Michelle De Michele, MBA, CHC, serves as the Director I of Compliance at Elevance Health, where she plays a pivotal role in overseeing the provider audit program and education initiatives related to Medicare Risk Adjustment (MRA) coding and medical record documentation. With a robust academic...
Michelle De Michele, MBA, CHC, serves as the Director I of Compliance at Elevance Health, where she plays a pivotal role in overseeing the provider audit program and education initiatives related to Medicare Risk Adjustment (MRA) coding and medical record documentation. With a robust academic background, including an MBA from Florida International University and a Bachelor of Science in Industrial Engineering from Pontifical University Catholic Madres & Maestra, Michelle combines her analytical skills and leadership acumen to enhance compliance frameworks within the organization.
In her current role, Michelle is responsible for ensuring that the MRA data submitted to the Centers for Medicare & Medicaid Services (CMS) is accurate and compliant with regulatory standards. She leads a team dedicated to proactive monitoring and process improvement, implementing best practices that not only mitigate risks but also foster a culture of compliance across the organization. Her expertise in medical compliance and health policy is instrumental in navigating the complexities of government regulations, ensuring that Elevance Health remains at the forefront of compliance excellence.
Key projects under Michelle's leadership include the development of comprehensive training programs for healthcare providers, aimed at enhancing their understanding of MRA coding requirements and documentation practices. By leveraging her proficiency in Microsoft SQL Server and research methodologies, she has successfully streamlined audit processes, resulting in improved efficiency and accuracy in compliance reporting. Michelle's commitment to continuous improvement and her strategic vision make her a vital asset to Elevance Health, driving the organization’s mission to provide quality healthcare while adhering to stringent regulatory standards.
