Compliance & Risk Management
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
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
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
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
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
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
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
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
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
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
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