LinkedIn Compliance & Risk Mgmt. | Pinnacle Healthcare Consulting

Compliance & Risk Management

Arlene Baril

MHA, RHIA, CHC

Senior Consultant

 


Arlene Baril

MHA, RHIA, CHC

Senior Consultant

Expertise In...

Charles Brown

Director

 


Charles Brown

Director

Expertise In...

  • Twenty years of proven success in healthcare sales and management
  • Regional director of sales and client services for national consulting firm
  • Expertise in aligning vast Pinnacle resources/talent with client needs
  • Client advocate ensuring Pinnacle’s custom approach to client solutions remains at the forefront

 

Amy Crenshaw-Pritchett

CCS, CPC-I, CPMA, CDEO, CASCC, CANPC, CRC, CDEC, CMPM, C-AHI

Senior Consultant

 


Amy Crenshaw-Pritchett

CCS, CPC-I, CPMA, CDEO, CASCC, CANPC, CRC, CDEC, CMPM, C-AHI

Senior Consultant

Expertise In...

Valerie Fitzgerald

Valerie Ivy Fitzgerald

Associate Consultant Administrator

 


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

Leah Fuller

CPC

Consultant

 


Leah Fuller

CPC

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
Jeannie Kelly

Jeannie Kelly

RN, CCDS, BS, MHA

Managing Consultant

 


Jeannie Kelly

RN, CCDS, BS, MHA

Managing Consultant

Expertise In...

  • Skilled and accomplished healthcare consultant with over 25 years of experience
  • Extensive experience in provider quality of care and Medicare payment safeguard functions
  • Directed a variety of Medicare projects, including program integrity verification, secondary payer and medical review reconsideration
  • Serves on the Association of Clinical Documentation Specialists (ACDIS) Regulatory Committee
Kelly_Loya

Kelly Loya

CPhT, CPC-I, CHC, CRMA

Associate Partner

 


Kelly Loya

CPhT, CPC-I, CHC, CRMA

Associate Partner

Expertise In...

  • More than 25 years of health care experience including operational, administrative and clinical
  • Tackles complex issues given her background – 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

Jodi Nayoski

CPC-I, CCS-P, CHC, CDIP

Director

 


Jodi Nayoski

CPC-I, CCS-P, CHC, CDIP

Director

Expertise In...

  • Director with 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 and seminars as a certified instructor
Kelly Nueske

Kelly Nueske

CIA, CMA, CPA, RN, CHC, CRMA

Executive Consultant

 


Kelly Nueske

CIA, CMA, CPA, RN, CHC, CRMA

Executive Consultant

Expertise In...

  • Expertise includes internal audit, compliance programs, billing compliance, investigation/defense support and risk mitigation
  • More than 30 years of healthcare operations experience in various management, compliance and internal audit roles
  • Held positions in quality/utilization management, internal audit and patient financial services
  • Registered nurse in cardiology and neurology

Angie Paine

CPC, CPC-I, CPMA

Senior Consultant

 


Angie Paine

CPC, CPC-I, CPMA

Senior 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
Tracy Sties

Tracy Stice

Administrative Assistant

 

 

Tracy Stice

Administrative Assistant

Expertise In...

Kristen Taylor

Kristen Taylor

CPC, CHC

Associate Partner

 


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