First Class Solutions, Inc. has been a healthcare information management  leader since 1988, offering Professional Consulting services in health  information management operations and information governance issues, as well as  Coding, Coding Quality and Compliance, Case Management, HIPAA, Compliance, Revenue Cycle, and Accreditation  preparation.


Skilled Nursing Facility Services



Our strength lies in having a team of professionals with years of health information, coding and coding compliance, utilization and quality management, and fiscal services expertise from working in various sized hospitals, IDNs, ambulatory environments, skilled and long-term care facilities, third party payer organizations, and physician practices.  This team has become expert in transforming difficult and deteriorated situations to optimal, fine-tuned departments. 

We are confident that the team we assemble to serve you will prove to be technically strong, highly efficient, and innovative in their approach to serving your organization.  Our team will have the support of each other and the corporate staff to ensure that we bring to you the “change agent,” “visionary,” and “maintenance” skills that your organization requires.  We recognize that each of our clients is unique.  Our professionals will approach each engagement as a new set of circumstances knowing that there are no “off the shelf” solutions for any one client.  We tailor each engagement to your specific needs.

Our consultants are credentialed, certified, experienced professionals with years (and decades) of experience in their respective areas of expertise.

Chief Operating Officer

Ms. Dunn is the “nuts & bolts” member of the firm.  Her health information management and senior administrative experience in a large teaching hospital and chief financial officer background in a multi-hospital system coupled with her national managed care AVP position with a large health care insurance company allows her to see the health care industry from any perspectives.

Rose is a nationally recognized professional in the health information industry and has served as Interim CEO, President and Board member of the American Health Information Management Association (AHIMA), the national association representing more than 100,000 health information professionals.  During her career, she has spoken publicly on numerous occasions, held adjunct faculty positions in baccalaureate and master degree programs, and has authored a prolific list of publications, both texts and articles.  In 1997, Rose was awarded AHIMA’s highest honor—the Distinguished Member Award, in 2008 she received AHIMA’s Legacy Award, and in 2011 AHIMA’s Outstanding Service Award.

She has provided interim support to our clients as a CEO, HIM Director, Patient Financial Services Director, ICD-10 Project Manager, and general HIM/Revenue Cycle Consultant.  She has been successful in reducing accounts receivable, eliminating backlogs, improving employee morale, improving the department image and performance, creating climates of cooperation between HIM, PFS, Access, the Medical Staff, and Administration.  Rose has extensive experience involving staff in and effectively implementing work and department restructuring and reengineering projects.

Rose also has facilitated hospital and association board strategic planning sessions.  She has worked with Information Technology and Administration to select electronic health records and served as a Juror to certify EHRs for Meaningful Use purposes.  Ms. Dunn was instrumental in establishing refined managed care networks based on qualitative measures and credentialing efforts.  She has experience directing provider relations, customer service, medical management, and outcome profiling activities for third party payers.

Rose is active in and holds Fellow status with the Healthcare Financial Management Association (HFMA), AHIMA, and the American College of Healthcare Executives (ACHE).  Additionally, she is active in the Missouri Health Information Management Association, Healthcare Information and Management Systems Society (HIMSS), and the American Institute of Certified Public Accountants (AICPA).  She is an AHIMA Approved ICD-10CM/PCS Trainer.

Ms. Dunn holds a B.S. and M.B.A. from Saint Louis University.


Pam ScottPamela L. Scott, RHIT, CCS, CRC, CCDS
AHIMA Approved ICD-10CM/PCS Trainer
Assistant Vice President, Coding Support and Compliance Services

Because of her extensive expertise in ICD-10CM/PCS and her clinical documentation improvement background, Pam serves as our firm’s ICD-10 education coordinator.  Additionally, she conducts educational programs for our clients and has presented nationally, regionally, and locally on more than 50 occasions.  She is a sought-after speaker for coding related topics.

Pam provides coding support and coding compliance services for our clients.  She has served as a coding mentor to many of our clients’ coders and especially those new to the coding field.  Our clients often compliment her on her caring attitude and quality of her work.  Certified in risk-adjustment coding (HCCs), Pam has participated in governmental audits of Medicare Advantage plans and can assist clients in understanding the nuances of this coding system.

