Pinnacle brings together some of the sharpest minds in the business. Our amazing team offers clients incredible insight and the professional diversity needed to deliver real-world solutions to everyday healthcare challenges.
Janelle Anderson
MBA
Manager
Expertise In...
- More than 20 years of experience in healthcare systems and business
- Industry expert in compensation modeling, redesign & automation
- Restructured, redesigned & expanded multiple healthcare programs
- Expert at developing new programs & redesigning existing programs
Andrew Arreola
Consultant
Expertise In...
- Consultant with more than 12 years of healthcare experience
- Supply chain expert with 10 years of experience in materials management
- Expert in sourcing, negotiating, planning, purchasing, inventory management and more
- Named the National Materials Manager of the Year
Liz Avery
CPA
Corporate Controller
Expertise In...
- Over 20 years of experience in financial management, strategy, and leadership
- Former CFO, Director of Finance, Controller, and Real Estate Consultant
- Skilled at implementing strategic solutions based on comprehensive financial analyses
Jason Baldwin
MBA
Senior Consultant
Expertise In...
- Cross-industry experience in financial analysis, forecasting, supply chain management and expense auditing
- Healthcare specific experience in proforma development, supply chain and financial audit, practice acquisition and provider compensation design
- Telecom, financial services and oil & gas industry experience in cash-flow forecasting, financial modeling and analytical services
Arlene Baril
MHA, RHIA, CHC
Director
Expertise In...
- 40 years of healthcare experience including management/leadership
- AHIMA certified ICD-10-CM/PCS trainer with hands-on expertise
in 5 of the CMS PPS systems - Experience in HIM operations, revenue cycle assessments and charge description master reviews
- Audit experience in RAC, APCs,
MS-DRGs, Profee, ASC, IRF, LTAC, and third-party audits - Experience developing Clinical Documentation Improvement programs and staffing
Curtis Bernstein
CPA/ABV, ASA, MBA
Partner
Expertise In...
- Partner with more than 20 years of executive leadership experience
- Management experience in both provider and consulting settings
- Current focus is on strategic and valuation consulting services
- Licensed CPA with leadership positions at the ABA and AHLA
Michaela Blaha
MBA, CPC
Manager
Expertise In...
- More than 10 years of experience in healthcare management & finance
- Industry expert in financial analysis, forecasting, budgeting & reporting
- Team-oriented leader, department manager, mentor, trainer & recruiter
- MBA, BA, Certified Healthcare Professional, Certified Professional Coder
Ann Brandt
Ph.D.
Director
Expertise In...
- Over 25 years of healthcare consulting and valuation experience
- Significant expertise in valuing U.S. and global transactions within the life sciences industry
- Experience and expertise in hospital/health system operations and value-based management arrangements
Lori Carlin
CPC, COC, CPCO, CCS, CRC
Principal
Expertise In...
- More than 20 years of experience in Professional Coding Operations
and Revenue Cycle Management - Develops/monitors coding staff productivity standards & quality assurance measures
- Works with a variety of health systems and academic centers
- Experience with EMR implementation and work queue management
John P. Carter
Brand Ambassador | Business Development Director
Expertise In...
- 10+ years of healthcare recruiting, consulting, operations & leadership experience
- National background working w/ health systems, ACOs, community & CAHs, physician practices, FQHCs, MCOs, AMCs, hospital associations & IPAs.
- Expert in VBC, clinical integration, contract negotiations & management, practice support operations & physician relations
- Former Army Field Artillery Officer with 14 years of military service
Allison Carty
JD, MBA
Principal
Expertise In...
- Principal specializing in physician compensation and related plan structuring and compliance
- Expertise includes health care regulatory matters pertaining to physician-hospital transactions
- Prior to Pinnacle was a senior manager over compensation valuation at several national consulting firms
- Highly experienced/educated with a JD in business law and an MBA
William Cevallos
Administrative Analyst
Expertise In...
- Data management and analysis
- Supports audit teams with audit preparation, research and reporting
- Broad healthcare understanding related to varied consulting projects
- BS in Health Systems Management from University of North Carolina at Charlotte
Shelly Chamberlain
ASA
Fixed Asset Appraiser
Expertise In...
- Senior appraiser specializing in healthcare valuation/medical equipment
- Performed hundreds of business personal property appraisals from furniture to specialized equipment
- Professional consultant to the IRS, attorneys, accountants, insurance companies, hospitals, businesses
- President of Denver Chapter of American Society of Appraisers
James Connors, III
MBA, ASA, CFA
Principal
Expertise In...
