Helen is a Senior Consultant with more than 25 years of leadership experience in the healthcare industry. Her background is extensive and includes facility provider and professional-fee coding, internal audit, health information management, revenue cycle operations, regulatory compliance, enterprise risk management and litigation support. She specializes in process improvement and has led operational standardization for health informatics business segments such as vendor governance, coder productivity, transcription cost reduction, computer-assisted coding implementation and enterprise master patient index initiatives.
Prior to Pinnacle, Helen was a Managing Consultant at one of the largest healthcare consulting firms in the country where she conducted coding and documentation audits in a variety of specialties. Her coding knowledge is extensive across a wide spectrum of specialties including general oncology, radiation oncology, radiology, rural health, ambulance, laboratory, anatomic pathology, durable medical equipment and dialysis coding. She has also conducted audits using a variety of sampling methodologies such as statistically significant discovery audits. In addition, Helen has developed comprehensive recommendations for clients wishing to self-disclose financial repayment obligations. She has also conducted program integrity audits with claims testing for state-funded plans to ensure stewardship of healthcare tax dollars, as well as managed due diligence audits and operations assessments.
Given Helen’s passion for more compliant, effective and efficient revenue models, she developed a corporate revenue integrity department for a 40-hospital health system and led a charge capture committee for Cerner implementation at a large health system – as well as contributed significantly to middle revenue cycle remediation projects for both facility and professional operations.
Helen is a Certified Professional Coder, Certified Professional Coding Instructor and was formerly an AHIMA-approved ICD-10-CM/PCS trainer and Certified in Healthcare Compliance through the Health Care Compliance Association. Prior to healthcare management, Helen was an EMT-Cardiac Tech for more than ten years which gives her a unique perspective having now seen healthcare operations and delivery from every angle.
Professional Designations and Affiliations:
- Certified Professional Coder, American Academy of Professional Coders
- Certified Professional Coding Instructor, American Academy of Professional Coders