Board and Committees

NAHRI is led by the following volunteer boards and committees:

  • NAHRI Advisory Board
    • The NAHRI Advisory Board provides leadership and an industry voice for NAHRI membership.
  • Mission and Definitions Committee
    • The NAHRI Mission and Definitions Committee drafted NAHRI's mission, value statement, and definition of revenue integrity. 
  • Networking and Events Committee
    • NAHRI Networking and Events Committee members are tasked with reviewing and vetting applications submitted through our Call for Speakers for the annual Revenue Integrity Symposium. They will also assist with developing the timed conference agenda. This committee is also tasked with developing and overseeing NAHRI networking groups, mentorship programs, and live networking events/receptions. 
  • Credential Committee
    • The NAHRI Credential Committee is tasked with developing and updating NAHRI's Certification in Healthcare Revenue Integrity (CHRI) exam. 
  • Professional Advocacy Committee
  • Education Committee
    • The NAHRI Education Committee is responsible for the development and oversight of the NAHRI Scholarship Program. 

NAHRI Advisory Board

Task: Providing leadership, expertise, and an industry voice for the NAHRI membership.

Lawrence A. Allen, Member of the Defense Health Agency and Ambulatory Coding Consultant, U.S. Air Force Medical Service
Lawrence A. Allen is a member of the defense health agency and the ambulatory coding consultant for the U.S. Air Force Medical Service. His experience includes medical coding, medical coding auditing, coding training, writing program guidance and strategy, writing performance work statements and position descriptions, developing cost estimates and budgets, and developing and executing projects.

Tracy Cahoon, MBA, CHRI, Director of Revenue Integrity, Southwest General Health Center, Brecksville, Ohio
Cahoon is the director of revenue integrity for Southwest General Health Center, a non-profit, 350-bed community hospital serving the greater Cleveland area. She joined Southwest General in 2003 and has over 15 years of experience in healthcare finance and revenue cycle. In her current role, Cahoon oversees the revenue integrity department which consists of the revenue integrity supervisor, charge capture specialists, billing analysts, and hospital cashier. 


Erin Brearley Cutter, MBA, CPC, COC, CHRI, CRCR, Director of Revenue Integrity, Concord Hospital Health System, Concord, New Hampshire

Cutter has 13 years of progressive revenue cycle and revenue integrity experience and developed Concord Hospital Health System’s revenue integrity department. Cutter oversees charge description master (CDM) design, maintenance, and optimization; charge capture design, optimization, and reconciliation; denial prevention; reimbursement optimization; revenue cycle analytics; and third-party and internal audits.


Stephanie Ellis, RN, BSN, COC, CHRI, Revenue Integrity Director, UChicago Medicine Medical Center, Chicago, Illinois

Ellis is the revenue integrity director with responsibility for oversight of various divisions within the revenue cycle, including revenue integrity at UChicago Medicine Medical Center. Prior to transitioning to the revenue cycle, she had experience with fraud and abuse investigations for the Illinois Medicare MAC.  She has 30 years of experience in the healthcare industry, including utilization review, outpatient facility coding compliance, denials management, and operations. 

Christian S. Gabriel, National Director of Revenue Integrity at CommonSpirit Health, Dublin, California
Gabriel is the national director of revenue integrity at CommonSpirit Health, a newly formed by the alignment between Catholic Health Initiatives (CHI) and Dignity Health, in Dublin, California. He has more than 25 years of healthcare experience, 15 years of management, 16 years of revenue cycle/coding, six years of chargemaster experience, five years of experience in Epic implementation with various implementation roles and project management engagements, including attainment of various Epic certifications, and more than three years of experience in the health plan setting. Gabriel has a proven track record in identifying and implementing broad-scale revenue integrity initiatives that helped increase profitability, drive efficiency in operations for several of his health system roles. 

Sarah L Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, President/CEO, SLG, Inc.
Goodman is president/CEO and principal consultant for SLG, Inc. in 
Raleigh, North Carolina, and a nationally known speaker and author on the charge description master (CDM), outpatient facility coding, and billing compliance, and has more than 30 years’ experience in the healthcare industry. Goodman has been actively involved and held leadership roles in a number of professional organizations on the local, state, and national levels. 


Ronald Hirsch, MD, FACP, CHCQM, CHRI, Vice President, R1 Physician Advisory Services
Hirsch is vice president of R1 RCM in the physician advisory services division
and a general internist and HIV specialist. Previously, Hirsch was the medical director of case management at Sherman Hospital in Elgin, Illinois. He is certified in healthcare quality and management by the American Board of Quality Assurance and Utilization Review Physicians. In addition, he is a member of the American Case Management Association, a member of the American College of Physician Advisors, and a fellow of the American College of Physicians. His is the co-author of The Hospital Guide to Contemporary Utilization Review, published by HCPro.


