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...

  • 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

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...

  • 25+ years of healthcare experience including medical billing and coding
  • High-level auditing skills encompass facility and professional fee services
  • Has worked with a variety of health systems and academic centers
  • Managed large coding departments and teams as an exceptional leader
  • Develops educational tools and curriculum for medical coding
  • Certified Epic Train the Trainer
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
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

Allison Luke

JD, CHC

Executive Consultant

 


Allison Luke

JD, CHC

Executive Consultant

Expertise In...

  • More than twenty-seven years of healthcare law and compliance experience
  • Experience working with hospitals, physician offices, home health providers and others
  • All aspects of effective compliance program development and maintenance, including policy development and review, audits, training and investigations
  • Licensed attorney
  • Frequent speaker on healthcare compliance matters

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

Karen Pickering

RHIT, CCS

Senior Consultant

 


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
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