Lydia R. Roehl
Hudson,WI
Summary
Professional consultant with deep expertise and readiness for leadership roles. Proven ability to drive impactful results through strategic planning, data analysis, and effective problem-solving. Strong focus on team collaboration and adaptability in dynamic environments. Known for reliable execution and strategic insight in management consulting.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Managing Consultant
Healthcare Revenue Cycle Management, Guidehouse INC
06.2022 - Current
- Provide onsite change management and advisory support across a healthcare system and/or multiple systems and multiple environments of care including ambulatory, telehealth, outpatient, inpatient, transitional care, interim, and long-term (post-acute care) settings
- Evaluate and implement operational process improvement initiatives across multi-disciplinary teams
- Identify, plan for, and resolve complex client issues related to healthcare governance, compliance, and reimbursement methodology
- Identify and manage project risks around scope, schedule, budget, and quality delivery
- To enhance recruitment and retention efforts, train, mentor, and lead junior-level staff, possibly on a remote (hybrid) basis
- Guide the client toward improved outcomes through operational assessment, quality auditing, and education in the clinical and revenue cycle space
- The position requires flexible travel up to 75%
- Secondary Responsibilities:
- Leads teams of highly skilled consultants, senior consultants, and subject matter experts through projects from cultivation to completion
- Effectively develops and maintains project plans, client deliverables, staffing, and budgets
- Advances thought leadership on behalf of the account in one or more disciplines such as cell and gene therapies, vaccines, biopharma, and rare and very rare diseases
- Continuously fosters working relationships with clients to deliver custom and impactful solutions that meet and exceed expectations
- Demonstrates a dexterity to respond to changes in the regulatory market and industry to further refine deliverables and solve problems alongside our clients
- Leads client working sessions, meetings, and executive sessions
- Delivers compelling and high-quality solutions for clients
- Coaches and mentors consultants and senior consultants, providing constructive feedback that fosters a healthy work environment and the individual growth of every team member
- Partners with Associate Directors, Directors, and Partners to actively initiate sales activities, grow the practice, and support firm-wide initiatives
- Accomplishments:
- Implemented Regulatory Compliance, Ambulatory CDI business, quality, and post-acute health solutions across three Accountable Care Organizations (ACOs), comprised of six QROs (Quality Review Organizations) at a valuation of $233 million in impact over the next five fiscal years
- Conducted assessments, tactic suggestions, design, and implementation strategies across the QROs to help with governance, technology, clinical documentation integrity, internal audit, annual wellness, and preventive care visit centralization process, post-acute care engagement and improvement, as well as aligning leadership, compliance, socialization, and education within a span of a year to increase operational transparency under the ACO
- Department redesign and optimization of Inpatient CDI within a recent M&A health system to increase appeal rate (1.5M in retained revenue), as well as IP coding QA process (2.5M) and CDI provider query reconciliation (2.5M) to include governance development, provider education, peer-to-peer consultation, and executive council committee insight
- Assessment, design, and implementation of Ambulatory/ ancillary/ outpatient / HCC CDI and inpatient CDI solutions across 24 acute care hospitals and five medical foundations, plus specialized centers for surgery, cancer care, cardiac care, rehab, and home care health system
- 1.5-million-dollar opportunity realized within the first six months (two quarters) of ambulatory CDI implementation
- Performed E/M quality analytics and audits and revenue assurance (i.e
- Chargemaster & EPIC alignment) for clients related to self-disclosure, totaling over $1.33 million dollars in revenue at risk
- Performed DRG Downgrade audit process redesign and internal assessments, design, and implementation to create a centralized regulatory audit and integrity department
- The overall valuation was at 1.4 million in overturned denials within the first CY, within a 250-bed hospital, 5 clinics, and 3 specialty clinic health systems
- Return YoY is yet to be determined for revenue retained within the system over the next three to five years.
