Interim System Lead, Risk Adjustment Operations

• Apr 2023 - Present

Associate Director, Contract Performance and Risk Adjustment Coding

• May 2021 - Present

Manager, Risk Adjustment Coding

• Mar 2020 - May 2021

Risk Adjustment Coding Consultant

• Aug 2019 - Mar 2020

Senior Certified Risk Adjustment Coding Specialist ; CPC, CPMA, CRC @Signature Health Care

• Nov 2014 - Aug 2019

Senior Certified Risk Adjustment specialist, in charge of overseeing and managing retrospective risk adjustment projects as well as concurrent projects, closing current risk adjustment diagnosis gaps, providing education and feedback to providers. Working with our local ACO and BCBS DxCG model and working with TMP HCC's. Senior Certified Risk Adjustment specialist, in charge of overseeing and managing retrospective risk adjustment projects as well as concurrent projects, closing current risk adjustment diagnosis gaps, providing education and feedback to providers. Working with our local ACO and BCBS DxCG model and working with TMP HCC's.

Certified Clinical Coding Auditor

• Jul 2017 - Feb 2018

Clinical Coding Auditor - responsible for conducting yearly auditor on provider documentation, including benchmark and bell curve reports based on CMS information. Meeting with providers to educate on documentation challenges in order to become better complaint. Clinical Coding Auditor - responsible for conducting yearly auditor on provider documentation, including benchmark and bell curve reports based on CMS information. Meeting with providers to educate on documentation challenges in order to become better complaint.

CPC

• Aug 2010 - Nov 2014

Certified Professional Coder and medical biller Certified Professional Coder and medical biller

Medical Biller

• May 2007 - Aug 2010