Forensic Medical Coder,
Reimbursement (Billing) and
Healthcare Compliance Specialist

Jacqueline Nash Bloink

MBA, RHIA, CFE, CHC, CPC, CMRS

Over 20 years of actual experience in the Medical Coding, Reimbursement (Billing) and Compliance Industry. Holding such roles as Coding / Reimbursement Manager; Practice Administrator; Compliance Director and Officer; Corporate Responsibility Auditor; and College Professor/Instructor.

Healthcare Delivery Settings include: Multi-Specialty Groups (60 plus sites); University Hospital – Medicine Department (Cardiology, Dermatology, Gastroenterology, Hepatology, Geriatrics, Internal Medicine, Palliative Medicine, Hematology – Oncology, Infectious Diseases, Inpatient Medicine, Integrative Medicine, Nephrology, Pulmonary, Allergy, Critical Care, Sleep Medicine, Rheumatology, and Research Teaching Facility); Hospital Network System; Laboratory/Pathology; Radiology; Children’s Hospital; Telehealth Group; Private Physician Consults.

Consultant and Legal Support as an Expert Witness in cases that involve allegations of Healthcare Fraud, Reimbursement Evaluation (Usual, Customary and Reasonable – UCR), and Forensic Medical Coding – Billing. Legal teams include both Defense and Plaintiff counsel / clients.

  • Forensic Medical Coding and Reimbursement Analysis;
  • Retrospective (past) and Prospective (future) CPT, HCPCS and DRG – Usual, Customary and Reasonable (UCR) Claim – Bill Review;
  • Revenue Cycle Management – Reimbursement Review Analysis;
  • Healthcare Compliance Program Review;
  • Healthcare Fraud Allegation Analysis

Author or Co-Contributor for Publications and Presentations:

  • CMS / OIG
  • American Academy of Professional Coders (AAPC) 
  • American Academy of Family Physicians (AAFP)
  • International Association of Financial Crime Investigators (IAFCI)
  • Association of Certified Fraud Examiners (ACFE)
  • Health Care Compliance Association (HCCA)
  • California Health Information Association (CHIA)
  • Claims Litigation Management (CLM)
  • Urgent Care Association (UCA)

Education:

Bachelor of Science (BS) – Public Affairs Management – Healthcare
Masters in Business Administration (MBA) – Healthcare Management
Post Graduate Certificate – Health Information Management (Medical Records)

Registrations and Certifications:
  • Registered Health Information Administrator (RHIA with AHIMA)
  • Certified Fraud Examiner (CFE with ACFE)
  • Certified in Healthcare Compliance (CHC with HCCA)
  • Certified Professional Coder and Compliance Officer
  • (CPC and CPCO with AAPC)
  • Certified Medical Reimbursement Specialist (CMRS with AMBA.)

Have A Question?

You will receive a response within 24 Hours ~ Jacqueline Bloink LLC

Email: jbloink@jacquelinebloinkllc.com
Home Base is California. Work Nationally
Phone: 970-560-1009 *Please leave a message