Ms. Scott has experience with all types of inpatient facilities including acute and long-term specialty hospitals, long-term acute care hospitals, and skilled nursing facilities.  She provides coding support for outpatient services as well and has experience with dialysis and cancer treatment centers.  Ms. Scott has worked with a variety of registries including tumor, myocardial infarction, and head and spinal cord injury registries. 

In the past, Pam has served as a Financial Data Manager, participated in quality and performance improvement programs, and conducted ICD-9/ICD-10 DRG shift analyses.  During the ICD-10 preparation period, she taught trauma registrars in several states the fundamentals of ICD-10 and taught numerous physician groups in every specialty about ICD-10 and its impact on their practices.

Ms. Scott obtained her RHIT in 1990 and joined our firm 5 years later.  She has coursework in business, accounting, management training, and nursing.  She is a member of the Missouri and American Health Information Management Associations, the Association of Clinical Documentation Improvement Specialists (ACDIS), and the American Academy of Professional Coders (AAPC).

Maria Brooks SwimsMaria B. Brooks-Swims, RHIA, CCS, CRC, CCDS
AHIMA Approved ICD-10CM/PCS Trainer

Assistant Vice President, Coding Support and Compliance Services

Maria is our world traveler and now resides in Alabama. She has HIM management experience serving as a Director and Assistant Director of HIM and as a Coding Manager.  Her consulting experience includes providing coding support, conducting both inpatient and outpatient coding compliance reviews, and providing coding guidance to our clients.  She established a coding internship program and often mentors coding apprentices and new coding professionals for our clients.  For our firm, she serves as the primary internal auditor of our 30+ coders’ coding quality.

Ms. Swims is proficient in inpatient DRGs for both short-term acute care facilities and long-term acute care facilities.  She has conducted inpatient and outpatient coding reviews for all size organizations including critical access to large, tertiary care teaching entities.  Maria has experience with HMO DCG-HCCs and CMS-HCCs and is certified in risk-adjustment coding.  She manages our team of CRCs when we are conducting HCC coding reviews for Medicare Advantage health plans.  Maria first started with our firm in 1994, but took a break to marry her husband and travel the world, where she did some of the early “remote” coding internationally.

A graduate of St. Louis University’s Health Information Management Program, Maria is an active member in Alabama’s and the American Health Information Management Associations and the American Academy of Professional Coders.

David VenceDavid Vence, MHI, MA, BS, RHIA, CPC, CRC
Assistant Vice President, Professional Coding Support and Compliance Services

David worked his way up through the health information environment and has experience in just about everything, including filing and analysis.  However, his fine-tuned expertise is in professional coding and educating physicians on documentation requirements to support the care they delivered and their claims.  Known for his great sense of humor, he is our firm’s internal comedian.

As AVP, David is the team leader of our professional coding and compliance specialists.  Mr. Vence’s ProFee audit experience includes serving as a coding and documentation compliance auditor for a 350+ academic-based medical practice.  His expertise in E&M compliance issues allows him to provide advice to our clients about over/undercoding, supervising physician, Nurse Practitioner and Physician Assistant services, cloning, level and modifier assignments, and a host of other ProFee issues.

Mr. Vence has worked with First Class Solutions, Inc. since 1997 and has never hesitated to travel to clients to help them with their coding backlogs and coding compliance needs.  A graduate of Saint Louis University’s Health Information Management and Healthcare Informatics programs, David holds his B.S. and M.H.I. from the University and a M.A. degree from Webster University.  He is the recipient of Saint Louis University’s Distinguished Service Award.

David is active in the American Academy of Professional Coders and the Missouri and American Health Information Management Associations.  Mr. Vence has spoken on several occasions at national, regional, and local association meetings.

Bill RemmichWilliam (Bill) R. Remmich, MBA, FHFMA, CPC-H, CCS
AHIMA Approved ICD-10CM/PCS Trainer

Assistant Vice President, Coding Support and Compliance Services

Bill is a seasoned healthcare executive with 25 years in senior leadership roles.  He has held positions of Interim Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and Controller/Director of Finance in major affiliated catholic systems, small to middle market health organizations, stand-alone and government health providers in both the profit and non-profit sectors.

Since 2007, Mr. Remmich has been a principal member of our coding compliance team conducting inpatient DRG and outpatient APC coding compliance reviews primarily for large and mid-sized teaching and tertiary care hospitals.  His compliance reviews often identify charge description master (CDM) issues and information system issues.  He has conducted CDM reviews and is our “go-to” expert for anything outpatient related.

