Claire Cieri, MS , CHC, CHPS, CPCO, CPMA, CHCA, CPC, CEMC

Compliance Manager at Orchid Health
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Contact Information
us****@****om
(386) 825-5501
Location
US

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Credentials

  • CHPS-Certfied in Privacy and Security
    AHIMA
    Jul, 2017
    - Nov, 2024
  • Certified Coder in Evaluation and Management
    AAPC
  • Certified Medical Auditor
    AAPC
  • Certified Medical Auditor/Educator
    AHCAE
  • Certified Medical Coder
    AAPC
  • Certified Professional Compliance Officer
    AAPC
  • Certified in HealthCare Compliance
    HCCA

Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Compliance Manager
      • Jun 2022 - Present

    • HIPAA Consultant and Coding educator
      • Aug 2015 - Present

      HIPAA Consultant and Coding educator. I was responsible for guiding LCC Health Clinic through a breach of over 2,000 patients in 2017. I updated all of their HIPAA policies and procedures plus guided them through the ICD-10 update. HIPAA Consultant and Coding educator. I was responsible for guiding LCC Health Clinic through a breach of over 2,000 patients in 2017. I updated all of their HIPAA policies and procedures plus guided them through the ICD-10 update.

    • United States
    • Human Resources Services
    • 1 - 100 Employee
    • Vice President, Health care division
      • Apr 2009 - Present

    • Vice President - Healthcare
      • Jan 2012 - Present

      Helping clinics be both compliant and profitable. Your clinic's reference for healthcare updates as they happen so you remain competitive, profitable and legal. Be sure to contact Mardac to update your notice of privacy practices on your website and for your patients. Claire is an expert on Release of Information and Patients' Rights to their medical records. OCR Phase Two HIPAA audits are starting. Contact Mardac to make sure you know what is required of your clinic. Have you updated your BAAs? Have you updated your Risk Assessment? Does your staff education on the new HIPPA requirements need updating? Compliance plans are required under the ARRA. Claire can devise a compliance plan for your clinic that is relevant to your identity. Claire will train your staff on compliance regulations, including HIPAA/HITECH, Fraud, Waste And Abuse,plus OSHA. She also specializes in ICD-10 training for providers and staff. Claire is Certified in Cybersecurity and Privacy and can help medical organizations strengthen their "weakest links"; their employees. She provides training and auditing to help busy medical organizations stop ransomware attacks in their tracks.

    • United States
    • Wellness and Fitness Services
    • 1 - 100 Employee
    • HIPAA officer
      • Jan 2019 - Sep 2022

      Updating HIPAA policies and procedures for medical, dental and behavioral health clinics. Implementing new training modules. Updating HIPAA policies and procedures for medical, dental and behavioral health clinics. Implementing new training modules.

    • Compliance Analyst
      • Nov 2018 - Jan 2019

    • Compliance Analyst
      • Oct 2018 - Jan 2019

    • United States
    • Medical Practices
    • 1 - 100 Employee
    • Auditor/Educator/Compliance/Privacy Officer
      • Oct 2012 - Mar 2018

      Compliance and privacy training are part of Claire's responsibilities. Claire is also their privacy officer. She is responsible for training all staff on HIPAA and the new compliance plan. She is responsible for supervising the coding department. She trains new providers on Fraud, Waste and Abuse, along with Audit issues. Claire is the MACRA and Information Governance guru. She is their auditor for privacy regulations and responsible for breach responses. She is responsible for Meaningful Use documentation and audits. Claire is responsible for auditing claims both pre and post payment and then educating providers and others on what changes were made and why.

    • United States
    • Higher Education
    • 400 - 500 Employee
    • Educator
      • Feb 2011 - Sep 2016

      Claire is coordinating a workshop on HIPAA/HITECH Omnibus Rules in June, 2013.Claire coordinates an eight hour workshop on Medical Chart Auditing to medical professionals. Plus a 4 hour workshop for clinic managers on how to get ready for ICD-10.Claire conducts workshops on "Effective Compliance Plans for Medical Managers". She also conducts workshops on Risk Assessments plus preparing for the the OCR HIPAA Phase Two audits. Claire is coordinating a workshop on HIPAA/HITECH Omnibus Rules in June, 2013.Claire coordinates an eight hour workshop on Medical Chart Auditing to medical professionals. Plus a 4 hour workshop for clinic managers on how to get ready for ICD-10.Claire conducts workshops on "Effective Compliance Plans for Medical Managers". She also conducts workshops on Risk Assessments plus preparing for the the OCR HIPAA Phase Two audits.

