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CSI’s Coding and Clinical Integrity Practice consists of nurses, certified coders and clinical documentation integrity professionals. We serve our clients as they navigate their journey toward value-based payments while supporting those still having a foothold in fee-for-service payment arrangements.
CSI’s Coding and Clinical Integrity Practice consists of nurses, certified coders and clinical documentation integrity professionals. We serve our clients as they navigate their journey toward value-based payments while supporting those still having a foothold in fee-for-service payment arrangements.
Michelle M. Wieczorek
Vice President, Coding and Clinical Integrity
Licenses & Certifications: RN, RHIT, CPHQ, CCDS-O
Michelle is an expert in clinical integrity and risk adjustment within the framework of value based care and alternative payment models. She has practiced nationally for over 15 years in the payer and provider spaces, and has developed innovative approaches to solving for the challenge of accurate portrayal of patient acuity. With experience in Artificial Intelligence, including a US Patent in Natural Language Processing clinical rules logic, she is well positioned to guide CSI’s clients on their journey to success in value based payments.
While rich in specific knowledge of EHRs, CSI offers solutions that are vendor agnostic, including deep sophistication in multiple AI and Natural Language Processing coding platforms.
Our knowledge of alternative payment models, including those featuring Elixhauser, CMS and HHS risk adjustment methodologies is a distinctive difference. We work across the care continuum as we provide solutions to payers, providers and ACOs. We focus on an accurate depiction of patient acuity no matter the driver, the setting or the persona. Helping providers spend more time caring for the patient while reducing the documentation burden is our passion.
Director of Provider Coding
Licenses & Certifications
MS, RHIA, CDIP, CHDA, FAHIMA
Lou Ann brings over 20 years of industry knowledge in the areas of CDI, Revenue Cycle, HIPPA, HIT, and EHRs. Her data driven decision-making skills and healthcare consultation experience equips CSI’s clients with actionable analytics.
Vice President, Risk Adjustment and Professional Coding
Licenses & Certifications
MBA, CPC, CRC, LLSSGB
Marilee brings extensive experience in Risk Adjustment and Value-Based Payment to CSI, with a background that spans both payer and provider spaces. She has worked with a large IDN in Pennsylvania, a national population health company, and most recently with Quartz Health Plan. Throughout her career, Marilee has demonstrated a strong focus on driving process improvement and ensuring quality control. As part of her current role, she oversees the work of over 300 core CSI Coders, helping to ensure that we deliver accurate results and exceptional value to our clients.
Director of Clinical Integrity
Licenses & Certifications
MSHI, BS, RN, CCDS, CDIP, CCS, PMP
Jennifer has over 10 years of expert knowledge in the clinical documentation integrity realm in addition to project based work related to Epic Enhancements (Risk Adjustment HCC Preference List). In addition to Epic certifications, Jen has also worked with multiple EHR platforms on optimization activities. With skills in project management and Healthcare Informatics, she is well equipped to support CSI’s clientele.
Learn more about the Future of Medical Risk Adjustment Validation Programs and How they Impact Organizations Financially.
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