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A Clinical Integrity Program will assist physicians with complete, accurate and detailed documentation. We make sure that records best represent the care and match the resource utilization of the encounter. This usually results in appropriate reimbursement from the payer to cover the cost of the care.
Jennifer Arend
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.
Outcomes
Value to Practice
Jennifer Arend
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.
Outcomes
Value to Practice
Jennifer Arend
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.
Outcomes
Value to Practice
Senior 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.
Vice President, Risk Adjustment and Professional Coding
Licenses & Certifications
MBA, CPC, CRC, LSSGB
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 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.
Learn more about the Future of Medical Risk Adjustment Validation Programs and How they Impact Organizations Financially.
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