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With over three decades of expertise and a stellar career trajectory, Natalie has solidified her reputation as a trailblazer in the healthcare industry. Her extensive credentials, including being an AHIMA Approved ICD-10-CM/PCS Trainer, reflect her deep knowledge and commitment to excellence. https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/4719ce20-42af-4faa-a80e-46c71ece698e/Ivore+Photo.png About QualCode - Ivore Cross CIC, COC Director of Operations https://www.qualcodeinc.com/contact daily 0.75 2025-12-01 https://www.qualcodeinc.com/auditcode daily 0.75 2025-12-01 https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/fe766ad4-2d43-4fca-b89d-8b4de404e051/black+female+office+executive+in+front+of+New+York+city+skyline+%2812%29.png AuditCode - Diagnosis-Related Group (DRG) Validation Diagnosis-related group (DRG) validation Precise DRG assignment depends on clinically-supported ICD-10 diagnosis and procedure codes, a correct principal diagnosis, accurate sequencing, and detailed clinical documentation. QualCode’s experienced and credentialed auditors validate your DRGs to ensure all conditions are captured and documented correctly and with the level of clinical specificity necessary to avoid payer scrutiny. https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/9dcf1e5d-ff77-4694-831c-47e5b434d462/black+female+office+executive+in+front+of+New+York+city+skyline+%2813%29.png AuditCode - Ambulatory Payment Classification (APC) Validation Correct APC assignment requires accurate CPT/HCPCS coded data, regardless of whether those codes originate from the charge description master (CDM) or whether a coder assigns them manually. QualCode’s auditors validate your hard-coded and soft-coded data so outpatient claims are grouped and paid correctly the first time, every time. https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/0aae2719-d491-4561-a643-dd9fe001cca1/black+female+office+executive+in+front+of+New+York+city+skyline+%2815%29.png AuditCode - Hierarchical Condition Category (HCC) Risk Adjustment Validation In an era of risk-adjusted payments, accurate HCC capture is paramount. HCCs drive alterative payment models, pay-for-value contracts, Medicare Advantage payments, and more. QualCode’s HCC experts validate whether your organization captures each patient’s entire risk profile and whether your clinical documentation adequately supports code assignment. https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/fb60eed9-134e-4d73-9108-e622520ad703/black+female+office+executive+in+front+of+New+York+city+skyline+%2811%29.png AuditCode - Evaluation and Management (E/M) Audits Did a provider unknowingly upcode an E/M service due to an inflated note in the electronic health record? What about undercoding? Did the documentation support a level 3 instead of a level 2? Could the provider have billed a separately identifiable service using a modifier? QualCode’s E/M experts review your documentation to answer these and many other questions, giving you the peace of mind in knowing that the claims you submit are accurate and complete. https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/14b6f516-2663-4fe2-b111-dbd2e529cca3/black+female+office+executive+in+front+of+New+York+city+skyline+%2816%29.png AuditCode - Coding and Billing Audits for Professional Services Physician coding increasingly requires ICD-10-CM and HCC coding expertise in addition to an intimate knowledge of CPT and HCPCS codes relevant to each specialty. 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