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Angela Zito

@angelazito

Clinical Data Analyst at Prisma Health improving claim accuracy and capturing $500K+ in accurate reimbursement annually.

United States

Message

At Prisma Health, I review patient and claim data for accuracy and alignment with ICD-10, clinical documentation, and payer reimbursement requirements. My COB and payment integrity reviews identify coordination gaps and help prevent inappropriate payments.

I partner with clinical leadership to identify high-acuity, under-documented cases, supporting $500K+ in accurate reimbursement capture annually. I also develop reporting tools that track compliance and denial trends.

Previously, at Omega Healthcare, I audited claims and supported recovery of $1.2M+ in missed or incorrect revenue. At Ventra Health, I completed appeals and reimbursement reviews, recovering $750K+ in denied or mis-coordinated claims.

Experience

Work history, roles, and key accomplishments

Current

Clinical Data Analyst

Current

Prisma Health

Jul 2022 - Present (4 years 4 months)

Reviews patient and claim data to ensure accuracy and alignment with ICD-10, AIS, clinical documentation, and payer reimbursement requirements. Conducts COB and payment integrity reviews, and develops reporting tools to track compliance and denial trends.

ICD 10 AIS COB Payment Integrity Data Analysis Reporting Excel

Revenue Cycle Analyst

Omega Healthcare

Jan 2021 - Jul 2022 (1 year 6 months)

Audited over 5,000 claims monthly to detect COB errors, billing inconsistencies, and adjudication issues, reducing denials by 18%. Built data quality frameworks and identified overpayments and underpayments, supporting recovery of $1.2M+ in revenue.

Claims Auditing COB Data Quality Payment Integrity Excel SQL

Revenue Cycle Specialist

Ventra Health

Jan 2019 - Jan 2021 (2 years)

Reviewed and validated claim charges and COB information across 3,000+ claims annually, reducing billing errors by 15%. Completed appeals, audits, and reimbursement reviews, recovering $750K+ in denied or mis-coordinated claims.

Claims Review COB Appeals Audit Reimbursement Compliance

Health Information Specialist

UHS Hospitals

Jan 2016 - Jan 2019 (3 years)

Reviewed medical record documentation and ensured claims met payer, COB, and compliance requirements with 95% accuracy. Collaborated with providers to improve documentation quality for accurate claim submission.

Medical Records COB Compliance Documentation Claims