- More than 20 years of experience in business valuation/financial consulting
- Expertise includes business and securities valuation to reduce exposure to compliance issues
- Supports transactions for mergers, acquisitions and joint ventures in the health care industry
- Extensive expertise across a wide variety of modalities and providers
Kelly Conroy
Principal
Expertise In...
- More than 30 years of healthcare finance & management experience
- Started first Medicare ACO in the country which delivered nearly $40M in savings in its first year
- Provided leadership for multiple healthcare start-ups focusing on advancements in care delivery
- Career record of negotiating and increasing revenues through new product offerings while optimizing efficiency and productivity
Jennifer Cottrell
CPA, CGMA
COO, CFO
Expertise In...
- More than 20 years of executive leadership experience
- Leads strategic operations and financial strategy
- Broad expertise in healthcare and many other industries
- Oversees communications, HR, and business development
- Passion for team building, mentoring, and corporate culture
Amy Crenshaw-Pritchett
CCS, CPC-I, CPMA, CDEO, CASCC, CANPC, CRC, CDEC, CMPM, C-AHI
Sr. Manager, HCC Coding/Audit & Education Services
Amy Crenshaw-Pritchett
CCS, CPC-I, CPMA, CDEO, CASCC, CANPC, CRC, CDEC, CMPM, C-AHI
Sr. Manager, HCC Coding/Audit & Education Services
Expertise In...
- 25+ years of healthcare experience including medical billing and coding
- High-level auditing skills encompass facility and professional fee services
- Develops educational tools and curriculum for medical coding
- Certified Epic Trainer
- Approved AAPC Instructor and ICD-10-CM/PCS Instructor
- Has worked with a variety of health systems and academic centers
- Managed large coding departments and teams as an exceptional leader
Amanda Crouch
CPC, CPMA, CIC, CRC
Director of Coding & Charge Integrity
Expertise In...
- 14 years of healthcare industry experience related to coding, auditing, and revenue cycle management
- Expert in coding and auditing for multiple specialties
- RPA member and expert speaker
- AAPC certified as a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) and Certified Inpatient Coder (CIC)
Karen DeHerrera
Director of Revenue Cycle Management
Expertise In...
- Over 35 years of healthcare industry experience
- Specializes in development of policy & procedure workflows
- Former AR manager for a 100+ physician nephrology practice, including 4 ASCs
- Member of ASDIN and MGMA
Alex Dohn
HR Generalist
Expertise In...
- Experienced in benefits administration
- Provides the infrastructure needed to maintain our diverse team of industry professionals
- Hands-on experience implementing payroll, recruiting & onboarding processes
Stephanie Dunavant
MBA
Consultant
Expertise In...
- Focused on physician/advanced provider compensation, cost benefit analysis, financial reporting, contract management
- Expertise includes analyzing productivity and quality data for bonus compensation, forecasting ROI and identifying trends and variances
- MBA with a concentration in Finance
Claire Falcone
Consultant
Expertise In...
- Supports compensation valuation division through healthcare market research
- Healthcare experience in Revenue Cycle Management
- BS in Health Science from James Madison University
Andrea Ferrari
JD, MPH
Principal and General Counsel
Expertise In...
- 25 yrs. in healthcare, incl. Partner in large national law firm & a national healthcare valuation & consulting firm
- Frequent author & speaker on FMV, commercial reasonableness, regulatory compliance, investigations & litigation
- Clinical research; provider recruitment and retention; value payments in CINs, ACOs, public & safety net hospitals; thought leader/ “rockstar” physicians; environmental, social, and governance & compensation governance
- Assists with compliance strategy, risk assessment, due diligence, investigations & litigation
Christopher Fete
JD, MHA
Principal
Expertise In...
- Over 10 years of healthcare consulting experience
- Focused on provider transaction compliance and regulatory issues and provider alignment strategies
- Expertise includes fair market value reviews of healthcare provider compensation arrangements
- Works with variety of providers including national telemedicine companies, integrated health systems, and academic medical centers
Valerie Ivy Fitzgerald
Associate Consultant Administrator
Expertise In...
