RevalonMD Leadership & Editorial Review
Founder & Chief Executive Officer
MBA (Healthcare Management) · HFMA member
MBA (Healthcare Management)HFMA Member
AAPC · AHIMA · NAMSS · HCCA certified
Meet the RevalonMD Team: Certified Billing, Coding, and Credentialing Professionals
RevalonMD's billing and coding staff hold active AAPC and AHIMA certifications. The billing team carries the Certified Professional Coder (CPC) credential from AAPC; the coding team holds the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA) from AHIMA.
Before your practice signs a billing contract, you deserve to know exactly who is handling your claims — and what credential backs that claim. Every RevalonMD team member holds a named, verifiable certification from a recognized professional body. This page maps each role to its credential and explains what that credential means for your practice.
Verified credentials
Six specialist teams. Six credential standards.
RevalonMD’s billing, coding, credentialing, and compliance teams each hold the profession-specific certification for their discipline. Generalist staff are not rotated between roles.
- Revenue CycleCPC (AAPC) · CRCR (HFMA)
- Medical CodingCCS · RHIA (AHIMA) · CPMA (AAPC)
- CredentialingCPCS · CPMSM (NAMSS)
- Compliance / HIPAACHC · CHPC (HCCA)
Staff credentials available upon request. No PHI required before a signed BAA (HIPAA 45 CFR §164.504(e), 2026).
The team
Six specialist teams, each credentialed for their discipline
RevalonMD staffs six specialist teams — revenue cycle, medical coding, provider credentialing, compliance, leadership, and editorial — each holding the profession-specific certification from AAPC, AHIMA, NAMSS, or HCCA. No team member is a generalist rotated from another vertical.
RevalonMD Revenue Cycle Team
Revenue Cycle Management Specialists
CPC (AAPC) · CRCR (HFMA) · RHIA (AHIMA)
CPC (AAPC)CRCR (HFMA)RHIA (AHIMA)
RevalonMD Medical Coding Team
Medical Coding Specialists
CCS (AHIMA) · RHIA (AHIMA) · CPMA (AAPC)
CCS (AHIMA)RHIA (AHIMA)CPMA (AAPC)
RevalonMD Provider Credentialing Team
Provider Credentialing Specialists
CPCS (NAMSS) · CPMSM (NAMSS)
CPCS (NAMSS)CPMSM (NAMSS)
RevalonMD Compliance & HIPAA Office
Chief Compliance & HIPAA Officer
CHC (HCCA) · CHPC (HCCA)
CHC (HCCA)CHPC (HCCA)
RevalonMD Editorial Team
Editorial & Content Standards
MA (Health Communication)
MA (Health Communication)
Credential verification is your right — ask for it.
Every certifying body listed on this page — AAPC, AHIMA, NAMSS, and HCCA — maintains a public credential registry. You can verify any team member’s certification status independently before signing a contract. RevalonMD staff credentials are available upon written request.
Revenue Cycle
Revenue Cycle Management Team
RevalonMD’s billing and coding staff hold active AAPC and AHIMA certifications. The billing team carries the Certified Professional Coder (CPC) credential from AAPC; the coding team holds the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA) from AHIMA.
RevalonMD's billing and coding teams serve 50+ medical specialties across all 50 U.S. states, including cardiology, orthopedics, behavioral health, primary care, and more. Each team member's specialty experience is matched to your practice's specific CPT and ICD-10-CM code sets — not generalist coders reassigned from other verticals.
The revenue cycle team covers every step from the clinical encounter to the posted payment: eligibility verification, charge capture, claim scrubbing against NCCI edits and payer-specific rules, EDI 837 submission, ERA/EOB payment posting, denial follow-up, and AR recovery within timely-filing windows. This end-to-end ownership means accountability never changes hands and no hand-off loses documentation.
Revenue cycle performance metrics are documented with benchmarks from MGMA (2024–2025) and HFMA (2025). Performance figures are available for review and will be published on this page following founder verification.
CPC (AAPC)CRCR (HFMA)RHIA (AHIMA)
Scope of responsibility
- Eligibility verification & benefit checks
- Charge capture & superbill reconciliation
- EDI 837 claim submission via clearinghouse
- ERA/EOB posting & payment reconciliation
- Denial follow-up & AR recovery
- Timely-filing window management
Certifying bodies
AAPC — American Association of Professional Coders
HFMA — Healthcare Financial Management Association
AHIMA — American Health Information Management Association
Medical Coding
Medical Coding Team
RevalonMD’s Medical Coding Team holds the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA) from AHIMA, and the Certified Professional Medical Auditor (CPMA) from AAPC. This team assigns CPT 2026 and ICD-10-CM FY2026 codes to clinical encounters, performs internal coding audits before submission, and maintains compliance with NCCI and payer-specific editing rules.
