Jean R Pryor
Jean Pryor, CHAP, CPC, CPC-I, CCS-P, PCS, CCP, CIMC
Ms. Jean Pryor CPC, CPC-I, CCS-P, PCS, CCP, CIMC & CHAP background includes over 26 years of medical coding and billing experience, has been a certified professional coder since 1994 and is a Approved Licensed Instructor for the American Academy of Professional Coders (AAPC) . Ms. Pryor has been an Instructor of Coding and Medical Billing at Great Oaks Vocational School, Beckfield College, and Daymar College. In addition, Ms. Pryor is the director of the education center in Crestview Hills which provides education to physicians, medical office personnel, and students in the field of documentation guidelines, CMS regulations, correct coding and billing practices including the use of the Current Procedure Terminology (CPT-4), International Classification of Diseases 9th Revision Clinical Modifications (ICD-9-CM), and Healthcare Common Procedure Coding System (HCPCS Level II) manuals. In addition Ms. Pryor is a Certified Professional Coder (AAPC), Certified Internal Medicine Coder(AAPC), Professional Coding Specialist (ACMCS), Certified Coding Specialist-Physician (AHIMA), Certified Coding Professional (PHIA),Certified Healthcare Audit Professional (CHAP), Compliance Resource Recently Ms. Pryor completed the requirements and received her AHIMA ICD-10-CM Trainer Certificate.
Ms. Pryor attended CMS; Auditor Training for the CMS project “Agreed-Upon Procedures for Review of the Medicare Advantage Organizations and Prescription Drug Plans” This training included Medicare Advantage Risk Adjustment Methodology and Payment, Risk Adjustment Process and Data Validation. Ms. Pryor was a Master Coder and Auditor for NCCG on the project with the audits included: HCCs, RAPS, Secondary Payments, and Duplicate Payments activities. In addition, Ms. Pryor developed training manual for NCCG auditors on the project and administered the Inter-rater Reliability Testing for NCCG coders. NCCG role on the project, as a subcontract under contract with the Center for Medicare and Medicaid Services, involved providing coding expertise for Risk Adjustment Data Validation; the process of verifying that diagnosis codes submitted for payment by the MA organization are supported by medical record documentation for an enrollee.