- More than 20 years experience in executive administrative support
- Broad understanding of medical coding, healthcare industry and regulatory requirements
- Experience includes revenue cycle, reimbursement and advisory, valuation, compliance, coding and auditing services
- Superior customer service and proficient managing invoicing and accounts receivables
Leah Fuller
COC, CPC
Senior Consultant
Expertise In...
- Responsible for performing quality audits and reviews for a wide variety of documentation, coding and billing assessments
- Provides education and support information to physicians to ensure understanding of the results
- Proficient in auditing pain management, primary care procedures, podiatry, urine drug screen laboratory testing and related services
- Leads teams working to resolve denial follow up issues
Daniel Guo
Analyst
Expertise In...
- Background in finance, accounting & mathematics
- Analytical, financial, and research experience
- BSBA with dual emphasis in finance and accounting
Cheri Hall
Director
Expertise In...
- 35+ years of experience in clinical quality/organizational management, physician services & regulatory compliance
- Expert in corporate and HIPAA compliance
- Primary focus is on startups, education/training, licensure/certification, transitional leadership, policy procedure development & realigning staff
Drew Hoffman
MHA
Principal
Expertise In...
- Over 10 years of professional experience in healthcare valuation, insurance and risk management
- Expert in healthcare physician compensation, valuation, and appraisals with emphasis on fair market value analysis of PSAs
- Supports service lines, colleagues, and clients with market research, financial analysis, business plan development
Todd Hoopingarner
MHA
Partner
Expertise In...
- Partner with over 25 years of healthcare industry and executive leadership experience
- Focuses on physician practice startup & growth, strategic/financial planning & management
- Broad expertise in practice management, managed care contracting, executive leadership, joint ventures, board leadership, business development, marketing, and physician network growth, among others
Lucas Hutchison
MHA
Director
Expertise In...
- 20 years experience in medical practice/healthcare organization management
- Expertise in strategic and market planning, operational management and financial analysis
- Practical application stems from diverse background including operating room technician
- Clients include community/rural hospitals, health systems, specialty health service providers, single and multi-specialty medical groups
Sarah Job
MBA
Analyst
Expertise In...
- 15+ years of physician compensation valuation experience
- Expertise in compensation valuation physician needs assessments, strategic planning, and compensation plan design
- MBA with concentration in Global Management
Ethan Kamber
Analyst
Expertise In...
- Supports business valuation team with complex financial modeling and data analysis
- Healthcare clients and consulting engagements include FMV opinions for healthcare transactions, as well as physician and health system arrangements
- BSBA in Finance and Management
Thomas Kolaz
MHA
Analyst
Expertise In...
- Supports compensation and business valuation service lines with financial modeling & analysis and healthcare market research
- Data analysis, data management & research experience
- Healthcare experience in ambulatory operations
- MHA from University of Illinois
R. Kyle Kramer
FACCA, FAAMA
Principal
Expertise In...
- Principal with more than 25 years of executive leadership experience
- Proven track record for building teams and delivering results that enhance patient care delivery
- Core focus includes organizational strategy/transformation including physician engagement/leadership
- Extensive experience includes all leading modalities: cardio, neuro, ortho, gastro, oncology, and more
Sheila Limmroth
CCO / Executive Consultant
Expertise In...
- 30+ years of healthcare auditing and compliance experience
- Built and implemented a successful corporate compliance program
- Well-versed auditor with experience in several high-level roles
- Member of HCCA and IIA
Anthony Long
MBA, FACHE, FACCA, CAAMA
Partner
Expertise In...
- Partner with more than 25 years of executive leadership experience
- Oversees Pinnacle’s strategy, value-based care, operations, and cost reduction service lines
- Orchestrated numerous strategic hospital and physician group mergers and acquisitions
- Broad expertise in service line development and strategic planning
- Specializes in cost saving initiatives involving supply chain management
G. Christopher Louis
ASA, MAI
Director
Expertise In...
- Director with nearly 40 years of healthcare leadership experience
- Adds significant financial and real estate expertise to Pinnacle team
- Enhances business valuation team by specializing in highly complex valuation studies
- Is sought after and highly regarded as an industry resource for large corporate mergers/acquisitions
Carey Lowe-Curry
CPC
Manager
Expertise In...
- Supports business valuation team with complex financial modeling and data analysis
- Healthcare experience in building Revenue Cycle Management teams
- Certified Professional Coder for over 10 years
- BS in Business Administration from Drake University
Kelly Loya
CPhT, CPC-I, CHC, CRMA
Associate Partner
Expertise In...