Scope of responsibility
- CPT 2026 code assignment by specialty
- ICD-10-CM FY2026 diagnosis coding
- HCPCS Level II code application
- E/M leveling & modifier selection
- Internal coding audits (CPMA oversight)
- NCCI edit compliance
CCS (AHIMA)RHIA (AHIMA)CPMA (AAPC)
Accurate coding is the upstream variable that determines whether a claim is paid, denied, or flagged for audit. A single miscoded modifier or an unsupported E/M level creates a denial that travels backward through the entire revenue cycle — rework, appeal, delayed cash. RevalonMD’s coding team prevents that at the source.
The CPMA credential (Certified Professional Medical Auditor, AAPC) is specifically relevant here. The coding audit function operates separately from the billing submission team, so the team that checks the code is not the same team that assigned it. Independence in audit is the standard for defensible coding documentation under OIG Compliance Program guidance.
Specialty-specific coding experience includes cardiology (CPT 93000-series, 2026 — cardiac monitoring and diagnostic services), orthopedics (CPT 27447/27130, 2026 — total knee and hip arthroplasty), and behavioral health (CPT 90837/90847, 2026 — individual and family psychotherapy). Each coding engagement is matched to the CPT families and ICD-10-CM FY2026 code sets used in your practice’s specialty — not generalist coders reassigned from unrelated verticals.
All CPT references on RevalonMD-coded claims use the current AMA code year (CPT 2026). All diagnosis references use the current CMS ICD-10-CM edition (FY2026). Code-year compliance is verified by the Coding Director before any RevalonMD publication references a CPT or ICD-10-CM code.
Code-year rule
Every CPT and ICD-10-CM reference on RevalonMD-coded claims and publications names its edition year — e.g., “CPT 2026,” “ICD-10-CM FY2026.” This is a non-negotiable internal standard, not a formatting convention.
Credentialing
Provider Credentialing Team
RevalonMD’s provider credentialing team holds the Certified Provider Credentialing Specialist (CPCS) and Certified Professional Medical Services Management (CPMSM) credentials from NAMSS — the National Association Medical Staff Services. These are the recognized professional standards for credentialing verification, CAQH ProView management, PECOS enrollment, and payer contracting.
Provider credentialing is the process of verifying a provider’s qualifications and enrolling them with payers so that claims can be submitted and paid under the provider’s NPI. A provider who is not enrolled with a payer cannot bill that payer — which means credentialing gaps directly block revenue.
RevalonMD’s credentialing team manages the full enrollment cycle: CAQH ProView setup and maintenance, Medicare PECOS enrollment, Medicaid and commercial payer applications, NPI Type 1 (individual) and Type 2 (group) registration, primary source verification, and re-credentialing cycles before expiration. Each step follows CMS PECOS procedures and CAQH ProView standards (current 2026).
Credentialing timeline benchmarks are being finalized against CMS PECOS enrollment data (2026) and will be published on this page following founder verification.
CPCS (NAMSS)CPMSM (NAMSS)
Scope of responsibility
- CAQH ProView setup & maintenance
- Medicare PECOS enrollment (60–90 day window)
- Medicaid & commercial payer applications
- NPI Type 1 & Type 2 registration
- Primary source verification
- Re-credentialing & re-enrollment
Certifying body
NAMSS — National Association Medical Staff Services
Compliance
Compliance & HIPAA Office
RevalonMD operates a dedicated Compliance & HIPAA Office. The compliance team holds the Certified in Healthcare Compliance (CHC) and Certified in Healthcare Privacy Compliance (CHPC) credentials from HCCA and administers a signed Business Associate Agreement (BAA) with every client. This office maintains PHI safeguards, breach notification procedures, role-based access controls, and ongoing HIPAA audits under 45 CFR Parts 160 and 164 (current 2026).
Scope of responsibility
- BAA execution before every client engagement
- HIPAA Privacy & Security Rule compliance (45 CFR Parts 160 & 164, 2026)
- PHI encryption in transit (TLS 1.3) and at rest
- Role-based access & audit logging
- Breach notification management
- SOC 2 compliance roadmap oversight
CHC (HCCA)CHPC (HCCA)
RevalonMD signs a Business Associate Agreement (BAA) with every client before any protected health information (PHI) is accessed. This is a requirement under HIPAA 45 CFR §164.504(e) (2026) — not an optional add-on. BAA administration is managed by RevalonMD’s HCCA-certified Compliance & HIPAA Office.
PHI is encrypted in transit (TLS 1.3) and at rest. Access is role-based and audit-logged. The minimum necessary standard applies to every access decision. Breach notification procedures are documented and tested. RevalonMD’s SOC 2 compliance roadmap is managed by this office.
Zero PHI collection via this website. The contact form on this page and all other RevalonMD web forms collect practice name, phone, email, and specialty type only — no patient data. PHI is exchanged only after a signed BAA through secured, approved channels.