Flight Medic Aeromedical Evacuation Medical Reserves, Airlift Wing
02.2019 - Current
- LPN, LVN Qualified
- Advanced NREMT (A-EMT) qualified and current
- Job Classification 4N071: Air Force Medical Service Specialists work on the ground or in the air
- Considered part of the nursing team, duties can be numerous and varied
- Plans provides and evaluates routine patient care and treatment of beneficiaries to include flying and special operational duty personnel
- Organizes the medical environment and performs and directs support activities for patient care situations, including contingency operations and disasters
- Perform aeromedical evacuation and monitoring of patients in transport
- Administer medications under the supervision of nursing staff
- Prepare patients for surgery and perform postoperative monitoring
- Perform a wide array of technical nursing duties involving the care and treatment of patients, including immunizations, dialysis, and critical care
- Staff sergeant (E5), with two to five direct reports at any given time.
Clinical Compliance Auditor, Educator, Policy Integrity Manager
l Preferred One l, l
10.2020 - 06.2022
- Worked as the lead auditor a plan/payer to maintain complex audit processes and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability, and data entry
- Conduct targeted audits of high-cost claims (>$50,000), and coordinate a regular internal audit schedule
- Review 100 % of claims
- Send out monthly reports based on trends that are tracked (top HCPCS /CPT / APC / DRG Codes) and trends by provider and/or group
- Possibility to revisit contracts or to pick up contractual areas of concern or improvement
- Address the detection of risk areas concerning fraud, waste, and abuse
- Conducts coding and medical policy audits to determine the integrity of systems set up in conjunction with current policies, revising and creating new policies as necessary
- Determine prior authorization utilization for DME and update medical policy in conjunction with utilization and contract department
- Assist Corporate Training team to incorporate compliance and audit findings into training programs
- Develop and deliver Clinical Provider education based on audit findings
- FY 2021 Q1 brought in $300,000 in returned payments from clinics due to audit findings of overpayments.
EMS
03.2020 - 07.2020
- EMT COVID Response Team l M Health Fairview EMS I, Provide BLS transport care to patients during inter-facility transfers and 911 calls, with continuous and progressive training to provide ALS support
- Responsibilities
- Maintains knowledge of and complies with all relevant laws, regulations, policies, procedures, and standards
- Actively creates and implements improvements to achieve clinical satisfaction and/or efficiency outcomes
- Provides BLS transport care to patients during interfaculty transfers and 911 calls as necessary
- Assists ALS staff in emergent and non-emergent responses as deemed necessary
- Transports patients safely according to clinical and operational guidelines
- Documents patient information in EHR and/or another electronic system in accordance with program standards and department policies/procedures
- Safely and efficiently transfers care of patients to other care providers in appropriate settings (LTC, Hospital/Facility, SNF)
- Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
- Partners with patient caregiver in care/decision making
- Ensures a safe, secure environment
- Individualizes plan of care to meet patient needs
- Modifies clinical interventions based on the population served
- Provides patient education based on an assessment of the learning needs of the patient/caregiver
- Fulfills all organizational requirements
- Completes all required learning relevant to the role
- Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures, and standards
- Fosters a culture of improvement, efficiency, and innovative thinking
- Performs other duties as assigned
- Collects and analyses pertinent data and/or clinical findings
- Incorporates clinical findings and scientific evidence in the development, coordination, and implementation of an individualized plan of care to achieve desired outcomes
- Evaluates progress towards goals and outcomes, identifying opportunities for improvement and change
- Ability to use a computer and applications that are associated with performing basic work tasks (navigate in Windows, Outlook, TEAMS, Azure, Adobe)
- Ability to identify, assess, understand, and cope with a serious situation, especially from when it first occurs to when recovery procedures start
- Gathers and integrates critical information, recognizing and addressing underlying assumptions of others to arrive at effective solutions
- Breaks down problems into simple tasks or activities; analyzes relationships among several parts of a situation
