Risk Adjustment Audit and Education Manager with over thirty years experience in healthcare and over twenty years in coding, auditing and education. The past thirteen years I have been heavily responsible for the execution and oversight of risk adjustment audit and education projects by enhancing communications with physician groups and providing ideas to better service and increase the risk adjustment scores especially with the expansion of telehealth during the Public Health Emergency. In addition, I am deeply involved in the HHS-RADV for the Affordable Care Act by managing an audit team that provides all the clinical documentation to the IVA for three states. I keep abreast of everchanging federal guidelines and developments by following the, Center for Consumer Information and Insurance Oversight (CCIIO) communications and REGTAP webinars. My business focus is currently on Medicare Risk Adjustment and the Affordable Care Act.
American Academy of Professional Coders (CPC) (CPCO) ICD-10 Certified Professional Healthcare Institute of America (CCP) (CCO)
American Health Information Management Association Health Care Compliance Association
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