Bill also has strategic facility and financial planning, revenue cycle, and information technology skills.  He is a member of the Kansas and American Health Information Management Associations, the American Academy of Professional Coders, and a Fellow in the Healthcare Financial Management Association.

Mr. Remmich is a graduate of Minnesota State University where he obtained his B.S. degree and the University of South Dakota, where he received his M.B.A.

Susan BegemannSusan L. Begemann-Kassebaum, RHIA, CCS
Former AHIMA Approved ICD-10CM/PCS Trainer
Senior Coding Consultant

One of our longest-term team members, Susan joined our firm in 1996.  She has extensive experience in all aspects of inpatient and outpatient clinical coding.  She has worked for large and small acute care facilities.  Ms. Kassebaum has conducted coding compliance audits for clients and routinely provides coding support services.

Susan lives outside of the St. Louis metropolitan area and is an active member of the Missouri and American Health Information Management Associations.  She graduated from St. Louis University’s Health Information Management program where she achieved Dean’s Honor List status for three consecutive years.

Anti StackhouseAnita C. Stackhouse, CCS
Former AHIMA Approved ICD-10CM/PCS Trainer

Senior Coding Consultant

Anita is originally from sunny Florida but now resides in North Carolina.  Her coding career started in 1985 and she has since amassed extensive inpatient coding skills.  She joined us in 2007.  In the past, Anita has served as a Coding Coordinator and possesses a comprehensive knowledge of ICD-10CM guidelines, MS-DRG reimbursement methodology, and CMS Reporting Guidelines. 

She worked in Florida when Florida was one of the original RAC demonstration project states and learned about RAC tactics firsthand.  Ms. Stackhouse has experience in HPMP reviews and has used computer assisted coding and abstracting systems.  She is a member of the North Carolina and American Health Information Management Associations.  Anita attended the Penn Yan Academy in New York.

Christine GeigerChristine E. Geiger, MA, RHIA, CCS, CRC
AHIMA Approved ICD-10CM/PCS Trainer

Senior Coding Consultant

Chrisí career in health information management started in 1986. She has worked at large and mid-sized health care facilities in many roles where she gained a thorough understanding of health information management. Her coding career, which began in 1986, includes working in hospitals as both an employee and a consultant. Her work with Skilled Nursing Facilities includes medical record compliance reviews and ICD-10 coding support, audits and education. She helped author education programs for ICD-10 coding in preparation for PDPM, and has served as an instructor for ICD-10 education co-sponsored by the Missouri Healthcare Association, Missouri Leading Age and Missouri League of Nursing. Chrisí experience also includes working in quality assurance, service analyst, and currently, as a coding instructor for Saint Louis University. She is certified in the risk adjusted coding requirements of HCCs and provides coding support and coding compliance services for our clients. Chris holds a Masterís degree from Washington University and a B.S. degree from Saint Louis University. She is an active member of the Missouri and American Health Information Management Association and the American Academy of Professional Coders.

Susan ArcuriSusan L. Arcuri, LPN, CCS
Former AHIMA Approved ICD-10CM/PCS Trainer

Senior Coding Consultant

Sue started her coding career in 1986 and has extensive inpatient coding skills that she gained working for large IDNs, community, and teaching facilities.  She lives in the heart of the Poconos and has been a full-time remote coding specialist for our firm since 2010. Ms. Arcuri has expertise in inpatient and outpatient coding, concurrent DRG assignment, and clinical documentation improvement.

Sue’s prior patient care experience as an LPN gives her both a clinical and information integrity perspective.  Sue is an active member of the Pennsylvania and American Health Information Management Associations.  She is a graduate of the Mercedian School of Practical Nursing.

Sally FreseSally M. Frese, MSN, RN, BC, CPC
Senior Professional Coding Consultant

Sally's impressive healthcare career started in 1978 and includes clinical services and care, leadership, consultation, and education.  In the past, she has worked in the Emergency Department, various patient care areas including psychiatry, participated in research, served as a clinical faculty instructor for the Saint Louis School of Nursing, and then settled into coding and documentation compliance activities.  Her coding career started in 1999, where she served as a healthcare compliance educator and auditor responsible for the development and implementation of a multitude of documentation, billing, coding, regulatory and compliance programs for a 350-member academic health practice. 

