
Pam Koehrer

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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 2014Directly 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 2014Manager, Quality & Performance Improvement
Jun 2011 - Dec 2011Manager, Practice Planning, Management & Development
Jan 2008 - May 2011

St. Louis Orthopedic Institute
Jun 2014 - Apr 2015Manager, Operations & MarketingOptimized 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 2024Lead Adjunct Professor, College of Health ProfessionsMaster of Healthcare Administration degree program

Essence Healthcare
Jun 2015 - Jun 2018Manager, Population HealthImproved 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 2022Manager, Risk Adjustment SolutionsStood 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 - nowDirector, Risk Adjustment and Quality Coding Strategy
Apr 2023 - nowAssociate Director, Risk Adjustment and Quality Strategy
Aug 2022 - Apr 2023
Licenses & Certifications

Certified Risk Adjustment Coder
AAPCSept 2019
Lean Six Sigma Green Belt
MGMASept 2017
Certified Medical Practice Executive
American College of Healthcare ExecutivesOct 2010- View certificate

An Introduction to How Generative AI Will Transform Healthcare
LinkedInSept 2025
Volunteer Experience
Board Member
Issued by Fred Hof Acres on Jun 2022
Associated with Pam KoehrerSecretary, Board of Directors
Issued by Club KidFit on Jun 2010
Associated with Pam Koehrer
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