- Provides patient educational information appropriate to the developmental level, learning needs, readiness, cultural values, and beliefs of patients and families
- Demonstrates practices that support safety, recognizing variations in populations served and preventing harm to patients, families, employees, and themselves
- Demonstrates behavior consistent with the standards, scope of practice, ethics, and characteristics of a licensed professional
- Administers medications following policies using procedures that assure the highest level of safety all times for all populations
- Identifies expected outcomes and develops individualized treatment plan of care
- Qualifications
- Basic Life Support (BLS) from the American Heart Association
- Emergency Med Tech Basic (EMT-B) from MN Emergency Medical Services Regulatory Board
Interim Director, Consultant
Harmony Healthcare Solutions, Virginia Commonwealth University Health System
09.2017 - 04.2018
- Multiple Teaching Campuses, Specialty ICU Units, Liver/Kidney/Pancreas/Spleen/ Heart Transplant, Pediatrics, Level 1 Trauma and Burn Center
- Director of Clinical Documentation, Coding (Inpatient, Outpatient), and Revenue Cycle Integrity, over 34 direct reports; reported to VP of Finance, Chief Informatics Officer, and Chief Medical Operating Officer
- Responsible for directing, implementing, and managing programs for all units
- Leads strategic initiatives to generate sustainable revenue to support VCUHS operations and ensure compliance with VCUHS and industry best practices, polices, coding, and billing regulations
- Collaborates with Medical Staff, Compliance, Performance and Quality Improvement and Revenue Cycle leadership teams as necessary
- Provided consultative guidance to affiliated hospitals and clinics
- Restructured Coding and Clinical Documentation departments, creating advancement opportunities and new jobs as well as savings of over 3 million in net revenue over the first FY
- Initiated Coding and Clinical Documentation Improvement Quality Audit Plan
- Created departmental policies and procedures as needed, collaborating with adjunct departments to ensure proper impact analysis of each policy or procedure
- Ensured Clinical Documentation query centered on top DRGs with SOI/ROM and Expected ROM alongside PSIs, HAC, and other publicly reported quality metrics
- Initiated vendor contracts and managed pre-existing vendors to support VCUHS’s initiatives and future state goals (retiring and weaning of long-term vendor contracts).
Policy Integrity Manager
Medica Health Plans
07.2017 - 09.2017
- Manages and implements corporate policy and process for medical provider, member, network associates and other reimbursements
- Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements
- Evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost
- Requires a bachelor's degree of finance, business, or healthcare administration
- Manages subordinate staff in the day-to-day performance expectations
- Ensures that project/department milestones/goals are met and adhering to approved budgets
- Has full authority for personnel actions
- Extensive knowledge of department operations processes
- Requires 5 years’ experience in the related area as an individual contributor
- 1 to 3 years supervisory experience was also required prior to obtaining this position.
Compliance Education Consultant
Harmony Healthcare Solutions
12.2016 - 07.2017
- Responsible for ensuring that the Institution (Vanderbilt University Medical Center) implements and maintains an effective compliance program that includes:
- Written standards of conduct and policy
- A dedicated Compliance Officer and oversight Committee
- Regular training of employees
- A process to receive complaints
- Audits to monitor compliance
- Investigative process for identified concerns
- Enforcement of standards and remediation of validated allegations
- Responsible in the short term for assessing and creating/updating our existing annual compliance materials for Fraud Waste and Abuse and Code of Conduct
- Potential CMS module review depending on whether CMS will require those in calendar year 2017
- Long term: Assess pressing compliance training needs in all service areas (Children’s Enterprise, Adult Enterprise, Teaching & Faculty Affairs, Coding/Billing/Auditing) quickly and creating materials to be presented in specific situations or populations would demand experience with training as well
- Develop standardized reporting using LMS platform technology
- Develop communication standards through implementation of an e-learning platform, along with data analysis and reporting of compliance across the institution, ensuring accurate data migration from the human resources platform (People Soft) into the LMS to ensure data integrity is preserved throughout the reporting process
- This will include Clinicians (both Physicians and non-physician clinicians- nurse practitioners, residents, nurse midwives, physician assistants, etc..).
