Clinical Documentation & Coding Compliance Leader
Resume:
Christine Berg, BS, RHIA, CCS, CCDS-O
Coding Compliance and Documentation Integrity Manager
*******@***.*** • 440-***-****
LinkedIn • Valley City, OH
Summary
Experienced Professional Coding Compliance and Clinical Documentation Integrity Manager with a passion for ensuring accurate documentation, billing, and charging of healthcare services. Skilled in collaborating with physicians and coders to educate and promote best practices in documentation and coding within electronic health record systems, resulting in accurate claims. Expertise in ICD-10-CM/CPT coding, billing audits, risk adjustment, and regulatory compliance. Proven track record of leading teams to enhance documentation integrity, streamline billing processes, and reduce denials. Committed to fostering strong relationships with physicians, APPs, administrators, and coding teams to drive continuous improvement and ensure adherence with healthcare regulations.
Areas of Expertise
Clinical Documentation Integrity
Revenue Integrity
Medical Billing Compliance
Project Management
ICD10/CPT Coding Education
Regulatory Auditing & Monitoring
Risk Management & Mitigation
Physician Documentation
Hiring & Training
Workflow Management
Client Relationship Management
Staff Management
Professional Experience
Solventum, St. Paul, Minnesota April 2025 - Present
Solutions Advisor – Coding
Partners effectively with clients to perform coding workflow discovery, ensure adoption, and deliver advanced optimization for assigned 3M/Solventum product lines. Serves as a subject matter expert for respective team and solutions as assigned. Understand the client’s short- and long-term goals. Conducts current state coding workflow and configuration review with client implementing Solventum’s best practice workflows. Partners effectively with clients on suggested workflow optimization changes leveraging Solventum’s best practices. Advocates for the client, logs issues, and escalates as needed following standard procedures in a timely manner. Client relationship coordination – coordinate interactions for the client throughout the organization. Defines and tracks key performance indicators. Stays up to date with knowledge of industry and product changes. Participates in relevant corporate programs, complies with professional and quality standards, corporate policies and procedures, and acts in a manner consistent with Solventum’s values and ethical standards.
Cleveland Clinic, Heart, Vascular and Thoracic Institute, Cleveland, Ohio Feb 2023 – March 2025
Institute Clinical Documentation Integrity Manager
Function as Heart, Vascular, and Thoracic Institute (HVTI) CDI Manager, overseeing hiring, onboarding, development, and scheduling. Conduct audits for compliance with Medicare and Official Coding guidelines. Provide documentation, billing education, and training for physicians and APPs. Coordinate weekly HVTI Documentation Excellence Committee meetings and streamline communication between HVTI and Revenue Cycle Management (RCM) Professional Coding teams. Collaborate with RCM CDI to support the transition to onsite CDI work. Serve as Institute Compliance Officer, ensuring compliance and risk mitigation, and present the Annual and Quarterly Compliance Reports to Institute and Corporate leadership. Implement risk management strategies to uphold regulatory and operational standards.
●Led a strategic review of staff and APP billing, conducting in-depth analysis to standardize top-of-license billing, resulting in a potential annual revenue impact of $283K.
●Identified a missed revenue opportunity in Cath and EP Labs by reviewing documentation and charges for new technologies, uncovering $383K in unbilled charges.
●Prepared and presented the HVTI Annual Compliance Report by analyzing audit data, organizing findings, and ensuring a successful presentation.
3M Health Information Systems, HIS Consulting Services, Alpharetta, GA Feb 2021 – Feb 2023
Ambulatory Services Consultant
Performed outpatient CDI assessments, evaluating people, processes, and technology. Conducted coding, regulatory audits, and training while driving revenue cycle and denial management improvements. Assisted clients with HCC Management implementation and provided training in collaboration with Adoption Specialists. Conducted HIM and coding quality audits, presenting executive summaries with findings and recommendations. Fostered client relationships, coached staff, and created tailored coding and CDI educational modules.
Redesigned the process for staffing, and change management for HIM, CDI, and coding teams to improve workflow efficiencies.
Successfully managed multiple projects with competing deadlines, delivering all on time and meeting key objectives.
Cleveland Clinic, Revenue Cycle/HIM Clinical Documentation Integrity Department, Cleveland, OH Jul 2018 – Jan 2021
Outpatient Clinical Documentation Integrity Manager
Headed a team of six caregivers focused on ambulatory documentation integrity, ensuring accurate HCC diagnosis capture and physician documentation education. Monitored daily Risk Adjustment Factor (RAF) scores and HCC diagnosis capture rates to ensure accurate patient medical complexity. Researched and evaluated technology solutions to enhance the Outpatient Clinical Documentation Integrity (CDI) Program.
●Spearheaded the implementation of the first Outpatient CDI Program, including hiring and training caregivers, developing policies and procedures, and overseeing successful program communication and rollout to Cleveland Clinic staff.
●Enhanced financial performance driving a monthly risk adjustment revenue impact of approximately $350K.
Cleveland Clinic, Heart and Vascular Institute, Cleveland, Ohio Mar 2013 – Jul 2018
Institute Clinical Documentation Integrity Manager
Led a team of three caregivers focused on documentation integrity, including Epic navigation and education for billable providers. Served as Institute Compliance Officer, ensuring adherence to regulatory and compliance standards. Provided ICD-10 and CPT documentation education to billable providers, fellows, and medical students. Delivered e-billing training to enhance accuracy and efficiency in billing processes.
●Presented the HVI yearly compliance report to the CC Corporate Compliance Committee, driving regulatory transparency and compliance improvements.
●Led institute-wide risk assessment and mitigation initiatives, strengthening compliance and minimizing risks.
●Forged a successful HIM/HVI CDI partnership, improving documentation integrity and coding accuracy.
●Designed and implemented the Pro Coding Quality and Compliance workstream, optimizing coding processes and ensuring regulatory adherence.
●Generated a $500,000 revenue impact in vascular surgery by ensuring accurate EM documentation before surgery.
●Honored with the Excellence Award – IP3 for exceptional contributions to the Individual Physician Productivity Plan.
●Established and launched an NP/PA billing and tracking productivity charge system, enhancing financial oversight and operational efficiency.
Cleveland Clinic, Heart and Vascular Institute, Cleveland, OH Oct 2011 – Mar 2013
Reimbursement Manager, Cardiovascular Medicine Business Unit
Directed team of 15 coding and billing professionals, overseeing professional and technical charges for 300+ Cardiovascular Medicine physicians across the Cleveland Clinic Health System. Served as an active member of the HVI Compliance Committee, ensuring adherence to regulatory standards.
Improved accuracy and compliance of clinical documentation and coding through training coders, reimbursement specialists, and physicians within the Cardiovascular Medicine section of Heart and Vascular Institute.
●Provided administrative support to four HVI Administrators, enhancing operational efficiency.
Additional Experience
Project Manager, Cleveland Clinic, Health Data Services Department, Cleveland, OH
Adjunct Faculty Member, Cuyahoga Community College, HIM Program, Cleveland, OH
Education
Bachelor of Science in Health Information Management
University of Cincinnati, Cincinnati, OH
Professional Affiliations
AHIMA and OHIMA, Member, Volunteer on HIM Advocacy, 1986-2024
Northeast Ohio Health Information Management Association, Member, Speaker, 1986-2024
Community Service
Cleveland Clinic Children’s Hospital, Cleveland Food Bank, Volunteer, 2018-2024
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