Jen Grimes is a highly accomplished health care executive whose leadership in revenue integrity and compliance has earned her a respected reputation across the health care industry. She has consistently demonstrated her ability to align clinical documentation with regulatory standards while maximizing operational efficiency and financial outcomes. As the senior director of revenue integrity at American Health Partners, she plays a pivotal role in overseeing compliance audits, ensuring claim accuracy and optimizing revenue processes. Her ability to navigate the complexities of health care regulations while delivering strategic improvements makes her an invaluable asset to her organization.
Ms. Grimes’ academic background has played a foundational role in her success. She holds a Bachelor of Arts in psychology from Benedictine University, enhancing her ability to guide cross-functional teams. She also holds the certified professional coder credential from the American Academy of Professional Coders. This certification highlights her technical proficiency in medical coding and her dedication to upholding industry standards.
Ms. Grimes’ achievements have been recognized through industry honors such as the Impact Award from the American Association of Post-Acute Care Nursing and the STAR Award from American Health Partners. She is actively involved in several professional organizations, including the American Academy of Professional Coders, the American Association of Post-Acute Care Nursing and the National Association of Health Care Revenue Integrity.
Before assuming her leadership role, Ms. Grimes was the director of revenue integrity at American Health Partners, leading initiatives focused on compliance oversight and revenue optimization. Her tenure with the organization began when she was appointed manager of revenue integrity, a role that allowed her to lay the groundwork for improved workflows and establish key performance indicators that aligned with regulatory expectations.
Earlier in her career, Ms. Grimes held the role of director of revenue cycle and patient access at PrimeCare Health Community Health Centers. There, she managed all aspects of revenue cycle operations, from patient registration to reimbursement strategy. Prior to that, she served as a corporate reimbursement documentation specialist at Aperion Care and as the corporate billing manager at Presbyterian Homes, Presbyterian Living. These roles provided her with extensive experience in managing billing operations and strengthening reimbursement systems in diverse health care settings.
Ms. Grimes’ career began with Infinity HealthCare Management, working as billing and credentialing manager. She also gained valuable entrepreneurial experience as the owner of Chicagoland Medical Billing Specialists Inc., where she built and managed a business that offered coding, billing and consulting services. This experience provided a broad perspective that continues to inform her leadership approach and strategic decision-making.
In addition to her professional accomplishments, Ms. Grimes is committed to giving back to her community. She volunteers with Angel Heart Farm and serves as a program advisor for the Women in Leadership Program at The University of Tennessee, Knoxville. Her support for the Sheldrick Wildlife Trust underscores her dedication to animal welfare and environmental stewardship. Looking ahead, Ms. Grimes aims to obtain additional certifications such as certified healthcare compliance and aspires to build a team akin to her experience at American Health Partners.