Lisa Crutchfield is a certified healthcare compliance professional and medical coder with over 25 years of experience in healthcare compliance, coding, billing, and administration. She has extensive leadership experience developing policies and procedures, conducting audits and investigations, and providing training and education programs. Crutchfield holds certifications in healthcare compliance and medical coding and has worked in a variety of healthcare settings including insurance, hospitals, and physician practices.

1. Lisa E. Crutchfield, CHC, CPC
PO Box 10997
Prescott, AZ 86301
(928)499-0225
lecrutchfield@yahoo.com
QUALIFICATIONS
Certified Healthcare Compliance Professional with experience with a large group health
insurance carrier, a specialty practice office and hospital settings. Certified Professional
Medical Coder with extensive experience in medical coding, billing and denial management.
Experienced in development of policies and procedures in compliance with state and federal
regulations, as well as experience in the development and delivery of training and education
programs. Excellent interpersonal skills. Able to effectively communicate at all levels of the
organization, both verbally and in writing. Strong research, analytical and problem solving
skills. Demonstrated leadership and communication skills at all organizational levels.
EDUCATION AND PROFESSIONAL CERTIFICATIONS
University of Arizona – Tucson, AZ
Bachelor of Science: Business and Public Administration
University of Arizona Extended University – Tucson, AZ
Certificate of Completion: Professional Paralegal Training
Compliance Certification Board (CCB)
Certificate (CHC): Certified in Healthcare Compliance
American Academy of Professional Coders
Certification (CPC): Certified Professional Coder
SKILLS HIGHLIGHTS
• Strong analytical, organizational, verbal,
written and interpersonal skills
• Experience writing Policy and Procedure
Manuals
• Fraud, waste and abuse auditing and
monitoring
• Regulatory Research education and
training
• Leadership and Team Building skills • Experience in contract management and
negotiation including bargaining units
• Experience developing training and
education programs
• Excellent computer skills including
spreadsheets, EMR’s and billing software
PROFESSIONAL EXPERIENCE
Corporate Compliance Coordinator 2010 to Present
Yavapai Regional Medical Center, Prescott, AZ
• Responsible for design and preparation of reports for Compliance Officer to deliver to
Administrative and Board professionals as needed.
• Assists Compliance Officer as needed with tasks related to Fraud, Waste and Abuse
Auditing, Review and Reporting, Training and Education, HIPAA, Privacy and Security,
Policy and Procedure Management System, Contract Management System, Denial
Management System and Processes, Concern Line Issues, Physician Workshops, and
other ongoing tasks and projects as needed.
• Reviewed and Managed RAC, CMS, CERT and other denials, when appropriate, to
minimize financial paybacks.
• Administers and assists users with policies and procedures management software as
well as development of policies and procedures as needed.
• Coordinates contracting process related to EMR used by physicians and other
outside/offsite users in coordination with information systems department.
• Maintains current knowledge of state and federal statutes and regulations governing
the healthcare industry.
• Coordinates education, training and distribution of relevant regulatory information as
needed and requested by others in the organization.
• Analyzes clinical documentation and coding for compliance with billing regulations and
improvement opportunities.

2. Practice Administrator, General Surgery 2000 - 2010
General Surgery Office, Prescott, AZ
• Strategically manage the activities of the organization in support of policies, goals, and
objectives established by the physician/owner.
• Manage office staff including recruiting, compensation and benefits, performance
reviews, training and development
• Research, develop and produce policy manuals, handbooks, etc. Ensure all
organizational activities and operations were carried out in compliance with local, state,
and federal regulations.
• Negotiate and maintain contracts with vendors and suppliers as needed, including
physician credentialing, and health insurance plan participation.
• Submission of documentation to legal and regulatory agencies as needed for practice
audits, etc.
• Assisted other physicians with submission of documentation to legal and regulatory
agencies, as well as health plan and other business documents as needed by those
agencies.
Manager, Human Resources & Employee Relations 1995 - 2000
Mohave Electric Cooperative, Inc. Bullhead City, AZ
• Manage and direct the daily operations of the Human Resources and Employee
Relations Department.
• Prepared and presented training and education as well as other reports directly to the
governing board, and management staff.
• Study legislation, arbitration decision and collective bargaining rulings and maintain
knowledge of current industry issues and trends to strategically plan and position the
company for competition and deregulation of the utility industry.
• Coach and counsel managers, supervisors, and employees in HR related issues.
• Maintained effective liaisons with outside entities including other cooperatives, legal
counsel, professional recruiters, national headquarters and field staff.
• Provided training and education to managers and employees.
• Worked closely with legal counsel in resolving bargaining unit matters including the
Electrical Workers Union and the National Labor Relations Board.
• Responded to all employment related legal and regulatory complaints and allegations
including unemployment hearings, OSHA, and ADOT, and bargaining unit
representatives.
Sr. Regional Human Resources Specialist 1989 - 1995
Cigna HealthCare, Inc., Des Moines, IA
• Responsible for Human Resources duties for five (5) regional group health insurance
offices.
• Assisted in development of employee compensation plans based on productivity and
quality.
• Assisted and directed Managers in monitoring employee performance and developing
performance improvement action plans.
• Developed, participated in, and coordinated regional reorganization processes to
ensure office structure and benchmarks for quality and productivity measures met or
exceeded client contractual requirements.
• Prepared Business Plans for restructuring assigned offices to Corporate Legal
Department for review and approval prior to implementation.
• Developed HR policies and procedures as needed.
• Provided feedback and assisted office management with all employee relations concerns
and legal complaint resolution in assigned offices.
REFERENCES AVAILABLE UPON REQUEST