• Jul 2013 - Present

• Jul 2013 - Jul 2013

Risk Adjustment CMS-HCC focus • Perform concurrent chart reviews for Family Practice/Internal Medicine Medicare Advantage patient claims• Query providers regarding insufficient documentation for HCC diagnosis• Provide physician coding and documentation education for HCC diagnosis

• Jan 2011 - Jul 2013

Medicare focus • Perform retrospective audits and provide individual and group education to physicians on proper documentation, based on 1995 and 1997 CMS guidelines• E/M audit experience in Family Medicine, Internal Medicine, Pediatrics, Urology, Rheumatology and General Surgery• Participate in complex Compliance investigations, RAC and ADR audits• Perform risk assessments for privacy incidents and provide support to Privacy Officer in areas of investigations, employee and patient interviews, as well as new employee training Show less

• Jun 2002 - Jan 2011

• Supported, monitored, and directed activities of assigned medical practice to ensure high quality patient care and service in accordance to external regulatory requirements and Sutter’s policies• Documented and resolved patient complaints• Planned, prioritized, assigned, and directed the workflow of the medical office• Contributed to the development of a cost-effective operating budget• Collaborated with providers on billing and coding needs• Managed clinical, professional, and clerical staff Show less

Administrative Assistant

• May 2001 - May 2002

Administrative Assistant for Eating Disorder, Drug and Alcohol, and Pain Management Programs • Helped enroll candidates. • Provided support for program participants. • Coordinated materials for programs offered. Administrative Assistant for Eating Disorder, Drug and Alcohol, and Pain Management Programs • Helped enroll candidates. • Provided support for program participants. • Coordinated materials for programs offered.

Front Office Lead

• Apr 1998 - May 2001

• Coordinated schedules for 10 providers • Supervised 11 employees • Conducted performance appraisals • Interviewed applicants and trained new employees • Performed duties as receptionist • Coordinated schedules for 10 providers • Supervised 11 employees • Conducted performance appraisals • Interviewed applicants and trained new employees • Performed duties as receptionist

Referral Coordinator

• Nov 1991 - Apr 1998

Referral Coordinator (12/97 – 4/98) Supervisor of Medical Records (11/94 – 12/97) Medical Records Clerk (11/91-11/94) Referral Coordinator (12/97 – 4/98) Supervisor of Medical Records (11/94 – 12/97) Medical Records Clerk (11/91-11/94)