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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 CS’s clients with actionable analytics.
Director, Professional and Risk Adjustment Coding
Licenses & Certifications
BA, CPC, COC, CRC
Jeanne is an accomplished Risk Adjustment coding coach and mentor with over 25 years of experience helping individuals achieve their highest potential. Her wealth of knowledge and innovative training solutions provide CSI’s entry-level coders with a solid foundation to exceed CSI’s clientele standards.
Managing Consultant, Coding and 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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