Coding and Compliance Manager

Ms. Sheila Haynes joined the RTW team in 2021 and is a Certified Professional Coder with over 30 years of experience in healthcare coding, compliance, and revenue cycle management. Her expertise includes abstract coding, auditing, quality assurance, education, HCC Risk Adjustment, MIPS/MACRA, HEDIS quality measures for all medical specialties. In addition, she assists providers and organizations with evaluation of their EMR, updates to EMR and Practice Management templates, ICD/CPT/HCPCS code set dictionaries and charge masters.

Sheila obtained her coding certification in 2004 during her 17-year tenure working for a large multi-specialty medical group. During that time, she started out as the only coder and through her own personal development and initiative, she was promoted to the Director of Coding compliance. As the Coding Director she developed and managed a large national team of 100+ coders responsible for the coding, auditing and education of over 1,300 PCP’s, multi-specialty and hospitalist providers across 6 states. During that time a few of Sheila’s key responsibilities included developing standard national coding and compliance guidelines, a quality assurance audit program, 100% concurrent coding for all HCC Risk Adjustment encounters and implementing a coder internship program.

Sheila and the RTW coding compliance team perform coding and documentation compliance audits, as well as creating and delivering customized provider and coder training for organizations across the country. As coding guidelines change annually, Sheila and her team develops and delivers education and training to healthcare organizations to help them stay up to date and maintain CMS compliance in their coding and documentation practices.