Ms. Sulzberger is a Licensed Practical Nurse and a Certified Professional Coder. She received her Bachelor of Science degree in Business Administration from Mid America Nazarene University. Ms. Sulzberger received her nursing license in 1994 and was a practicing clinician at Saint Luke’s Health System for several years before transferring to the internal compliance/audit area. She became credentialed as a Certified Professional Coder in 1996 and assisted the Saint Luke’s Health System with performing medical record chart audits to verify the accuracy of the internal coding and claims processing.
Ms. Sulzberger spent approximately six years as a coding/billing consultant with National accounting and consulting firms (BKD, Grant Thornton) before becoming the President of Coding & Compliance Initiatives, Inc. (CCI) in April 2003. Ms. Sulzberger assists her clients with improving their operational performance in a variety of critical outcome areas, including coding/billing, corporate compliance, charge capture processes, etc. Ms. Sulzberger works with a variety of healthcare providers including hospitals, physician practices, and rural health clinics in their daily compliance and operational activities.
A substantial amount of Shellie’s time is spent providing education to the physicians and internal coding staff regarding opportunities for the clinic to improve its current documentation and coding practices, which impact both the revenue and compliance risk of the facility.
Shellie works extensively with federally qualified health centers across the country (along with physician practices, rural health clinics, and hospitals) serving as an independent auditor and compliance resource to improve documentation quality, coding accuracy, workflow, and revenue cycle performance. She works collaboratively with the National Association of Community Health Centers (NACHC) and State Primary Care Associations (PCA).
She assists legal counsel with research, investigation, and her expert opinion. She also provides clinical education in the areas of patient management and medical record documentation. She attends many physicians and other staff meetings to offer updates and to act as a liaison for the health care provider.
Ms. Sulzberger presents locally and nationally on coding topics as well as develops specialized training programs to meet the needs of her clients.
Shellie works with the front-office and back-office revenue cycle team members, focusing on education regarding E/M and ICD-10 coding and billing guidelines and coding/billing-related processes that improve compliance and cash flow. She emphasizes communication between the billing team and the providers and clinicians about the “downstream” impacts of incorrect coding.
Shellie personally works with 10+ health centers annually regarding documentation, coding, and billing processes and serves as an educational resource for several State PCAs every year.
Shellie is credentialed through the American Institute of Healthcare Compliance as a Certified ICD-10 Trainer.
- American Academy of Professional Coders (AAPC)
- Greater Kansas City Medical Managers Association (GKCMMA)