Karen Smiley

Karen Smiley is an experienced professional in the fields of medical billing and coding, with a notable role as a Payment Integrity Data Analyst at CareSource since April 2022. In this position, Smiley focuses on developing and managing detailed analyses to address issues related to Fraud, Waste, and Abuse, while also driving data analytics strategy across multiple business lines. Smiley's extensive background includes authorship of "Medical Billing and Coding for Dummies," as well as roles such as Manager of Professional Rule Delivery at Optum, where responsibilities encompassed the identification of billing anomalies and the application of medical policy to enhance detection and prevention practices. Additional experience includes positions as an Accounts Receivable Manager at an orthopedic practice, Certified Coder at Major Billing Company, and Medical Coder at Ambulatory Surgery Center, all contributing to a robust understanding of the medical billing landscape.