She joined our firm in 2010 as a medical documentation, coding and compliance consultant. Sally continues to be a faculty member of the University’s School of Nursing and has been the recipient of several awards recognizing her expertise and contributions to clinical care.  She has presented nationally, regionally, and locally on coding compliance topics and has authored or co-authored several juried papers.  She received her B.S. and M.S.N. degrees from Saint Louis University and is an active member of the Missouri and American Health Information Management Associations as well as the American Academy of Professional Coders.

Cassie AdamsCassie L. Neff, RHIT, CCS
Coding Consultant

Cassie joined First Class Solutions in 2013 and lives in Kansas.  She provides inpatient coding support for our clients and has both inpatient and outpatient coding skills.  Her preparation for ICD-10 included completion of the Elsevier ICD-10 training program.  Ms. Neff is an honor graduate of Hutchinson Community College where she obtained her associates degree in Health Information Technology.  She is a member of the Kansas and American Health Information Management Associations.

Tammy LaffinTammy L. Laffin, CCS
Coding Consultant

Ms. Laffin joined our firm in 2013 after relocating to Oregon.  She is a graduate of the Coding Specialist Program of Loma Linda University School of Allied Health.  She provides inpatient coding support for our clients and has extensive experience coding for the complex environments of teaching facilities.  She has served as a coding mentor for our clients.

In addition to inpatient coding skills, Tammy has outpatient and interventional radiology coding skills.  In preparation for ICD-10, she completed the Elsevier ICD-10 training program.  Prior to venturing into the coding arena, Ms. Laffin was a financial counselor for a large teaching hospital.  Tammy is a member of the Oregon and American Health Information Management Associations.

Karen BellKaren J. Bell, AAS, RHIT, CCS, CRC
AHIMA Approved ICD-10CM/PCS Trainer

Coding Consultant

Karen joined our firm in 2015 and brought her 11 years of coding experience with her.  She is experienced in both inpatient and outpatient coding and support several clients with their coding needs.  Our clients often compliment Karen on her sunny personality.

Ms. Bell also has experience auditing inpatient outpatient coding and recognized for knowledge of CCI edits, scrubber issues, and code discrepancies.  Karen obtained her Associate Degree of Applied Science in Health Information Technology from Missouri Western State University.  Karen is an active member of the Missouri and American Health Information Associations.

Jennifer Baggett Jennifer L. Baggett, RHIA
Coding Consultant

Ms. Baggett joined First Class Solutions in 2018, but has a coding career dating to 1999. During her career, she has progressed from coder status to supervisor, coding quality coordinator, and coding manager. Jennifer has experience in both facility outpatient and Profee coding. As a coding compliance professional, Jenny was responsible for developing coding quality audit plans, conducting the reviews, and presenting findings to the coding team. In her Profee role, she conducted physician education including updates on regulatory and coding changes. She has conducted outpatient, ambulatory surgery, and E&M coding audits. Jennifer obtained her associates in Health Information Technology education from John A. Logan College and her bachelors in Health Information Management from Illinois State University. She has both her RHIT and RHIA credentials. Ms. Baggett is an active member of the Southern Illinois Health Information Management Association and the American Health Information Management Association.

Janet Trumbo Janet M. Trumbo RHIT, AHIMA approved ICD-10-CM/PCS Trainer
Coding Consultant

Janet joined First Class Solutions in 2018. She is an HIM professional with a focus on coding accuracy and with a proven ability to excel in the Health Information Management field. Ms. Trumbo has more than 35 years of coding experience for all patient types and a passion for quality of work with a desire for continuous self-improvement to increase knowledge and experience. She has Emergency Department (ED) coding including Evaluation and Management leveling, ancillary outpatient, and outpatient surgery experience. Additionally, she has had responsibility for state data reporting and mortality review. Just prior to joining First Class Solutions, she served as the Regional Coding Lead for more than 10 hospitals, ensuring timely coding and acceptable Discharged-Not-Final-Coded levels. She is an active member of AHIMA and MoHIMA.

