Melody Czapski has over 20 years of experience auditing outpatient and physician services across various healthcare settings to ensure coding, billing and documentation compliance. She has held several positions where she planned and executed audits, identified risks and variances, calculated financial impacts, and developed corrective action plans. Czapski has an Associate's degree in Health Information Technology and is a Registered Health Information Technician and Certified Coding Specialist with Professional certification.

1. Melody Czapski, RHIT, CCS-P, CHCC C# (734) 718-3463 H# (734) 425-2017
30461 Hoy St. Livonia, MI 48154 Email MelodyCzapski@aol.com
Educational Background
Schoolcraft College, Associate Science and Health Information Technology, May 1993
Registered Health Information Technician (RHIT), AHIMA, Oct 1993
Certified Coding Specialist- Professional (CCS-P), AHIMA, Feb 2006
Certified Healthcare Compliance Consultant (CHCC), HCR, Jun 2002
AHIMA Academy for ICD-10-CM, Nov 2014
Adjunct Instructor, Ambulatory Procedural Coding, Schoolcraft College, 2008 & 2012
Significant Experience
Over 20 years of experience auditing OPPS, Physician/NPP services, in all settings: hospital, inpatient/outpatient
facility, provider based, specialty clinics (radiation/oncology/cancer clinics, geriatrics, pediatrics, internal/family
medicine, cardiology, hematology, OB/GYN, newborn/neonatology, infusion centers, holistic, PT/OT/SP, renal,
etc.), skilled/nursing facilities, urgent care, SDS, OPD, ED, observation, wound care and office settings. An
extensive background and expertise knowledge in charge capture processes, coding, billing and revenue cycle, with
a diverse background in the Health Information/Informatics Management, to include IPPS, OPPS and extensive
knowledge in Physician/NPP services. Her prior career experience includes:
Positions: Consulting Services Current
OPPS & Professional HIM Audits
• Clients:
Coding Compliance Solutions (Physician and OPPS)
Review the medical records for the accuracy of CPT, ICD9, HCPCs, Modifiers, Units, documentation analysis and
reimbursement guidelines, of Physician/NPP services for compliance with regulatory requirements to include national,
state and commercial guidelines as well as official sources nationally recognized.
On Assignment/Oxford (OPPS)
Conduct internal auditing of the medical record, codes assigned (ICD9, ICD9Px, CPT, Modifiers, Units) by On
Assignment/Oxford coding staff at various client healthcare systems for hospital outpatient and ambulatory
settings/services: OR procedures, OPD, SDS, ER, Observations, Infusions/Injections, researching CMS coverage
guidelines NCD and LCD, state contractor requirements.
CHAN Healthcare, Clayton, MO
Position: Compliance Audit Manager Aug 2011 – Dec 2013
Conduct OPPS and Professional documentation, coding and billing (UB04, RA, EOB or CMS1500) audits nationwide for
Ascension Healthcare. Work independently, coordinate with Administration and senior staff to determine scope, objective
and communicate audit steps. Conduct audits based on regulatory requirements CMS/NCD, LCD, state contractor and
commercial guidelines and research nationally recognized official sources. Determine risk, identify and verify variances,
Calculate reimbursement impact based on state contractor, recommend corrective action plans, create summary reports,
monitor and perform follow-up functions.
William Beaumont Hospital, Corporate, Royal Oak, MI Aug 2001 - Nov 2010
*Position: Corporate Compliance Office, Manager Audit
Created, managed and maintained audit database for OPPS, IPPS and Professional audit services, for a large multispecialty
healthcare system. Assist in planning and completion of the annual audit work plans. Responsibilities included regulatory
analysis updates, financial, compliance and audit reports, determine/monitor corrective action plans, and provide
educational services/presentations. Development of tools, EM pocket guides, audit templates, chart/encounter forms and
define standardize coding and auditing policies/procedures, assist in external audits and confidential compliance calls.
Manage and direct the Compliance Auditors.
*Position: Beaumont Professional Services (BPS), Audit Supervisor Aug 2001- April 2004
Trinity (previously Mercy) Health Services, Farmington Hills, MI (nation-wide reviews)
*Position: Corporate Compliance Office, Compliance (Revenue Integrity) Specialist Aug 1998- July 2000
Responsibilities include coordinating and reviewing of medical records for accuracy of CPT, ICD9, HCPCs, Modifiers,
Rev Codes, DRGs, documentation analysis and reimbursement guidelines, to ensure compliance with regulatory
*Letters of Recommendations and References available

2. requirements to include national, state and commercial guidelines as well as official sources nationally recognized.
Knowledge and expertise in of all aspects of coding (IPPS. OPPS. Physician), plan and effectively perform audits, meet
timeframes, evaluate for risk and prepare reports to identify findings and provide recommendations. Perform educational
in-services based on findings, promote/initiate corrective action plans and support/assist with external audits.
St. Joseph (Mercy) Hospital Oakland, Pontiac MI Mar 1994 – Aug 1998
*Position: Professional Coding Coordinator
Coordination and assignment of ICD9, CPT and HCPCs codes as it relates to the professional services billing of inpatient
and outpatient services with facilities and professional staff. Perform probe and random audits. Formalize processes to
meet compliance requirements to reduce risk. Procedures and form development. Develop Physician coding policies and
procedures. Enforce standards and respond to detected offenses. Monitor an ongoing QA program, and analyze data to
monitor for patterns/trends and responsible for comprehensive, ongoing training/educational program.
Sinai Hospital, Detroit, MI Oct 1993 – Mar 1994
Position: Inpatient/Outpatient Coder
Abstract medical records, assignment of diagnoses, procedures and modifiers for both Inpatient (DRG) and Outpatient
(OPPS) records.
Evangelical Nursing Home, Saline, MI May 1993- Oct 1993
Position: Medical Record Coordinator
Provide Admission and Quarterly audits and confirm CMS certification. Assemble, code and audit charts for completion.
Maintain MDS and the Resident Census/Report Roster. Assisted in five state surveys.
Achievements
Phi Theta Kappa, Deans List 3.95 GPA
Six Sigma, Jan 2006
Beaumont Service Excellence, May 2007
AFFILIATIONS: AHIMA, MHIMA, SEMHIMA, AAPC, CHCC and WPS/PCOM
• SEMHIMA: Served 6 years- President ( 2008/9/10) 3 yr term; Previous positions: Director, Nominating Committee
• MHIMA: Served 8 years-Director (Sept 2009/10) 2 yr term; House Delegate (2008/9) Multiple Committees; CoP
Facilitator
• AHIMA Membership: 25 years
*Letters of Recommendations and References available