Fran Jurcak, MSN, RN, CCDS, CCDS-O, Chief Clinical Strategist, Iodine Software, Austin, Texas

Jurcak is the chief clinical strategist at Iodine Software, an ML-AI healthcare technology firm. She has more than 30 years of success in healthcare practice, education, consulting and technology. Prior to her work at Iodine, she was a healthcare consultant at Huron Consulting, where Jurcak leveraged her clinical and coding knowledge to support process improvement in the mid-revenue cycle particularly in the clinical documentation integrity space. In her current role, Jurcak is focused on employing innovative AI/ML technology to minimize mid-revenue cycle leakage. These process improvements have allowed her many clients to successfully maximize financial and quality outcomes.

Lisa Kanivetsky, BA, CPC, CHRI, Revenue Integrity Director, Tufts Medicine
Kanivetsky is the revenue integrity director at Tufts Medicine. After graduating from the University of Minnesota she spent a few years trying out different opportunities until the revenue cycle and IT bug caught her. Prior to joining Tufts Medicine, Kanivetsky worked for twenty years at several healthcare organizations in Minneapolis, Minnesota, and Los Angeles, California.


Kay Larsen, CHRI, Revenue Integrity Specialist, Adventist Health Glendale
Larsen is a revenue integrity specialist at Adventist Health Glendale in Glendale, California. She has enjoyed 17 years working in healthcare, including many years as a CDM coordinator. Larsen’s favorite part of her job is working with departments maximizing revenue through education and charge review. In her years of work, she has experienced standardization projects, extensive price reviews and conversion of financial systems and still is passionate about revenue integrity.


Debra May, Executive Partner, Bluetree Network
May is an executive partner with Bluetree Network in Reno, Nevada. Previously, May served as Renown Health’s VP of revenue cycle and director of revenue integrity, with a focus on developing a team to cover all aspects of revenue integrity. May has over 25 years’ experience in both the hospital and professional revenue cycle, is a certified Transformational Health Care leader involved in process improvement projects across the health network, and is an active member of the HFMA Nevada Chapter.   


Valerie Rinkle, MPA, CHRI, President, Valorize Consulting, LLC
Rinkle brings almost 40 years of expertise in healthcare, which started at the Health Care Financing Administration (HCFA), now the Centers for Medicare & Medicaid Services (CMS) and included 10 years as a revenue cycle director of a health system. She advises hospitals, health systems, and manufacturers on reimbursement issues and the operational practices. She has served as an expert witness in litigation. Rinkle is a frequent speaker at regional and national conferences, including Healthcare Financial Management Association (HFMA) meetings and the American Health Lawyers Association (AHLA) Institute on Medicare and Medicaid Payment Policies, and she has published numerous articles and books on reimbursement and regulatory issues.



Irene Sachakov, CHRI, CRCR, CSPR, Director of Revenue Integrity/CDM/Charge Capture, HonorHealth

Irene Sachakov, CHRI, CRCR, CSPR, is the director of revenue integrity/CDM/charge capture at HonorHealth in Arizona. She has over 15 years of experience in healthcare revenue cycle including healthcare IT, workflow optimization and automation. She has experience leading multiple projects to completion that have improved internal operating efficiencies and the cash flow of the institution as whole. While her main focus has been in revenue operations, Irene has touched clinical, and patient centered workflows that have allowed her to have a well-rounded understanding of the impact that these areas have on the downstream revenue cycle operations. Irene has a BS degree in Public Administration from Northern Arizona University. She is also EPIC certified in CDM and Contract Management, holds certifications in organizational leadership, CRCR, CSPR, CHRI and is an active member of HFMA and runs the Arizona chapter of NAHRI. She hopes to raise awareness of the integral role revenue integrity plays in the success of healthcare organizations.

Anna SantoroMBA, CCS, CCS-P, RCC, System Director Revenue Integrity/CDM, Hartford Healthcare
Santoro is a revenue integrity system director at Hartford Healthcare in Newington, Connecticut. She has 20 years of experience with charge master, claim edits, denials, and coding. 


John D. Settlemyer, MBA, MHA, CPC, CHRI, Associate VP Revenue Cycle, Atrium Health
Settlemyer is an adjunct instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp®. In addition, he is an assistant vice president, revenue cycle, with Atrium Health in Charlotte, North Carolina. Atrium Health is one of the leading healthcare organizations in the Southeast and one of the most comprehensive public, not-for-profit systems in the nation. Settlemyer has 25 years’ experience in healthcare finance and reimbursement, and has been with Atrium Health for more than 15 years. His focus is in chargemaster (CDM) compliance, charge capture, and revenue integrity. He has direct oversight or consulting oversight of the CDM for all Atrium Health hospitals and their associated outpatient care locations, such as provider based clinics, healthcare pavilions, and freestanding emergency departments.