Coding Compliance Education Manager, Consultant
HIMagine Solutions
02.2016 - 12.2016
- Responsible for: content creation, coordination, and delivery of all Coding-specific education to Coding Staff
- Ensures understanding and correct application of coding information and access to current standards and other related reference materials
- Answers questions and strives to build understanding of coding across other Revenue Cycle functions
- Supports Affiliates implementing EPIC/Computer Assisted Coding systems and prepares Coding Staff for ICD- 10 implementation
- Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Sutter Shared Services vision
- Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized
- Participates in programs and in using tools in support of building a high- performance culture via the standard Sutter Shared Services responsibilities (e.g
- Performance measurement, people development, customer relationship management, etc.)
- While on assignment with Sutter coders improved quality accuracy scores to above expected SLA (Service Level Agreement) expectations on a consistent basis after the transition to ICD-10 CM and PCS payment structures
- Coordinates and provides coding training and orientation to Health Information Management policies, metrics and work flows for new coders and contract staff
- Coordinates and provides step training for coder advancement
- Participates with Health Information Management Education & Quality Assurance Team Members in drafting Coding Education Materials
- Delivers ICD-10 coding education and performs readiness monitoring, as well as delivering training and support to Coding staff during EPIC/Computer Assisted Coding system implementations
- Delivers in-depth training to coding staff in identified areas of opportunity
- Ensures current knowledge of coding standards and other coding related information is made available to staff and updates coding books and references
- Assists in identifying topics for formal coding education by consulting with Coding leadership as well as assessing Coding staff skill, performing a gap analysis, and drafting training to address identified needs
- Supports Coding staff by answering daily questions
- Works closely with other Revenue Cycle teams to provide education or assistance regarding Coding, and to ensure timely and accurate documentation processing guidelines are met for billing within established parameters
- Participates in planning and provision of ICD-10 training to coding team members
- Monitors staff completion of mandatory, system, and department specific and provides reports/recommendations to the Coding Quality Team Lead, annual compliance
- Participates in cross-training and job enlargement opportunities for Major job responsibilities
- Works with management to identify minor set of responsibilities to develop and perform in support of peaks, valleys and cycles across the Shared Services Organization and individual career growth opportunities
- Performs both Major and Minor responsibilities after initial year, ensuring the quality and sustainability of 60 million dollars of revenue through RCM daily.
Coding & CDI Education Consultant
Harmony Healthcare Solutions
02.2015 - 07.2016
- Responsible for educating current and future Sentara Health Coders, CDIS staff, and provider (MD, PA, NP) staff with a focus tailored to the structure and function of ICD-10-CM/PCS
- MS-DRG & SOI/ROM & medical necessity auditing, DRG mismatch review, & analysis with education feedback provided to all parties involved
- Provide CEUs (AAPC and AHIMA) where applicable
- Participation in all coding question research and collaboration performed by ICD-10 coding team to validate coding, providing response to the individual question as well as generalized educational information learned from question to all students enrolled in that particular course
- Responsible for curriculum development (& tailoring to individual department needs dependent on audience), conducting Classroom and WebEx Educational sessions based on individual hospital requests
- Works to maintain project deadlines to meet client needs as decided per the ICD 10 team, director of HIM as well as the CFO.
Business Analyst & Terminology Modeler
AIC, Analysts International Corporation I
02.2015 - 11.2015
- Combined data processing capabilities such as NLP, complex event processing, and policy evaluation to organize and enrich the healthcare data stream and derive actionable insights for Mayo’s clinical improvement program
- Extensive use of healthcare terminology governance skills in building a comprehensive data map between ICD 9 to ICD 10 to SNOMED / HL7 for all departments for the overall goal of improving quality measurements, revenue cycle and coding integrity, and documentation quality assurance
- Evaluate and provide recommendations to each unit where data mapping and analysis would be beneficial for clinical process improvement.
