“The executives of Pinnacle make up an exceptional team. Their collective knowledge base and broad expertise is impressive. Every issue was addressed quickly, concisely and accurately. I’m looking forward to our continued work together.” – Pinnacle Healthcare Consulting Client
Kelly Loya, CPhT, CPC-I, CHC, CRMA - Associate Partner
Kelly is an Associate Partner and joined Pinnacle Enterprise Risk Consulting Services in 2016, bringing 25 years of administrative, operational and clinical experience in the health care field. With over 12 years serving in a consulting role, Kelly has leveraged her past experience in coding/billing, pharmacy, first responder and nursing studies to provide a solid foundation on which to tackle complex issues for clients. Kelly assists clients in identifying strategic solutions by targeting: project parameters to identify risk, opportunities for improved compliance with government payor requirements and operational efficiencies. She performs quality assurance and audit functions for a wide range of providers. Her diverse skills are often utilized in comprehensive assessment projects involving pharmacy billing and operations, durable medical equipment, ambulance services, physician (professional fee) and hospital outpatient charging concepts. Utilizing data analysis and industry intuition, Kelly often provides multilayer data analysis for highly complex reviews with unique characteristics. Kelly is a Certified Pharmacy Technician (PTCB), Professional Coding Instructor (AAPC), Certified in Healthcare Compliance (HCCA) and Certified in Risk Management Assurance (IIA). Kelly has contributed to articles and spoken for several national organizations as well as contributed to a joint venture textbook from AHLA and AAPC.
Kristen Taylor, CPC, CHC - Associate Partner
Kristen joined Pinnacle Enterprise Risk Consulting Services as a managing director in 2016, bringing over 25 years of experience in coding, revenue cycle processes and compliance for physician and hospital reimbursement models. Kristen conducts operational assessments, attorney-client privileged investigations for billing and reimbursement anomalies applicable to her expertise, coding reviews and provider/coder education. Prior to consulting, Kristen managed the ancillary and surgical (OR) coding and billing staff for the departments of pathology and laboratory medicine, anesthesia, certified registered nurse anesthetist, diagnostic and interventional radiology services rendered within the facility and procedures performed in the OR suite for all surgical departments. Kristen is a Certified Professional Coder with the American Academy of Professional Coders (AAPC) and Certified in Healthcare Compliance with the Health Care Compliance Association (HCCA). She has written articles and spoken nationally for HCCA and AHIA. Her specialty experience includes radiation oncology, diagnostic and interventional radiology, anatomic pathology, primary care, anesthesia and pain management.