Jugna Shah, MPH, CHRI, Founder and CEO, Nimitt Consulting Inc.
Shah is a nationally recognized expert in health care policy with over 25 years of experience in addressing health care systems’ complex challenges. Shah leads Nimitt’s team of experts who help providers, payers, professional organizations, and industry to understand and thrive under existing payment systems and to create new models. Shah applies her in-depth expertise in payment systems and provider operations to identify effective reimbursement strategies. She has had notable successes in in medical oncology and most notably in stem cell transplant and CAR-T cell therapy reimbursement improvements. She led a multi-organization advocacy effort that successfully secured coverage for novel cell therapies, obtained new CPT and ICD-10 diagnosis and procedure codes, and revised payment policies for these innovative technologies to accurately value these medical advancements appropriately. Shah has been involved with Medicare’s Diagnosis-Related Groups (DRGs) for her entire career, and was part of the team that created what became Medicare’s Outpatient Prospective Payment System (OPPS), first implemented in 2000. 

Denise Williams, COC, CHRI, Senior VP, Revenue Integrity Services, REVANT Solutions
Williams is senior vice president of the revenue integrity division and compliance auditor at Revant Solutions in Raleigh, North Carolina. She has more than 35 years of healthcare experience, including a background in multiple areas of nursing. For the past 20 years, Williams has been in the field of coding and reimbursement and has experience performing E/M, OP surgical, ED, and observation coding chart reviews for both facility and professional providers based on documentation, compliance, and reimbursement perspectives. She is a recognized chargemaster (CDM) expert, providing assistance with all aspects of chargemaster set up and maintenance. She has contributed content for several books and numerous OPPS/APC articles for HCPro and other publishers.


Caroline Znaniec, Managing Director, Protiviti, Baltimore, Maryland
Znaniec is Protiviti’s healthcare revenue cycle practice leader. She has extensive professional consulting and industry experience in the healthcare industry. Znaniec works with various healthcare provider organizations including hospitals, health systems, home care, physician specialty groups and clinics, free-standing ambulatory care providers, payers, private equity groups, and investors. Prior to joining Protiviti, she led the development and client delivery of revenue integrity consulting services for CohnReznick LLP, Grant Thornton LLP and Navigant Consulting, Inc. She has experience serving in industry roles such as corporate compliance officer and director of revenue integrity for integrated health systems. She is a recognized industry speaker and author in the areas of revenue integrity, revenue cycle transformation, regulatory compliance, electronic health record design, implementation and optimization, and data analytics..

Emeritus Board Members

NAHRI would like to thank the following emeritus board members for their service.

Debbie Mackaman, RHIA, CPCO, CCDS, Regulatory Specialist, HCPro

Debbie was the developer of HCPro’s Medicare Boot Camp®—Critical Access Hospital Version and Rural Health Clinic Version. She was a long -time instructor for HCPro’s boot camps with many years of experience in the health care industry, including in Montana. She was a former president of the Montana Health Information Management Association, a Registered Health Information Administrator and Certified Healthcare Compliance Officer. Debbie passed away in 2020 from a long-time illness and is dearly missed by her colleagues and friends in the healthcare community.


Mission and Definitions Committee

Sarah Goodman, Elizabeth Lamkin, Lisa Longo, Debra May, and Valerie Rinkle

Networking and Events Committee

Kelly Bowley, RN, MBA, CRCE; Sandy Giangreco Brown, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS;  Jennifer Gardiner, CPC; Lisa Kanivetsky, CHRI; Daphne L. Pell, RHIA; Mia Reddick-Smith, MBA; Tina Rosier, MS, PT; Stacie Smith, EMBA, RHIA; Jodi L. Stewart, RHIA, CCS, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer; Diane Weiss, CPC, CPB, CCP, CHRI

Credential Committee

Tracy Cahoon, MBA, CHRI; Mary Beth Haugen, RHIA, CHRI; Lisa Kanivetsky, BA, CPC, CHRI; Rayleen M. Kelly, RN, CCDS, CIC, CRC, CHRI; Julie Leonard, CPC, CCS, CPCO, CRCR, ACS-AN, RCC, CHRI; Lisa Longo, CPC, CPC-I, CHRI; Debbie Mackaman, RHIA, CPCO, CCDS, CHRI; Rebecca Moore, MSA, CHRI; Angela A. Musey, RN, MBA, MACC, CHRI; Debbie Nash, MBA, CHRI; Elaine O’Bleness, MBA, RHIA, CDIP, CHP, CRCR, CHRI; Valerie Rinkle, MPA, CHRI; Celeste Rucker, RHIT, CCS, CHRI; Anna Santoro, MBA, CCS, CCS-P, RCC, CHRI; John D. Settlemyer, MBA, MHA, CPC, CHRI; Donna J. Warwick, BS, CHDA, CCS, CTR, CHRI; Meagen Windler-Hacker, CHRI; Kim Yelton, RHIA, CCS, CDIP, CHRI

Education Committee


Peggi Ann Amstutz, MBA, CCS, CCS-P, CPC-I ; Shawishi Haynes, EdD, FACHE, PhD; Fran Jurcak, MSN, RN, CCDS, CCDS-O; Evan Martin, MBA, CRCR; Debra May; Debbie Nash, MBA, CHRI; Amy Tepp, CPA; Lizzete Tupas, MBA, RHIA, CCS, ROCC, CRCR; Irene Sachakov, CHRI, CRCR, CSPR; Denise Williams, COC, CHRI