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Sonal Patel

Health Care Coder and Compliance Consultant

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Overview

Sonal Patel serves as a coding and compliance consultant for Nexsen Pruet. She is committed to providing clients coding and documentation guidance based on government and private payer regulations. She provides detailed, high-level findings reports for practices under ZPIC and RAC audit reviews, as well as risk adjustment audits. She creates custom corrective action plans for both Part A and Part B providers. 

Prior to working in a law firm, Sonal worked in Houston, Texas, where she guided specialty physicians and surgeons in correct coding and billing practices while at one of the city's premiere billing companies.  

During her time at Houston's leading cancer institution, Sonal performed thousands of retrospective audits on professional charges to ensure accuracy of coding and clinical documentation to maintain reimbursement levels.  

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Education

Kaplan University, Certificate Medical Coding III
The Ohio State University, M.A., South Asian Art History
Hiram College, B.A., Art History, with Honors

Civic & Professional Memberships
  • CPMA, Certified Professional Medical Auditor
  • CPC, Certified Professional Coder
  • CMC, Certified Medical Coder
  • ICD-10-CM Proficient, International Classification of Diseases, 10th Revision, Clinical Modification
  • AAPC (American Academy of Professional Coders)
  • PMI (Practice Management Institute)
  • AMBA (American Medical Billing Association) 

Sonal is a true Buckeye and Mid-Westerner.

Prior to her healthcare career, she studied and worked extensively in the field of art history. From her time at a world-renown art institution in Washington, District of Columbia, to her esteemed reputation in modern and contemporary Indian Art, Sonal mastered her love of research and writing.  Her passion for art continues to this day. She is never far from an art museum or gallery opening.