Schave Health Advisory
Healthcare Coding, Compliance & AI Advisory
“Coding quality is not a training problem. It’s an operational design problem.”
Two decades of experience in coding, compliance, and revenue cycle operations.
Melissa Schave
BS, HIM | CPC | CPMA | CPCO
Melissa Schave brings two decades of experience across healthcare coding, compliance, revenue cycle, client success, and operational leadership. Her work supports provider-side organizations in strengthening coding quality, documentation alignment, audit readiness, provider education related to coding and compliance, and operational performance.
Her strongest areas include procedure and diagnosis coding, E/M leveling, and coding quality oversight across emergency department, hospital medicine, urgent care, and primary care settings — spanning both professional fee and facility outpatient environments.
She has held leadership roles across organizations including HealthWorks, LogixHealth, Edelberg + Associates, DocuTAP, and Sanford Health, with a track record of improving coding accuracy, reducing compliance risk, and building scalable operational frameworks.
Through Schave Health Advisory, she partners with healthcare organizations and AI-driven coding platforms to bring clarity, structure, and practical execution to complex coding, compliance, and operational challenges.
Bachelor of Science in Health Information Management. Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and Certified Professional Compliance Officer (CPCO).
A Career Built on Depth
Two Decades
of Healthcare Experience
Spanning provider-side coding operations, compliance, audit, and healthcare technology across diverse settings.
ED
Emergency Department Focus
Deep experience in professional fee and facility outpatient coding for ED, hospital medicine, urgent care, and primary care.
AI
Technology Leadership
Direct experience working with product and engineering teams on AI-driven coding platforms and workflow validation.
CERTIFIED EXPERTISE
Certified Credentials
CPC | CPMA | CPCO
Certified Professional Coder
Certified Professional Medical Auditor
Certified Professional Compliance Officer
Specialties & Experience
Melissa brings deep provider-side experience in coding operations, audit, compliance, documentation alignment, and client success. Her strongest areas include procedure and diagnosis coding, E/M leveling, and coding quality oversight across emergency department, hospital medicine, urgent care, and primary care settings.
Her experience spans both professional fee and facility outpatient environments, with a focus on helping organizations strengthen coding accuracy, documentation alignment, provider education, audit readiness, and operational workflows.
Services at a Glance
Schave Health Advisory supports provider-side organizations across six core practice areas.
Coding Quality & Audit
Strengthen coding accuracy, consistency, and audit performance across professional fee and outpatient environments.
E/M Leveling & Documentation
Align provider documentation with coding requirements to improve accuracy, reduce risk, and support defensible revenue.
Provider Education & Compliance
Deliver targeted, case-based education grounded in real audit findings to improve provider performance and reduce compliance exposure.
Professional Fee & Outpatient Advisory
Provide strategic and operational advisory across emergency medicine, hospital medicine, urgent care, and outpatient coding environments.
AI-Assisted Workflow Advisory
Guide the evaluation and integration of AI coding tools to ensure accuracy, compliance, and alignment with provider documentation.
Implementation & Client Support
Support execution through structured implementation, workflow design, and ongoing advisory engagement.
Organizations and Experience
Melissa Schave’s experience spans health systems, national coding organizations, consulting environments, and healthcare technology platforms, with a focus on coding, compliance, and revenue cycle operations.
HealthWorks
Client Operations, Coding, and Compliance Leadership
Played a key role in building and scaling a private equity-backed healthcare services organization. Partnered closely with national provider clients while working across coding operations, compliance, and revenue cycle teams to support performance, quality, and delivery. Known for bridging client needs with internal execution and driving alignment across teams.
Edelberg + Associates
Compliance and Audit Leadership
Led coding audit programs and compliance initiatives across hospital and physician clients. Directed audit strategy, supported physician education, and improved documentation quality and coding accuracy across enterprise environments.
DocuTAP
Revenue Cycle and Technology
Supported coding compliance and revenue cycle operations within a healthcare technology platform. Focused on improving workflows, reducing risk, and aligning coding with billing outcomes.
LogixHealth
Coding Quality Operations Leadership
Led coding quality operations across emergency department facilities nationwide. Focused on coding accuracy, productivity, and denial trends while partnering with coding and QA teams to improve documentation quality and reduce revenue leakage.
