Shelly Harris

Shelly Harris specializes in regulatory compliance, healthcare operations, compliance programs, complex claims and reimbursement analysis, litigation support, provider/payor audit and recoupment defense, investigations, monitorships, and government contractor audits and responses. Her clients include providers, payors, and law firms.

Shelly is a Registered Health Information Management Administrator (RHIA) and Certified Coding Specialist (CCS), and she is also Certified in Healthcare Compliance (CHC) and Certified in Healthcare Privacy Compliance (CHPC).

She has served as a Corporate Compliance Officer, Privacy Officer, and Health Information Management (HIM) Director, and she has experience in inpatient, outpatient, long-term care, home care and hospice, as well as DMEPOS (durable medical equipment, prosthetics, orthotics, and supplies), emergency, and physician practice settings covering both professional and facility, patient status, and MS/APR-DRG, APC, and HCC reimbursement.

Prior to joining Stout, Shelly managed the Government Audit Program in the Office of Healthcare Compliance & Privacy at the University of California San Francisco. At UCSF, she conducted research, responses, and root cause analyses related to government audit inquiries, including redetermination, reconsideration, and administrative law judge (ALJ) appeals for Part A, B, DMEPOS government audits including RAs, MAC, SMRC, BFCC-QIO, OIG, DOJ, Medicare Advantage, Targeted Probe and Educate (TPE), UPIC, PERM, and CERT.