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Cheryl Krusch

Director of Clinical Documentation Improvement | LPN, CPC, CPMA, COC, ICDCT-CM, CMDP

Cheryl is the Director of Clinical Documentation Improvement at BerryDunn, where she manages a team of coding and auditing specialists. She has been in the healthcare field for over 30 years, with extensive experience working in physician private practice, facilities, and insurance carriers. Her focus is clinical documentation auditing, training of coders and billers, and physician education on accurate coding and documentation.

Cheryl’s past experience includes working as a Clinical Coordinator for the Connecticut State Medical Society-IPA. While there, she was responsible for quality initiatives, the integrity of the IPA utilization management database, analysis of network practitioner data in support of quality measures, and the enhancement of utilization management programs through code-specific data analysis.

Cheryl is the Director of Clinical Documentation Improvement at BerryDunn, where she manages a team of coding and auditing specialists. She has been in the healthcare field for over 30 years, with extensive experience working in physician private practice, facilities, and insurance carriers. Her focus is clinical documentation auditing, training of coders and billers, and physician education on accurate coding and documentation.

Cheryl’s past experience includes working as a Clinical Coordinator for the Connecticut State Medical Society-IPA. While there, she was responsible for quality initiatives, the integrity of the IPA utilization management database, analysis of network practitioner data in support of quality measures, and the enhancement of utilization management programs through code-specific data analysis.

Cheryl has developed effective educational tools and provided direct support to provider groups in the area of AMA/CPT guidelines for documentation and coding. She also was the Director of Coding and most recently Coding Compliance Administrator for a large billing and revenue cycle management company.

Cheryl began her career as a nurse with experience in acute care, skilled nursing, and private physician office settings. Prior to joining the Medical Society team, she worked for two national health plans. Her roles included manager of the Prior Authorization Department and Vendor Service Manager.

Experience highlights

  • Commercial and government payer audit response
  • Coding and clinical documentation reviews required for compliance plan documentation
  • Coding reviews for pre- and post-acquisition due diligence
  • CMS overpayments
  • Coding and documentation education

Memberships and committees

  • American Academy of Professional Coders (AAPC)
  • American Institute of Healthcare Compliance (AIHC)

Related Services

Consulting

Business Advisory

Insights

Education

LPN, Youville Hospital School of Practical Nursing 

Certifications

  • LPN
  • CPC
  • CPMA
  • COC
  • ICDCT-CM
  • CMDP