Sanford Health
Coding and Compliance
Built foundational experience in coding, compliance auditing, and provider education within a large integrated health system. Focused on documentation quality, coding accuracy, and adherence to regulatory and payer requirements.
Representative Experience
The following reflects the types of organizations, challenges, and work supported across advisory engagements. Specific client names and identifying details are not disclosed.
Emergency Medicine Group
Challenge
Inconsistent E/M leveling and documentation quality across a high-volume ED coding team, with limited provider feedback processes in place.
Support Provided
Led coding quality review across a sample of ED encounters, identified leveling inconsistencies, and developed a structured provider feedback and education program aligned to current E/M documentation requirements.
Multi-Site Physician Group
Challenge
Coding accuracy and compliance concerns across primary care and urgent care providers, with documentation that did not consistently support the level of service billed.
Support Provided
Conducted a focused coding and documentation audit, provided provider-specific education tied to audit findings, and supported development of an ongoing quality monitoring process.
Healthcare Technology Company — AI Coding
Challenge
Need for provider-side coding expertise to validate AI-generated coding output for professional fee and facility outpatient encounters before client deployment.
Support Provided
Reviewed AI coding output for procedure, diagnosis, and E/M accuracy; identified areas of misalignment with provider-side coding standards; and collaborated with product teams on workflow and quality improvement.
Revenue Cycle Organization
Challenge
Coding operations and client delivery challenges across a provider-side program, including quality consistency issues and unclear workflows affecting client outcomes.
Support Provided
Assessed coding operations structure, identified workflow and quality gaps, and supported development of a more consistent delivery framework for coding and compliance services.
Outpatient & Urgent Care Network
Challenge
Documentation and coding alignment issues across facility outpatient and professional fee encounters, with compliance risk tied to diagnosis coding and procedure selection.
Support Provided
Performed a targeted compliance and coding review, provided corrective action recommendations, and delivered provider education sessions focused on documentation clarity and coding accuracy.
Engagement details are representative of the types of work supported. No specific client information is disclosed without authorization.
What to Know Before We Talk
What types of organizations do you typically support?
Schave Health Advisory works with physician groups, emergency medicine and urgent care organizations, hospital-based provider programs, revenue cycle companies, and healthcare technology companies building or scaling AI-assisted coding tools. The common thread is provider-side coding, audit, compliance, and documentation work.
What areas do you focus on?
The focus is provider-side coding quality, E/M leveling, procedure and diagnosis coding, compliance program support, documentation review and education, and AI coding workflow oversight. All work is centered on professional fee and facility outpatient environments.
Do you work with inpatient coding or DRG validation?
No. Schave Health Advisory does not support inpatient coding, DRG validation, ICD-10-PCS coding, or payer-side operations. The focus is exclusively on provider-side, outpatient, and professional fee coding environments.
How do engagements typically work?
Most engagements begin with a focused conversation to understand the specific challenge or need. From there, the scope is defined together — whether that is a targeted coding audit, a compliance review, provider education, or ongoing advisory support. Engagements are structured to fit the situation, not a fixed template.
What is required to get started?
A brief initial conversation is the starting point. No forms or detailed intake materials are required in advance. The first call is focused on understanding your situation and determining whether there is a clear fit and a practical path forward.
How is access to records or data handled?
When access to records, encounter data, or audit samples is required, Schave Health Advisory works through client-approved secure methods — including system-based access, secure portals, or encrypted file transfer. Appropriate BAA terms are established before any review begins, and access is limited to the minimum necessary information needed for the work being performed.
How long do engagements typically last?
Engagements vary depending on the scope, but many are designed to be focused and practical. A defined coding audit, targeted documentation review, or workflow assessment may be completed within a few weeks. Some organizations also request ongoing support for coding quality monitoring, provider education, or operational alignment — which is typically structured on a continuing basis. Scope and timeline are defined together at the outset, and there are no fixed minimums.
Do you work with healthcare technology companies?
Yes. Schave Health Advisory supports healthcare technology companies — particularly those building or scaling AI-assisted coding tools — by providing provider-side coding expertise for output validation, workflow alignment, and quality oversight. The focus is on ensuring AI tools perform accurately in real-world professional fee and facility outpatient environments.
Ready to start a conversation?
If something is not working the way it should, we can start with a focused conversation to understand where to begin.
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