- More than 25 years of healthcare experience including operational, administrative and clinical
- Tackles complex issues including coding/billing, first responder, pharmacy, and nursing
- Identifies/mitigates risk, improves compliance adherence, and drives operational efficiencies
- Leveraging expertise and industry intuition, she provides multilayer data analysis for complex reviews
Zach Maher
MBA
Director
Expertise In...
- 10+ years of healthcare administration and management experience
- Expert in practice management for both large health systems & independent physician practices
- Demonstrated success in creating and maintaining complex reporting systems
- Leadership experience business analytics, financial management, growth strategy, reporting, & project management
- MBA from Ohio University
John Murphy
MPH
Partner
Expertise In...
- Partner with more than 35 years of healthcare business experience
- Recognized as one of the most accomplished organizational development experts in the industry
- Leading expert in physician practice management
- Extensive experience in community organizing, fundraising, board development, accreditation consulting and post-graduate teaching
Berta Narohna
Senior Consultant
Expertise In...
- Over 12 years of healthcare compensation and real estate valuation experience
- Specializes in physician compensation and administrative services arrangements
- Extensive background in developing mixed-use valuations
Jodi Nayoski
CPC-I, CCS-P, CHC, CDIP
Managing Advisor
Expertise In...
- Over 20 years of healthcare leadership experience
- Has worked with a wide variety of provider types in various capacities
- Expertise includes implementation of large-scale compliance plans
- Develops educational tools and curriculum for medical coding
- Facilitates courses, programs & seminars as a certified instructor
Clayton Northrop
JD
Director
Expertise In...
- Expertise includes Fair Market Value reviews of physician compensation arrangements
- Analyzes physician agreements for potential compliance risk with Stark Law/Anti-Kickback Statute
- Worked with Federal Trade Commission on high-profile antitrust case involving acquisition of national healthcare system’s hospital by another
- JD with a Health Law Certificate from St. Louis University
Kadence Orr
Administrative Analyst
Expertise In...
- BS in Healthcare Management from Colorado Technical University
- Former Executive Administrator to CEO of UWASC
- Coordinates and manages PERCS tradeshow logistics
John Ossowski
Manager
Expertise In...
- More than 17 years of healthcare analytics & consulting experience
- Saved client $20 million through successful contract management
- Developed reporting tools which identify business opportunities related to physician preferences
- Developed methodologies applied to software tools to quickly and accurately assess cost reduction opportunities for clients
Angela Paine
CHC, COC, CPC, CPCO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CRHC
Managing Consultant
Angela Paine
CHC, COC, CPC, CPCO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CRHC
Managing Consultant
Expertise In...
- More than 15 years of healthcare experience
- Extensive background in revenue cycle, compliance, medical coding, team leadership and training
- Oversees compliance, IRO, and internal audit services
- Identifies risks & opportunities to improve compliance w/gov payor reqs./operational efficiencies
Crystal Peterson
Practice Management Consultant
Expertise In...
- 15 years of practice management experience
- Strengths include strategic marketing, risk management, and employee recruitment and retention
- Experienced business operations manager and practice manager for several large medical practices throughout Colorado
Robin Peterson
CPC, CPMA
Manager, Prof. Coding & Compliance Review Services
Expertise In...
- More than 20 years of experience in provider/professional-fee coding
- Broad expertise in internal audit, HIM, RCM, regulatory compliance, ERM, and litigation support
- Skilled auditor, verifies accuracy, develops and implements corrective action plans
- Certified coder, auditor and trainer with broad experience developing educational programs/materials
Karen Pickering
RHIT, CCS
Senior Consultant
Expertise In...
- AHIMA-certified RHIT (Registered Health Information Technician) and CCS (Certified Coding Specialist)
- Over 30 years of experience in coding, auditing and compliance
- Proficient in ICD-10-CM/PCS, ICD-9-CM and CPT/HCPCS coding and auditing
Mary Reeves
Director
Expertise In...
- 20+ years of healthcare industry experience
- Extensive knowledge in revenue cycle management
- Specializes in revenue integrity and A/R Prevention
- Former director of reimbursement & VP of operations of a national medical billing & software company
David Shaw
BS, CPC
Senior Consultant
Expertise In...
- 27+ years of experience in compliance, auditing, physician education, coding and reimbursement, and accounts receivable/collections
- Well-versed in multi-specialty workflow analysis, charge capture, practice coding, and documentation reviews
- Developed and evaluated coding compliance, specific regulatory, billing, coding, and documentation training for multiple specialties
Akanksha Shekar
MBA, MHA
Analyst
Expertise In...
