Pam Koehrer

Pam Koehrer

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location of Pam KoehrerGreater St. Louis

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  • Timeline

  • About me

    Director, Risk Adjustment and Quality Coding Strategy

  • Education

    • Lindenwood University

      -
      Master of Business Administration - MBA Business Administration, Management and Operations
    • University of Missouri-Columbia

      -
      Bachelor's Degree School of Journalism
  • Experience

    • St. Anthony's Medical Center

      Jan 2008 - Jun 2014

      Directly responsible for increasing revenue and patient satisfaction year-over-year through strategic operations and financial management of a multi-million dollar primary care physician group. Implemented Patient-Centered Medical Home care delivery model: Instituted use of a diabetic patient registry of more than 750 patients and doubled rates of compliance with evidence-based standards of care in first six months. Re-engineered office workflows and effectively managed staff through process changes. Built team of nurse care manager/clinical educators to enhance patient engagement and drive population health management. Developed clinical decision support tools and care pathways in collaboration with physician leaders. Show less

      • Medical Practice Administrator

        Dec 2011 - Jun 2014
      • Manager, Quality & Performance Improvement

        Jun 2011 - Dec 2011
      • Manager, Practice Planning, Management & Development

        Jan 2008 - May 2011
    • St. Louis Orthopedic Institute

      Jun 2014 - Apr 2015
      Manager, Operations & Marketing

      Optimized processes and cost containment efforts by effectively leading a team of clinicians - registered nurses, medical assistants, athletic trainers and radiology technologists - across a multi-site physician practice operation. Revitalized corporate marketing program for the practice brand, its three main lines of business, and 10 individual physicians specializing in orthopedic surgery, physiatry and podiatry. Prepared staff and optimized clinical workflows for implementation of Epic ambulatory electronic health record. Show less

    • Maryville University

      May 2015 - Jun 2024
      Lead Adjunct Professor, College of Health Professions

      Master of Healthcare Administration degree program

    • Essence Healthcare

      Jun 2015 - Jun 2018
      Manager, Population Health

      Improved clinical and financial performance using innovative population health management technology platform and primary care team workflows at this CMS 5-Star Medicare Advantage plan. Initiated award-winning process improvement project in pursuit of a more efficient and scalable physician engagement program to educate clinicians on the CMS-HCC risk-adjusted payment model.

    • Lumeris

      Jun 2018 - Jul 2022
      Manager, Risk Adjustment Solutions

      Stood up and managed risk adjustment program field operations for physician-sponsored health plan client’s Medicare Advantage plan with 7,000+ covered lives leading to a 0.1 year-over-year risk adjustment factor score increase in the plan’s second year.Implemented concurrent chart review and provider education initiatives to improve coding and documentation accuracy for 100+ new and underperforming providers.Developed pre-visit planning workflows and electronic health record system solutions to enable complete and timely diagnosis gap closure at the point of care. Show less

    • Evolent

      Aug 2022 - now
      • Director, Risk Adjustment and Quality Coding Strategy

        Apr 2023 - now
      • Associate Director, Risk Adjustment and Quality Strategy

        Aug 2022 - Apr 2023
  • Licenses & Certifications

    • Certified Risk Adjustment Coder

      AAPC
      Sept 2019
    • Lean Six Sigma Green Belt

      MGMA
      Sept 2017
    • Certified Medical Practice Executive

      American College of Healthcare Executives
      Oct 2010
    • An Introduction to How Generative AI Will Transform Healthcare

      LinkedIn
      Sept 2025
      View certificate certificate
  • Volunteer Experience

    • Board Member

      Issued by Fred Hof Acres on Jun 2022
      Fred Hof AcresAssociated with Pam Koehrer
    • Secretary, Board of Directors

      Issued by Club KidFit on Jun 2010
      Club KidFitAssociated with Pam Koehrer