Coding and Clinical Integrity Practice

Risk Adjustment Solutions

Accelerate the adoption of best practices in risk adjustment to prepare for the anticipated impacts of the Risk Adjustment Data Validation (RADV) Audit. We help you prepare for the transition from fee-for-service and value-based payments through an improved depiction of patient acuity.  CSI’s risk coding and clinical integrity experts bring deep industry knowledge and offer innovative solutions to payers, providers, and coding professionals. 

Our certified staff, including RNs, CRCs, CPCs, and CCSs, is here to help you navigate the changes with confidence.

CCI Practice

Risk Adjustment Solutions

Accelerate the adoption of best practices in risk adjustment to prepare for the anticipated impacts of the Risk Adjustment Data Validation (RADV) Audit. We help you prepare for the transition from fee-for-service and value-based payments through an improved depiction of patient acuity.  CSI’s risk coding and clinical integrity experts bring deep industry knowledge and offer innovative solutions to payers, providers, and coding professionals. 

Our certified staff, including RNs, CRCs, CPCs, and CCSs, is here to help you navigate the changes with confidence.

Level up your Risk Adjustment Solutions

Level up your Risk Adjustment Solutions

 

Jeanne Menard

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.

Risk Adjustment is essential for an accurate depiction of patient acuity in support of value-based care initiatives and ensuring the overall quality of patient care.

Face the changing RADV regulatory requirements with confidence. You have CSI on your side. 

CSI’s Risk Adjustment Coding Solutions are designed to help payers and providers participating in Medicare Advantage and Alternative Payment Models collect data about chronic disease burden in their populations.  

 

CSI offers comprehensive solutions to payers and providers including: 

 

Staff Augmentation, Business Process Outsourcing, Prospective and Retrospective Risk Coding.

 

CSI has been in the workforce solutions business, with a specific emphasis on risk adjustment coding for over a decade. Our differentials include:

 

  • 100% of CSI’s Coders have an AAPC or AHIMA coding credential, including our nurses.
  • 100% of the coding is performed onshore in the United States.
  • CSI’s Coders are skilled at multiple coding platforms including those using Natural Language Processing and perform both coding and clinical validation reviews.
  • CSI’s Coders have deep experience with CMS, HHS, and RX HCC models. 
  • CSI’s BPO Model is backed by an internal quality control team, enabling a 95% accuracy guarantee.
  • CSI brings transparency, clarity, and competence to your risk adjustment project. Our coders come to work at CSI for more than a contract—they come here for a career.

Level up your Risk Adjustment Solutions

 

Jeanne Menard

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.

Risk Adjustment is essential for an accurate depiction of patient acuity in support of value-based care initiatives and ensuring the overall quality of patient care.

Face the changing RADV regulatory requirements with confidence. You have CSI on your side. 

CSI’s Risk Adjustment Coding Solutions are designed to help payers and providers participating in Medicare Advantage and Alternative Payment Models collect data about chronic disease burden in their populations.  

 

CSI offers comprehensive solutions to payers and providers including: 

 

Staff Augmentation, Business Process Outsourcing, Prospective and Retrospective Risk Coding.

 

CSI has been in the workforce solutions business, with a specific emphasis on risk adjustment coding for over a decade. Our differentials include:

 

  • 100% of CSI’s Coders have an AAPC or AHIMA coding credential, including our nurses.
  • 100% of the coding is performed onshore in the United States.
  • CSI’s Coders are skilled at multiple coding platforms including those using Natural Language Processing and perform both coding and clinical validation reviews.
  • CSI’s Coders have deep experience with CMS, HHS, and RX HCC models. 
  • CSI’s BPO Model is backed by an internal quality control team, enabling a 95% accuracy guarantee.
  • CSI brings transparency, clarity, and competence to your risk adjustment project. Our coders come to work at CSI for more than a contract—they come here for a career.

CSI in Practice

CSI in Practice

THE CODING & CLINICAL INTEGRITY TEAM

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.

Jennifer Arend

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.

Lou Ann Wiedemann

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.

Check out our white paper

Learn more about the Future of Medical Risk Adjustment Validation Programs and How they Impact Organizations Financially.

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