Rachel Liberatore Harlan Email & Phone Number

Sacramento, Ca, Us

Sacramento, California, Us

Sacramento, California, Us

Oversee the administration and implementation of Sutter Health's Ethics & Compliance Program across the health system's medical foundations, as well as new and existing enterprise service lines. Implemented and operationalized a Corporate Integrity Agreement (CIA) under the oversight of the Office of Inspector General (OIG).Lead a team of director-level Compliance Officers and subject matter experts in the following areas: medical foundations/groups, revenue cycle, health plan, home health, hospice, research, ambulatory surgery centers, surgical hospitals, population health management, and shared business services.

Sacramento, California, Us

Administered Sutter Health's Ethics & Compliance Program at Sutter Medical Foundation and Sutter Coast Hospital. Included training, monitoring, conducting and documenting investigations and corrective action plans.Member of Sutter Medical Foundation and Sutter Coast Hospital's Administrative Teams. Collaborated and provided advice to leadership to ensure compliance with applicable laws and regulations.Sutter Medical Foundation provides primary and specialty care in over 90 sites across Sacramento, Placer, Yolo, Yuba, Sutter, Amador and Solano counties. Care is provided by 4,200 employees and 1,300 physicians from affiliated medical groups.Sutter Coast Hospital provides inpatient and outpatient services to the Crescent City, CA and Brookings, OR communities. Services also include a rural health clinic, a 1204A community clinic, and home health.

Menlo Park, California, Us

Provided internal audit and risk assessment services for multiple hospitals, health systems, medical foundations and medical groups.Gained the trust and cooperation of client leadership through showing a high degree of integrity while handling sensitive protected health information and using discretion during the audit process.Managed audit teams of 2-3 auditors and/or contractors performing concurrent compliance reviews in the following areas: revenue cycle, charge capture, physician contracts, payer authorizations, case management, revenue recognition, and pharmacy operations.

Gb

Client-facing consulting role to provide Revenue Cycle improvements and operational transformation for healthcare providers and payers. Identified over $2M in revenue opportunities for healthcare providers by identifying areas for physician medical documentation improvement through analytics of CPT usage data. Lead Project Management Office for teams of 10-15 staff members on ICD-10 and Accountable Care Organization implementations and readiness assessments.Provided project management and data analytics on a physician education and charge capture project aimed to assist a medical group of 3,000 physicians in complying with CMS full encounter data submission requirements for all Medicare Advantage health plans. Developed Patient Access policies and procedures for a large public health system.

Us

Federal grant accounting and reconciliation. Financial audit preparation, specifically in charge of A-133 Schedule of Expenditures of Federal Awards (SEFA). Prepared projects and presentations for finance, accounting, and strategy. Developed product usage report for all nursing units, central supply, and IV room to identify potential cost savings in lowering par levels to appropriate amounts. Lean quality process improvement team member.

Mha, Health Administration

Bachelors Of Arts, Political Science