Coding Encompass Trainer
3M 360 CDI, Consulting Firm Tek Systems Inc
10.2014 - 02.2015
- Trained end users in the use of 3M’s 360 Encompass System and Clinical Documentation Improvement System (CDIS) software and completion of evaluations of CDI Programs
- Trained clinical staff (nurses and providers) in use of 3
Compliance Analyst & Educator
Hennepin County Medical Center, HCMC
09.2012 - 07.2014
- Performed reviews and analysis of all inpatient records (including transplants, trauma, burn unit, radiation therapy, medicine general, surgical, and birth/obstetrical cases) to validate assigned ICD-9-CM codes, DRG grouping accuracy and compliance with payer reporting requirements in response to governmental and other third-party payer audit requests
- (Recovery Audit Contractor, Medicare Administrative Contractor, Comprehensive Error Rate Testing Medicare requests, etc.) Provided feedback & presentation on results of auditing and monitoring activities to affected staff
- Evaluated clinical documentation during reviews to identify inconsistent or incomplete documentation trends that impact code selection, DRG grouping, and accurate data collection
- Reported out to the CDMP team as well as providers when applicable
- Reviewed medical records, itemized bills, and hospital UB and 1500 claims for accuracy and compliance with billing regulations Assisted the Chief Compliance Officer and the Compliance/Internal Audit Coordinator with reviews, compliance audits, and reports on possible billing and coding issues as directed
- Conducted updates to the Excluded Provider and persons list in conjunction with the Office of Credentialing and Human Resources
- Worked with the PT, OT, and SLP departments to ensure proper compliance with new Therapy CAP and ABN requirements
- Research, Interpret, and maintain currency with Medicare, Medicaid & payer billing, coding, and documentation requirements for submission of compliant hospital claims
- Maintained currency in coding guidelines and reimbursement reporting requirements
- Adherence to official coding guidelines and strict adherence to the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
Senior Inpatient Medical Coder
Bellin Health
01.2012 - 09.2012
- Assign appropriate CPT and ICD-9 CM codes for patient services as documented by qualified providers
- Display an in-depth understanding of MS DRGs through the use of the 3M grouping tool & MediTech EMR
- Successfully aids in coding support during EPIC EMR go-live implementation
- Collaborate and analyze monthly trending areas and focus on improving the organization’s core measure areas related to RCM and coding
- Attends monthly meetings with the Clinical Documentation Nursing Team to improve physician-to-coder communication to create correct documentation processes.
Inpatient Medical Coder
Allina Health
07.2007 - 12.2011
- Assign appropriate CPT and ICD-9 CM codes for patient services as documented by licensed providers
- Collaborate as a coding team to bring about process improvement and procedure change for the benefit of the coding department as needed in the ever-changing coding realm
- Attend monthly meetings and provide feedback for managers
- Helped develop an inpatient coding training program by highlighting inconsistencies within the abstracting and data collection system
- Helped streamline and create a consistent coding procedure method and data collection process in the organization to help ensure proper data collection for accurate metric and measurement used by different departments throughout Allina (for Patient Safety & Quality, Revenue Cycle Management, Process Management & Performance, EPIC & E.H.R
- Query Building).
Scheduler
Woodwinds Hospital, Care
06.2005 - 07.2007
- Coordinate Staff and Schedule PTO/Vacation in accordance with MNA Union and hospital By-Laws
- Daily Staffing and scheduling for RNs, PCAs, HUCs, and volunteer services in accordance with daily unit needs (according to staffing ratios each shift)
- Call consulting agencies as necessary for staffing shortages and/or cancel staff for low-need days
- Provide weekly and monthly staffing trends and statistical tracking reports for Human Resource Managers
- Enter daily staffing/ill calls, etc., to track employee hours
- Enter in bi-weekly timecards for human resource and manager processing
- Coding for E/M Emergency room and outpatient visits
- Assigned ICD-9-CM, CPT, and HCSPCS codes where appropriate
- Utilize the charge master to assign appropriate E/M codes and charges for supplies.
