Roetzal Health Law HotSpot: How to Respond to Payor Audits Without Panicking

Elizabeth Hylton began her coding career by identifying claims submission errors involving ICD-9 and CPT® codes on hospital claims. From there, she worked as a Charge Entry Specialist for a local family medicine practice. She worked her way up to Coding Tech I at Carolinas Medical Center- Northeast submitting claims for half of the team of 22 hospitalists and 8 Critical Care providers. From there, she accepted a position at Sanger Heart and Vascular Institute as a Front Desk Clerk who also functioned as the backup Coding Tech. She obtained her CPC in December of 2011 and in March of 2012 accepted a position as an Auditor/Educator for Carolinas HealthCare System. She went on to support 126 physicians in 22 practices with specialties that included Dermatology, Endocrinology, Gastroenterology, Hematology/Oncology, Internal Medicine, Orthopedic Surgery, Pediatrics, Cardiology, and Concierge Medicine. She obtained her CEMC certification in May of 2014. In January of 2015 she was offered a position as Business Office Supervisor for one of the larger physician groups within Carolinas HealthCare System, where she gained experience with Lean, and remained until she accepted the position of Director of Client Engagement with the AAPC Services in July of 2015 through September 2021.