Nicole Huff
Cleveland Heights
Summary
Healthcare revenue integrity and clinical documentation professional with 10+ years of experience at Cleveland Clinic supporting compliance, quality oversight, and operational improvement within a large academic health system. Proven ability to influence providers and peers through education, audit support, and process improvement initiatives without formal authority. Experienced in clinical documentation integrity, risk adjustment compliance, and revenue cycle workflows, with demonstrated readiness to transition into a supervisory role focused on team development, compliance oversight, and performance improvement.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist (CDS)
Cleveland Clinic
12.2025 - Current
Role Focus: Physician Liaison | Quality Oversight | Documentation Integrity
- Educates providers on documentation best practices to support clinical specificity and accuracy
- Reviews medical records to identify documentation gaps impacting coding, compliance, and quality reporting
- Applies clinical knowledge to evaluate documentation and coding data
- Participates in documentation quality improvement initiatives supporting compliance and audit readiness
Risk Adjustment Coder
Cleveland Clinic
02.2025 - 12.2025
Role Focus: Compliance Audit Support | Risk Adjustment Oversight
- Reviews clinical documentation and assigns HCC codes in accordance with CMS guidelines
- Collaborates with providers to improve documentation accuracy and compliance
- Identifies documentation gaps and queries providers to support accurate risk capture
- Applies regulatory updates to coding practices and quality reviews
Professional Fee Coder III
Cleveland Clinic
03.2022 - 02.2025
Role Focus: Subject Matter Expertise | Process Improvement
- Served as Subject Matter Expert (SME) for professional fee coding and regulatory compliance
- Provided provider feedback and education regarding documentation deficiencies
- Identified and corrected billing discrepancies to support accurate reimbursement
- Ensured timely and compliant submission of professional fee claims
Earlier Progressive Roles
Cleveland Clinic
03.2015 - 03.2022
Titles Held: Reimbursement Specialist | Professional Fee Coder II | HIM Coder II
Role Focus: Revenue Integrity | Documentation Quality | Workflow Support
- Supported revenue integrity operations through denial management, claim edit resolution, and reimbursement review
- Collaborated with providers and internal teams to clarify documentation and support accurate coding and billing
- Identified recurring documentation and billing issues and escalated trends to support process improvement
Education
Bachelor - Allied Health Care Administration
Akron University
05.2025
Associate of Applied Science - Health Information Management
Herzing University
04.2024
Skills
Leadership & Operational Skills:
Staff education & knowledge transfer Quality monitoring & audit oversight Cross-functional collaboration Process improvement & workflow optimization Performance feedback & coaching support Issue escalation & resolution Regulatory compliance oversight
Clinical, Compliance & Revenue Cycle Expertise:
Professional & facility medical coding (PB/HB) Risk Adjustment & HCC capture Clinical Documentation Integrity (CDI) Claim edit resolution & denial management Revenue integrity & reimbursement support Coding audits & documentation improvement HIPAA, CMS, & federal regulatory compliance
Systems & Tools:
Epic Microsoft Excel Microsoft Word
Certification
- CPC 2015
- RHIT 2024
LEADERSHIP & QUALITY CONTRIBUTIONS
- Conducted peer-to-peer coding and documentation audits and provided constructive feedback
- Developed and delivered provider and caregiver education materials
- Participated in mentoring and leadership development programs, including Cleveland Clinic’s P.E.A.K Program
Timeline
Clinical Documentation Specialist (CDS)
Cleveland Clinic
12.2025 - Current
Risk Adjustment Coder
Cleveland Clinic
02.2025 - 12.2025
Professional Fee Coder III
Cleveland Clinic
03.2022 - 02.2025
Earlier Progressive Roles
Cleveland Clinic
03.2015 - 03.2022
Associate of Applied Science - Health Information Management
Herzing University
Bachelor - Allied Health Care Administration
Akron University