Manager, Health Care Senior Analyst
Areas of focus: Health Care
In January 2019, Jessika was selected as a senior analyst in RSM’s cutting-edge Industry Eminence Program, which positions its senior analysts to understand, forecast and communicate economic, business and technology trends shaping the industries RSM serves. These senior analysts advise clients on conditions influencing middle market leaders. Jessika’s focus is on the health care industry.
Summary of experience
Jessika has more than 10 years of professional experience providing operational, financial, regulatory consulting, and outsourced and co-sourced internal audit services. She has extensive experience in managing the internal audit function (both fully outsourced and co-sourced) for various health care organizations, performing revenue cycle audits (including billing, collections, denials and claims review), conducting comprehensive operational reviews across multiple lines of business, and evaluating companies’ compliance with regulatory standards as set by the OIG, HHS, OCR and DOJ.
Jessika assists clients in the health care industry with establishing effective compliance programs, obtaining accreditation and managing the internal audit function. She is responsible for performing annual risk assessments, developing audit plans, executing audit projects and reporting audit results to audit committees. In addition, she leads evaluation of existing controls and processes regarding: physician and hospital billing, physician payments, case management, revenue cycle audits, HIPAA compliance, compliance program assessments, supply chain inventory reviews, drug diversion/pharmacy reviews, payroll and HR audits, evaluation of conditions of participation compliance, foundation reviews, and charge master/revenue cycle audits.
Professional Affiliations and Credentials
- Certified in Healthcare Compliance (CHC), Member Health Care Compliance Association
- Member Institute of Internal Auditors
- Bachelor of Science, accounting, University of South Florida