Mary Margarette T. Lozada

Holding credentials as a Registered Nurse (RN), Certified Professional Coder (CPC), and Certified Six Sigma Yellow Belt (CSSYB), Mary Margarette is a post-acute coding specialist who turns clinical documentation into audit-ready, reimbursement-accurate coding across the care continuum. She has deep command of the home health coding service vertical including — Start of Care (SOC), Resumption of Care (ROC), Recertification, Significant Change in Condition (SCIC), and Discharge OASIS-E reviews, ICD-10-CM, and PDGM diagnosis coding — as well as hospice-specific coding requirements, including terminal diagnosis coding, Hospice Item Set (HIS) documentation, and CMS Hospice Conditions of Participation.

At Cliniqon, Mary Margarette leads the company's coding services across Home Health, Hospice, and Home Care, managing and providing leadership for a team of outsourced coding experts — AAPC- and AHIMA-certified coders working as an extension of client agencies' clinical and billing teams. Under her leadership, the team delivers CHAP-verified, RN-managed coding and QA support tailored to each service line's regulatory demands, from PDGM-driven home health reimbursement to hospice eligibility and terminal prognosis documentation to non-skilled home care coding. She pairs her Six Sigma process-improvement training with hands-on coding accuracy, denial-management, and audit-defense expertise to keep coding staff aligned and consistent across all three lines of business — helping agencies nationwide code compliantly and confidently, regardless of which service they operate.