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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, has over 15 years of diverse healthcare experience. Jacob is a national conference speaker and an AAPC National Advisory Board officer, where he chairs the Unite committee.
Jacob specializes in Evaluation and Management (E/M), Risk Adjustment, operational risk reduction, and leadership development. As an accomplished auditor, Jacob specializes in nationwide audit risk identification. His extensive knowledge of health insurance and the complete revenue cycle, positions him as a leader in the field. He possesses a professional grasp of ICD-10 CM/PCS, CPT, and HCPCS codes, modifiers, medical terminology, anatomy, and physiology.
As an approved instructor, Jacob is skilled in provider and coder education, documentation improvement, and audit risk reduction. His comprehensive understanding of healthcare processes includes compliance services, patient access, performance improvement, healthcare analytics, operational optimization, and business intelligence.
Furthermore, his expertise extends to strategic planning, regulatory compliance, and quality-based healthcare initiatives. His leadership in revenue cycle optimization and compliance, billing compliance, and coding regulatory compliance underscores his dedication to enhancing operational efficiency, reducing risk, and fostering leadership within the healthcare industry.
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