Martha Goodlin, RN
Sr. Director, Clinical Risk Adjustment
With over 20 years of experience in healthcare, Martha Goodlin is a recognized leader in HCC Risk Adjustment and HEDIS operations. At Rebellis Group, she plays a pivotal role in driving risk adjustment strategy, quality improvement, and compliance for healthcare organizations.
Martha has led retrospective and prospective risk adjustment programs for major healthcare systems and third-party vendors, ensuring accuracy, compliance, and financial stability. Her expertise spans: Strategic oversight of risk adjustment operations, development of coding education programs and quality audit frameworks, navigating OIG and CMS RADV audits with precision and driving improvements in HEDIS outcomes and Star ratings.
Martha previously served as Director of Risk Adjustment and Quality and Senior Manager of Quality Audits, Risk Adjustment Coding, and Clinical Review for top healthcare organizations. She holds a Bachelor of Science in Healthcare Administration from Robert Morris University, is a licensed RN in Pennsylvania, and a Certified Risk Adjustment Coder (CRC) with AAPC membership.
At Rebellis Group, Martha leverages her deep expertise to help healthcare organizations optimize risk adjustment performance, improve quality metrics, and stay ahead of regulatory changes.