Editorial & leadership
Editorial Team
RevalonMD’s Editorial Team provides the quality governance layer that connects every credential claim to published evidence — verifying YMYL editorial standards, confirming certifying-body links are live, and signing off on code-year references before any page is published. The Founder reviews and approves all performance figures before they appear on this website.
RevalonMD Leadership & Editorial Review
MBA (Healthcare Management) · HFMA member
RevalonMD's Founder & CEO leads overall strategy and quality governance. The Founder signs every Business Associate Agreement (BAA) personally before any protected health information (PHI) is exchanged, and verifies all published performance claims before they appear on the website.
MBA (Healthcare Management)HFMA Member
RevalonMD Editorial Team
MA (Health Communication)
RevalonMD's Editorial Team holds an MA in Health Communication and is responsible for YMYL editorial standards across every published page. Each page is reviewed against E-E-A-T criteria before publication — verifying that performance claims are founder-verified, sources are dated and primary, and all code-year references name the correct edition (e.g., CPT 2026; ICD-10-CM FY2026).
MA (Health Communication)
FAQ
Frequently asked questions about the RevalonMD team
Answers to the questions most commonly asked by physicians and practice managers evaluating RevalonMD — credential types, verification process, HIPAA compliance, specialties covered, and how to get started.
Yes. RevalonMD's billing specialists hold the Certified Professional Coder (CPC) from AAPC. The coding team carries the Certified Coding Specialist (CCS) and Registered Health Information Administrator (RHIA) from AHIMA. These credentials require ongoing continuing education and recertification — not one-time testing. You can request proof of current certification status before signing any agreement.
RevalonMD's provider credentialing team holds the Certified Provider Credentialing Specialist (CPCS) and Certified Professional Medical Services Management (CPMSM) from NAMSS — the National Association Medical Staff Services. These are the recognized professional standards for credentialing verification, CAQH ProView management, PECOS enrollment, and payer contracting.
Yes. RevalonMD operates a Compliance & HIPAA Office staffed with professionals holding the Certified in Healthcare Compliance (CHC) and Certified in Healthcare Privacy Compliance (CHPC) from HCCA. This team administers the signed Business Associate Agreement (BAA) with every client, maintains PHI safeguards, and manages breach notification procedures.
RevalonMD's billing and coding team has direct experience across 50+ medical specialties in all 50 U.S. states — including cardiology, orthopedics, behavioral health, primary care, and multi-specialty groups. Each engagement is staffed with coders matched to your specialty's CPT and ICD-10-CM code families, not generalist coders reassigned from other verticals.
Ask for the certifying body name (AAPC, AHIMA, NAMSS, HCCA), the specific credential acronym, and the credential's current status — not just a claim of 'being certified.' Certifying bodies maintain public registries: AAPC at aapc.com, AHIMA at ahima.org, NAMSS at namss.org. RevalonMD staff credentials are available upon request before any agreement is signed.
Yes. RevalonMD executes a signed Business Associate Agreement (BAA) with every client before any protected health information (PHI) is accessed. This is a requirement under HIPAA 45 CFR §164.504(e) (2026) and a non-negotiable contract condition. BAA administration is managed by RevalonMD's HCCA-certified Compliance & HIPAA Office.
Yes. RevalonMD's Medical Coding Team includes staff holding the Certified Professional Medical Auditor (CPMA) from AAPC. Internal coding audits are conducted to validate claim accuracy before submission and to support compliance with payer editing rules. This audit function operates separately from the billing submission team to maintain independence.
Explore
Explore RevalonMD’s services and resources
The team sections above describe who handles your claims. The pages below describe what they do — scope, process, and pricing for each service pillar.
Who stands behind this page
Methodology: credential claims on this page reflect current certifications held by RevalonMD team entities as of the last-reviewed date above. All certifying body references (AAPC, AHIMA, NAMSS, HCCA) use the publicly verifiable credential name and acronym. Performance figures are RevalonMD operating targets reviewed by the Founder before publication. Regulatory citations use primary sources — HHS/OCR (45 CFR Parts 160 and 164, 2026), CMS PECOS (2026), and CAQH ProView (2026). Code-year references are verified by the Coding Director before publish (CPT 2026; ICD-10-CM FY2026).
AAPC credential registry, 2026AHIMA credential registry, 2026NAMSS credential registry (CPCS/CPMSM), 2026HCCA credential registry (CHC/CHPC), 202645 CFR Parts 160 & 164 (HIPAA), 2026CMS PECOS enrollment, 2026CAQH ProView, 2026AMA CPT 2026CMS ICD-10-CM FY2026
Work With a Credentialed Billing Partner
Every RevalonMD engagement starts with a free revenue-leakage audit and a written findings summary — delivered by the AAPC-, AHIMA-, NAMSS-, and HCCA-certified team described on this page. No PHI required to schedule a consultation.