interpret coding guidelines, regulatory materials, and claims processing policies.
- Works with internal departments to provide timely, respectful, and comprehensive communication for the purpose of client, department, and organization satisfaction.
- Analyzes trends regarding denials, national averages, and AWOs and relays appropriate information to key stakeholders.
