Jan Lambert is a Director in the Healthcare Life Sciences/ Disputes, Compliance, and Investigations team. She has worked for the past 26 years in healthcare, dealing with physicians, outpatient facilities, specialty clinic coding with focus on medical oncology clinics and dialysis services, DME coding and overall compliance issues. Actively involved as an IRO team member for clients under CIA.
Jan has also been directly involved in physician business operations, process improvement, and assisted in specific clinical aspects. She has coded procedures, reviewed claims for the appropriate application of ICD-9 codes, appealed denials, rejections and underpayments for many providers. For medical practices, she has also been responsible for credentialing, insurance contracting, and surgical/medical pre-authorizations.
Extensive experience with ICD-10 CM gap analysis for preparation of the upcoming ICD-10 conversion.