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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.
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.
Vice President, Risk Adjustment and Professional Coding
Licenses & Certifications: MBA, CPC, CRC, LSSBB
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.
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:
Marilee Klock
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.
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:
Risk Adjustment Coders are essential in maintaining accurate patient health data, which is crucial for providing quality care. In the current risk-adjusted healthcare environment, health data is used to identify complex patients, allocate resources, and predict costs by providers and insurance companies.
Our exclusive RACTA® program aims to bridge the gap between the industry’s shortage of professionals and knowledge-based opportunities. Graduates of this program are eligible to apply for entry-level positions, which is a unique opportunity in the risk market. Investing in this training program can help individuals achieve their career goals and unlock their full potential.
RACTA candidates should meet the following requirements:
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.
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.
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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