Health Unit Coordinator
United Hospital, Allina Health
08.2001 - 06.2005
- Transcribe physician orders into appropriate departments using the STAR computer system
- Communicate between hospital providers and departments to facilitate in optimal efficiency in direct patient care
- Assist in transferring patients, turning patients, and direct patient care support as needed by nursing staff
- Schedule and coordinate patient tests and procedures between the laboratory, radiology (CT/MRI/Nuclear Imaging/Cardiology), oncology, and GI Labs
- Transcribe medication orders onto the patient’s Medication Administration Record for nurses and pharmacy
- Communicate stat medication orders as needed
- Register patients & pre-certify patients with insurance companies for surgery or emergency room procedures and GI lab appointments
- FACETS Claims System Management Software (Cognizant)
- Claims XTen (Change Healthcare) EncodePro 360 for Payers
- ASIMS, AHLTA, CHCS DoD, DHA Systems Experience
- 3M Encoder Proficient > 8 years
Education
Master’s in executive business administration (MBA) -
St. Thomas University
12.2026
Bachelor of Science - Psychology & Healthcare Studies
Bethel University
12.2023
Associate of Arts Degree -
Century Community College
05.2019
Skills
- Leadership and Management
- EPIC
- Cerner
- 3M
- OPTUM 360
- Revenue Assurance
- Healthcare Strategy & Operations
- Clinical Auditing
- Data Analysis
- Coding
- Compliance
- Clinical Documentation Integrity Professional
- Inpatient Coding
- Provider Education
- Change Management
- Process Improvement
- Assessment
- Design
- Implementation
- Strategic Operational Improvement Initiatives
- Critical Thinking
- Analytical Skills
- Network Application Practice
- Policy Integrity
- Gap Analysis Reporting
- Outpatient Clinical Documentation Integrity
- Quality Analysis
- Risk Adjustment
- Value-Based Payment Methodology
- Revenue Cycle Strategy and Design
- MPPS
- VBP/AVPS
- Project Management
- Clinical Documentation Improvement Programs
- Concurrent Physician Education
- Clinician Education
- Auditor Education
- Coder Education
- Building Audit Tools
- Regulatory Compliance Education
- Policy Analysis
- Coding Audits
- Quality Reporting
- MS/APR DRG Impact Report Building
- Monitoring CDI & Coding Workflows
- Problem-Solving
- Communication
- Facilitator Skills
- Collaborative Healthcare Models
- Client management
- Information technology
- Global perspective
- Sustainability management
- Innovation management
- Assessments
- Strategic growth management
- Leadership Development
- Team building
- Client training
- Cultural Sensitivity
- Qualitative Research
- Culture development
- Market Research
- Quantitative Research
- Business Consulting
Accomplishments
- Collaborated with a team of 12+ consultants and senior leaders in the development of Michigan POM ACO Optimization.
- Achieved 233M in opportunity realization through effectively helping with POM ACO Value Based Care Outpatient CDI implementation program.
- Supervised a team of 7 consultants during POM ACO Optimization project.
- Supervised team of three senior airmen while with the USAF ASTS.
Systemsexperience
- FACETS Claims System Management Software (Cognizant)
- Claims XTen (Change Healthcare)
- EncoderPro 360 for Payers
- ASIMS, AHLTA, CHCS DoD, DHA Systems Experience
- 3M Encoder Proficient > 8 years
- 3M HDM Abstracting Proficiency
- Experience People Soft
- Experience in Cerner
- Microsoft Excel Proficient
- Extensive Experience with EPIC
- Experience in Meditech EMR
- MS DRG /APR DRG Proficient
- Experienced in 3M Encompass 360 vs9.0 and greater
- Experience in McKesson EMR
- Experience in Allscripts
- Experienced in developing appropriate, effective, efficient physician education & communication tools on concurrent documentation review findings and possible compliance discrepancies
- Experience developing & delivering ICD 10 CM/PCS Training programs; formal classroom & remote training sessions
- Experience in business process planning & redesign, change management