- Supports compensation valuation service line through healthcare market research and detailed financial modeling
- Analytical, data management, and research experience
- MBA and MHA from Saint Louis University
Pamela Shields
CPC
Director
Expertise In...
- 25+ years in Revenue Cycle Management
- Specializes in people, process & workflows
- Extensive knowledge of revenue enhancement capability & denial management
- Member of American Academy of Professional Coders
Jaden Silva
MHA
Analyst
Expertise In...
- Supports compensation valuation division through healthcare market research and detailed financial modeling
- Analytical, data management, and research experience
- MHA from Saint Louis University
Beth Simon
Controller
Expertise In...
- 20+ years of experience in the healthcare industry
- Experienced in physician compensation models and financial reporting
- Former senior auditor at a public accounting firm
Jana Sizemore
ASA
Senior Manager
Expertise In...
- Over 13 years of experience in healthcare consulting
- Business valuation experience in physician practices, ASCs, imaging centers, radiation oncology centers, hospitals & other healthcare entities
- Expert in FMV opinions on diverse types of provider compensation
- Accredited Senior Appraiser
- MBA in finance from the University of Denver
- BS in actuarial science from Butler University
Angie Spiros
COC, CPC, CPMA
Consultant
Expertise In...
- Nearly 20 years of experience in medical coding/auditing
- Broad experience across nearly all healthcare modalities
- Team-oriented mentor, supervisor, educator & trainer
- AAPC Certified Professional Coder, Auditor &Trainer
Mike Stone
Chief Information Officer/CISO
Expertise In...
- Over 20 years of technology & management experience
- Healthcare CIO, supporting ambulatory clinics, physician practices & hospitals/systems
- Expert in data migration, doc. storage, EMR, firewalls, VoIP, Windows/Linux servers
- HIPAA Privacy & Security officer for healthcare organizations
- Microsoft Certified System Engineering accredited
Jessica Sullivan
CPC, COBGC, COSC
Consultant
Expertise In...
- Over 6 years of experience in various areas of professional-fee auditing and coding
- Sets up and performs provider education meetings
- Performs due diligence reviews and provider education
- Offers recommendations to improve client professional-fee coding
Kristen Taylor
CPC, CHC
Associate Partner
Expertise In...
- More than 20 years of experience in coding, revenue cycle processes and compliance for physicians/hospitals
- Conducts operational assessments, legal investigations for billing and reimbursement anomalies, coding reviews and provider education
- Expertise includes medical center management of the ancillary and surgical coding and billing staff across all major service lines
Mike Vandaveer
Director
Expertise In...
- More than 20 years of experience in the commercial real estate industry
- Completed more than 500 transactions of varying sizes, requirements, and in multiple markets
- Current focus is real estate valuation and expanding real estate consulting services
- Active real estate broker’s licenses in Texas and Colorado
David White
MBA
Partner
Expertise In...
- Partner with more than 25 years of executive leadership experience
- Viewed by his clients as a highly creative thinker and problem solver
- Core focus includes health services valuation, financial analysis, market research, and practice management consulting
- Works with health systems, rural and community hospitals, specialty service providers, and single and multi-specialty groups nationwide
Angela Wood
CPC
Senior Physician Auditor / Educator
Expertise In...
- 26+ years of coding, compliance and reimbursement experience
- Skilled at auditing and educating physicians and non-physician providers
- Experienced with working with a variety of health systems
- Experienced with both professional-fee and facility-based reimbursement
- Experienced with charge master maintenance
Jim Yanci
MS, MT (ASCP)
Principal
Expertise In...
- Principal with more than 30 years of healthcare experience
- Proven trusted advisor for projects ranging from $10K to over $2M
- Expertise in strategic planning, board facilitation, physician alignment, M&A, & radiology services
- Creative problem solver for organizations ranging from $500M to over $5B
- Empathic listener utilizing Change Management Expertise
Daniela Yusufbekova
MHA
Senior Consultant
Expertise In...
- 10+ years of experience in different healthcare sectors
- Supports compensation valuation and value-based care teams with strategy, financial modeling, and analyses
- Expertise includes data management, data analysis, strategy, and operations
- MHA and BS in Neuroscience and Behavior from Florida Atlantic University