Georgia Rackley serves as a Senior Clinical Specialist at SunStone Consulting, LLC, where she leverages her extensive expertise in healthcare compliance and coding to drive quality improvements and ensure regulatory adherence. With a strong foundation as a Certified Professional Coder and Certified Legal Nurse Consultant,...
Georgia Rackley serves as a Senior Clinical Specialist at SunStone Consulting, LLC, where she leverages her extensive expertise in healthcare compliance and coding to drive quality improvements and ensure regulatory adherence. With a strong foundation as a Certified Professional Coder and Certified Legal Nurse Consultant, Georgia specializes in behavioral health compliance consultation, making her an invaluable asset to both healthcare providers and legal entities navigating the complexities of medical documentation and billing practices.
In her current role, Georgia is instrumental in conducting comprehensive audits of professional and hospital-based documentation, coding, and billing processes. Her meticulous approach to compliance-focused activities ensures that clients maintain the highest standards of defensible medical record documentation, which is critical in today’s litigation-prone environment. Georgia’s experience as part of an Independent Review Organization further enhances her ability to provide objective assessments and actionable insights that help organizations optimize their revenue cycle management.
Key projects under her leadership have included the development of robust policies and procedures tailored to the unique challenges of behavioral health services, as well as conducting level of care reviews that align with Medicare guidelines. Georgia’s commitment to education is evident in her proactive efforts to train physicians and healthcare staff on best practices in documentation and coding, ensuring that they are well-equipped to meet compliance requirements while delivering high-quality patient care. Her comprehensive understanding of HIPAA regulations, EMR systems, and the intricacies of healthcare management positions her as a trusted consultant in the ever-evolving landscape of healthcare compliance.