Debra Smith Debra (Debi) L. Smith, CCS, CDIP, CPC, Approved AHIMA ICD-10CM/PCS Trainer
Coding Consultant

Debi joined First Class Solutions in 2018 and brought her 30 years of revenue integrity and data quality experience with her. Ms. Smith has developed revenue integrity departments, validated DRGs and HCCs, monitored PEPPER, launched quality measures initiatives, participated in recovery audit programs, and created educational programs in her career. She has worked with physician practices, hospitals of varying sizes, and served in analyst, supervisor, and manager roles. Debi has extensive experience in interventional cardiovascular coding as well as ED and other outpatient services. Ms. Smith is a Californian. She graduated from Bakersfield College and has worked in the Bakersfield area much of her career. Debi is active in AHIMA, the California Health Information Association, and AAPC.


Deanna PetersonDeanna M. Peterson, MHA, BS, RHIA, CHPS, LNHA
Vice President, Health Information Consulting Services

Deanna’s expertise in regulations, compliance, quality improvement document imaging, release of information and department management spans a variety of healthcare settings.  Ms. Peterson has directed HIM departments in large teaching institutions and community hospitals.  Her success rate in reducing backlogs, implementing efficient workflow processes, establishing effective clinical documentation improvement programs, and improving employee morale and physician satisfaction are a few accomplishments mentioned by her clients.

In her management roles, she has successfully turned around deteriorated departments and ground zero morale, implemented technology solutions to improve physician relations and incomplete records, participated in the selection of and recommended electronic health records (EHRs) for her clients, coordinated Periodic Performance Reviews for Joint Commission purposes, and organized the outsourcing of transcription for a multi-hospital system.

Since joining First Class Solutions in 2009, Deanna built and directs our long-term care division that serves more than 60 skilled and long-term care facilities.  Her team provides documentation compliance, medical record and billing reviews, policy and procedure development and privacy officer support services for these facilities. 

With her expertise in HIPAA, Deanna serves as the firm’s Privacy Officer and routinely conducts privacy assessments for our clients.

Deanna received her B.S. and M.H.A. from Saint Louis University.  She is active in the Health Care Compliance Association, Missouri Healthcare Association, and she has held officer and council positions and is active in the Missouri and American Health Information Management Associations.  Ms. Peterson received the 2016 Outstanding Volunteer Award from MoHIMA and 2017 Emerging Leader Award from AHIMA.

Ben BurtonBenjamin W. Burton, JD, MBA, RHIA, CHPS, CHC, CRC, CPC
Consultant, Health Information Managemen

Ben joined First Class Solutions in 2010 and brought his impressive credentials and work history.  Ben’s experience includes serving as a hospital HIM Director, Privacy Officer, Coding and Billing Specialist, Compliance Manager, and instructor for Stephens College.  Additionally, he has been involved with EHR conversions and as an attorney, he has experience with drafting, critiquing and editing contracts and investigating tort claims. 

For our clients, Ben conducts operational assessments and routine health information management department reviews, and has served as Interim Director, Privacy Officer, Physician Practice Coding Manager, and Compliance Director roles.  Mr. Burton also has assisted clients with evaluating their HCC coding compliance and provided ProFee coding support.  He is often involved in revenue cycle enhancement activities.

Mr. Burton is a member of HCPro’s Advisory Board for HIM Briefings and has served on several AHIMA Councils.  He has co-authored two books and presented at several national associations on privacy related topics.  Ben is an active member of the Maine and American Health Information Management Associations and the American and Missouri Bar Associations.

Edye  T. Edens, JD, MA, CIPEdye T. Edens, JD, MA, CIP, CCRP
Consultant, Human Subject Research Compliance

Joining First Class Solutions, Inc. in 2017, Edye T. Edens is a Certified IRB Professional and licensed attorney with an international human rights background.  She has worked for a large academic center in Indiana for approximately ten years and has been involved in numerous human rights-focused, non-governmental organizations both in the U.S. and abroad.

Her career includes working in IRB Offices, Grant/Contract Services, Clinical Research Compliance and Research Integrity roles.  Additionally, she held the first Quality and Compliance Manager position at a large Midwest, university-based cancer center.

Edye completed her Masters of Arts in Philosophy with a concentration in International Research Ethics in 2012.  She was the program manager for a National Institute of Health one-year grant to aid in creating a joint, international, institutional review board (IRB) in conjunction with Indiana University’s existing Moi University medical school partnership in Kenya and the Indiana University Center for Bioethics.

In addition to her masters of Arts in Philosophy, Ms. Edens has a Bachelor of Arts from Oklahoma State University and obtained her Juris Doctor degree through Indiana University, School of Law. 




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