Carla Sexton

Carla Sexton is a seasoned healthcare revenue cycle leader with more than 20 years of experience strengthening financial performance, regulatory compliance, and operational integrity across payer, provider, and federal healthcare systems. She brings a rare combination of clinical coding mastery, program management expertise, and technology-forward leadership — enabling healthcare clients to modernize infrastructure, enhance data accuracy, and reduce enterprise financial risk.

Widely regarded for her ability to unify clinical, operational, and technical stakeholders, she consistently delivers measurable gains in accuracy, compliance, interoperability, and financial performance. Carla is a trusted advisor to executives navigating regulatory change, digital transformation, and revenue modernization.

Prior to Stout, she served as a Healthcare Reimbursement Strategist at NAMSA, where she led market access and reimbursement strategy for emerging medical technologies. Carla integrated clinical evidence, payer policy, and regulatory standards to accelerate coverage pathways, ensure coding precision, and prepare organizations for audit, documentation, and compliance readiness. Prior to that, she played a pivotal role in the Federal Electronic Health Record Modernization (FEHRM) initiative as a Project Manager at T-Rex Solutions, advising federal executives across the VA, DoD, and partner agencies. She drove multi-agency alignment on PACT Act and ILER mandates, harmonized coding and interoperability requirements, and strengthened data-quality and compliance frameworks at a national scale.

As Product Development Solutions Manager at GeBBS Healthcare Solutions, she guided global development teams in designing and validating automated medical coding and audit technologies. She defined logic, authored acceptance criteria, and led algorithm validation, ensuring regulatory compliance and rapid enterprise adoption of automation solutions.

Carla led provider reimbursement strategy for Anthem, managed multi-state revenue cycle consulting practices, and supported nationally recognized hospitals, academic medical centers, insurers, and federal agencies — including Stanford, Dana-Farber, Kaiser Permanente, Duke, VCU Health, HCA, Catholic Health East, UnitedHealthcare, the VA, and the DoD.