    • Auditor/Educator
      • Nov 2007 - Apr 2016

      Claire started as a medical coder for BDC and then started working independently for them as an auditor and pathology coder. She also advises them on HIPAA, compliance and Meaningful Use Stage one and Stage two. She is currently their Privacy Officer. Claire started as a medical coder for BDC and then started working independently for them as an auditor and pathology coder. She also advises them on HIPAA, compliance and Meaningful Use Stage one and Stage two. She is currently their Privacy Officer.

    • HIPAA Consultant
      • May 2015 - Aug 2015

      Trained staff on new Notice of Privacy Practices, new rules according to the Omnibus Rule and breach notifications. Ongoing HIPAA consultant. Trained staff on new Notice of Privacy Practices, new rules according to the Omnibus Rule and breach notifications. Ongoing HIPAA consultant.

    • Business Consultant
      • Apr 2014 - Aug 2015

      HIPAA, Meaningful Use consultant. ICD-10 trainer. Other compliance projects as needed. HIPAA, Meaningful Use consultant. ICD-10 trainer. Other compliance projects as needed.

    • Management Consultant
      • Sep 2013 - Aug 2015

      Performed a chart audit for the practice; advised physicians and staff on revenue and compliance issues. Trained staff and management on the new HIPAA requirements; provided their new Notice of Privacy Practices, new business associate agreements, staff compliance policies. Trained the staff on ICD-10 and will work with their coder to sharpen her skills for better revenue and better compliance. HIPAA training for other clinics in the Camas, WA area. Performed a chart audit for the practice; advised physicians and staff on revenue and compliance issues. Trained staff and management on the new HIPAA requirements; provided their new Notice of Privacy Practices, new business associate agreements, staff compliance policies. Trained the staff on ICD-10 and will work with their coder to sharpen her skills for better revenue and better compliance. HIPAA training for other clinics in the Camas, WA area.

    • ICD-10 trainer/Auditor
      • Jul 2015 - 2015

      Responsible for training all staff on implementation of ICD-10 through the October 1 deadline.Educating staff and clinicians on Evaluation and Documentation guidelines for improved revenue with less chance of audits. Responsible for training all staff on implementation of ICD-10 through the October 1 deadline.Educating staff and clinicians on Evaluation and Documentation guidelines for improved revenue with less chance of audits.

    • Medical Auditor/Educator/Compliance
      • Jul 2010 - Jun 2013

      Claire audits charts for all the providers and provides feedback on correct coding and compliance issues. She prepares provider summaries for each provider per audit detailing her findings. Claire audits charts for all the providers and provides feedback on correct coding and compliance issues. She prepares provider summaries for each provider per audit detailing her findings.

    • Medical Auditor/Educator/Compliance
      • Oct 2010 - Oct 2012

      Claire audits JCMC's chart for coding and compliance issues to improve the clinic's revenue and lower denials. She was responsible for HIPAA training and coordinator for several incentive programs such as Meaningful Use and PQRS. Claire audits JCMC's chart for coding and compliance issues to improve the clinic's revenue and lower denials. She was responsible for HIPAA training and coordinator for several incentive programs such as Meaningful Use and PQRS.

    • Educator
      • Apr 2009 - Nov 2009

      Claire taught coding, HIPAA,compliance and reimbursement for medical practices. Claire taught coding, HIPAA,compliance and reimbursement for medical practices.

    • United States
    • Medical Practices
    • 200 - 300 Employee
    • Auditor
      • Aug 2008 - Apr 2009

      Claire worked as an auditor at Oregon Medical Group; a large multi-specialty medical group. She reviewed past and present charts for compliance and correct coding. She educated providers on their chart audit results She was responsible for educating coders in their coding training. Claire worked as an auditor at Oregon Medical Group; a large multi-specialty medical group. She reviewed past and present charts for compliance and correct coding. She educated providers on their chart audit results She was responsible for educating coders in their coding training.

Education

  • University of Oregon
    Masters in Science, Human Resource Management
    1988 - 1990
  • Smith College
    BA, English
    1978 - 1982

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