- Project management for continuous department & organizational process improvement
- Operating and Facilitating EMR & Coding Software
- Adobe Captivate experience for Learning Exchange platforms
- Data Analysis and Reporting through Excel, Tableau, MS Power BI
- MediRegs Compliance Suite & Compliance 360
- Fluent in 3M Coding and Reimbursement System application, coding and clinical education around documentation requirements for CDI Programs
- Experience in Sunrise Clinical Documentation
- Proficient in Optum 360 CDI, CAC + Encoder Software
- Experience in Aerial Case Management and Claims Processing Systems
- Stanson Clinical Decision Support
Memberassociations
- Association of Clinical Documentation Integrity Specialists (ACDIS), 04/23
- National Registry of Emergency Medical Technicians (NREMT), 10/19
- American Red Cross, 08/19
- National Council for Behavioral Health, Mental Health First Aid Responder and Advocate, 03/19
- Minnesota Health Information Association (MHIMA), Annual Conference, Healthcare Collaboration & Networking, Minneapolis MN
- American Institute of Healthcare Compliance (AIHC), 03/17, Cleveland, OH
- AHIMA Privacy & Security Institute and 89th National Annual Conference, Speaker, 10/17
- Becker’s Hospital 3rd Annual Health IT + Revenue Cycle Management Conference, Guest Reviewer, Collaborator & Advisor, 09/17
Credentialsandeducation
- Master’s in executive business administration (MBA), St. Thomas University, 05/26
- Bachelor of Science, Psychology, Bethel University, 12/23
- Associate of Arts Degree (AAS), Century Community College, 05/19
- AHIMA Certified Coding Specialist Certification (CCS)
- Certified Healthcare Compliance Auditor (CHCA, or CHA, American Institute of Healthcare Compliance)
- AHIMA Certified Coding Associate Certification (CCA)
- AHIMA ICD 10 CM/PCS Trainer Certification
- AHIMA Certified Privacy & Security Specialist (CHPS)
Affiliations
- AHIMA
- AIHC
- ACDIS
- MNHIMA
- American Red Cross
- NREMT
Certification
- AHIMA Certified Coding Specialist Certification (CCS)
- Certified Healthcare Compliance Auditor (CHCA, or CHA, American Institute of Healthcare Compliance)
- AHIMA Certified Coding Associate Certification (CCA)
- AHIMA ICD 10 CM/PCS Trainer Certification
Timeline
Managing Consultant
Healthcare Revenue Cycle Management, Guidehouse INC
06.2022 - Current
Clinical Compliance Auditor, Educator, Policy Integrity Manager
l Preferred One l, l
10.2020 - 06.2022
EMS
03.2020 - 07.2020
Flight Medic Aeromedical Evacuation Medical Reserves, Airlift Wing
02.2019 - Current
Interim Director, Consultant
Harmony Healthcare Solutions, Virginia Commonwealth University Health System
09.2017 - 04.2018
Policy Integrity Manager
Medica Health Plans
07.2017 - 09.2017
Compliance Education Consultant
Harmony Healthcare Solutions
12.2016 - 07.2017
Coding Compliance Education Manager, Consultant
HIMagine Solutions
02.2016 - 12.2016
Coding & CDI Education Consultant
Harmony Healthcare Solutions
02.2015 - 07.2016
Business Analyst & Terminology Modeler
AIC, Analysts International Corporation I
02.2015 - 11.2015
Coding Encompass Trainer
3M 360 CDI, Consulting Firm Tek Systems Inc
10.2014 - 02.2015
Compliance Analyst & Educator
Hennepin County Medical Center, HCMC
09.2012 - 07.2014
Senior Inpatient Medical Coder
Bellin Health
01.2012 - 09.2012
Inpatient Medical Coder
Allina Health
07.2007 - 12.2011
Scheduler
Woodwinds Hospital, Care
06.2005 - 07.2007
Health Unit Coordinator
United Hospital, Allina Health
08.2001 - 06.2005
Bachelor of Science - Psychology & Healthcare Studies
Bethel University
Associate of Arts Degree -
Century Community College
- AHIMA Certified Coding Specialist Certification (CCS)
- Certified Healthcare Compliance Auditor (CHCA, or CHA, American Institute of Healthcare Compliance)
- AHIMA Certified Coding Associate Certification (CCA)
- AHIMA ICD 10 CM/PCS Trainer Certification
Master’s in executive business administration (MBA) -
St. Thomas University
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