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HealthCare Management Solutions, LLC.
HealthCare Management Solutions specializes in practice management with over 20 years experience in physician practice operations, reimbursement, and education. We are dedicated to assisting providers in making a positive impact in the performance of their practice.

The healthcare market is constantly changing with new rules and regulations. HealthCare Management Solutions is committed to working with its clients to meet these challenges.
 

Meet Our Team

Gianni Gonzalez Laura Achorn Seth Canterbury


Gianni Gonzalez, CPC, CPMA, RHIT, CMCO

Gianni has more than 20 years of experience in health information and reimbursement management in both hospitals and physician offices. She delivers up-to-date and compliant guidelines to practices by providing chart auditing services and on-site coding education programs to both physicians and staff.

Prior to establishing HealthCare Management Solutions, Gianni was an Education Specialist for University of Florida Jacksonville Physicians. In this role, Gianni served as a resource for implementing the 1995 and 1997 CMS Evaluation and Management Documentation Guidelines and Billing Compliance rules to its providers.

Gianni also conducts assessments to determine the compliance risk for physician practices by directing compliance audit programs, overseeing the monitoring and auditing activities for the professional fee and billing system, and administers, maintains, and sets charges to ensure timely, accurate claims processing and data collection. She specializes in revenue and denials management, including: physician coding, provider based implementation, fee schedule analysis, chart review, and coding / billing education.

Gianni works with medical practices of all sizes (solo, group and academic) to access the operational efficiency opportunities as an expert in coding, reimbursement issues and practice management.

As a consultant she have assisted several practices in increasing their revenue by providing detailed audits, reports, and by educating providers in such specialties as Orthopaedics, Family Practice, Internal Medicine, Ophthalmology, Critical Care, Emergency Medicine, Nephrology, Oncology and Neurology.

For the past ten years, her consulting responsibilities have focused on physician evaluation and management chart review and surgical operative note review to ensure physicians are reporting services accurately and optimizing reimbursement. She has spoken at numerous specialty society meetings presenting topics on coding, reimbursement and practice management.


Education & Certification

  • Credentialed: Certified Professional Coder - CPC
  • Health Information Management Degree
  • Credentialed: Registered Health Information Technician - RHIT
  • Credentialed: Certified Professional Medical Auditor - CPMA
  • Credentialed: Certified Medical Compliance Officer - CMCO


Experience

HealthCare Management Solutions, LLC - Jacksonville, Florida
  • Owner
  • Educator
Northeast Georgia Physician Group Practice Gainesville, Georgia
  • Evaluation and Management Chart Audits
  • Provider training on medical record documentation
  • Created and managed a coding department
  • Transitioning of single specialty providers to the group
  • Assisted in provider credentialing
Mayo Clinic Jacksonville, FL
  • Physician Evaluation and Management Auditing
  • Denials Management
  • Anesthesia Coding and Billing
  • Oncology Training and Billing
University of Florida Jacksonville Physicians Jacksonville, FL
  • Educator for CMS medical record Guidelines
  • Chart auditing for compliance according to CMS guidelines
  • Provider training on medical record documentation
  • Employee training and implementation of curriculum in medical terminology, CPT and ICD9 coding
  • Specialized in multi-specialty coding
P.A.M.I. Jacksonville, FL
  • Auditing medical charts for compliance with CMS guidelines
Sterling Medical Jacksonville, FL
  • Interim Account Posting Director
  • Revenue Analysis
MDI Jacksonville, FL
  • Created a system for tracking estimates for medical services


Professional Affiliations

  • AHIMA
  • American Academy of Professional Coders
  • Medical Group Management Association



Copyright © 2017 - Healthcare Management Solutions, LLC.
HealthCare Management Solutions, LLC.
4452 Congressional Drive
Jacksonville, FL 32246