Compliance & Risk Management

Helen Avery

CPC-I, CHC, CPC

Senior Consultant

 


Helen Avery

CPC-I, CHC, CPC

Senior Consultant

Expertise In...

  • Senior consultant with more than 25 years of leadership experience
  • Expertise includes coding, audit, rev. cycle operations, compliance, enterprise risk management and litigation support
  • Specialties include Rural Health, RadOnc, Radiology, Ambulance, Laboratory, Anatomic Pathology, Durable Medical Equip & Dialysis

Sharon Blackwood

MT (ASCP), MBA, CHC, CHPC

Executive Consultant

 


Sharon Blackwood

MT (ASCP), MBA, CHC, CHPC

Executive Consultant

Expertise In...

  • Leadership experience across all aspects of compliance and privacy
  • Includes corporate integrity agreement remediation, IRO services for focus arrangements, audit and revenue cycle
  • Experience with national, publicly–traded systems and non-profit, multi-facility organizations
  • Develops compliance and privacy programs, conducts training and consults with clients

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

 

Sally Eagan

Sally Eagan

RHIT, CCS, CCDS

Managing Consultant

 


Sally Eagan

RHIT, CCS, CCDS

Managing Consultant

Expertise In...

Valerie Fitzgerald

Valerie Ivy Fitzgerald

Associate Consultant Administrator

 


Valerie Ivy Fitzgerald

Associate Consultant Administrator

Expertise In...

Leah Fuller

Leah Fuller

CPC

Consultant

 


Leah Fuller

CPC

Consultant

Expertise In...

  • Experienced in Evaluation and Management (E/M) services
  • Proficient in auditing pain management, primary care procedures, podiatry, urine drug screen laboratory testing and related services
  • Assists with highly complex investigational audits involving extensive research, review and analysis to confirm regulatory compliance
  • Experience with multiple EHR and Billing Systems: Cerner, Epic, AllScripts, NextGen, Athena, Centricity, eClinicalWorks
Jeannie Kelly

Jeannie Kelly

RN, MHA, BA, CCDS, LHRM

Senior Consultant

 


Jeannie Kelly

RN, MHA, BA, CCDS, LHRM

Senior Consultant

Expertise In...

  • Skilled and accomplished healthcare consultant with more than 25 years of experience
  • Extensive experience in healthcare provider quality of care and Medicare payment safeguards
  • Subject Matter Expert on federal and state quality reqs for hospitals, ASCs and other providers
  • Subject Matter Expert in CMS Two Midnight Rule and medical necessity determinations
  • 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

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...

  • 30 years healthcare operations experience in management, compliance and internal audit roles
  • Internal audit, compliance program development, implementation and assessments, billing compliance, investigation and defense support and risk mitigation expertise
  • RN specializing in cardiology and neurology and also held positions as quality management specialist, utilization management specialist, internal audit director and more
Angie Paine

Angie Paine

CPC, CPC-I, CPMA

Consultant

 


Angie Paine

CPC, CPC-I, CPMA

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