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Atlanta Ga Risk Adjustment

Location:
Cartersville, GA
Salary:
56,000 USD
Posted:
February 21, 2024

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Resume:

Emeka I. Ejieke, DCR(London), CPC, CRC

Atlanta GA

770-***-****

ad3s7h@r.postjobfree.com

Mission Statement: It will always be my pleasure to be part of a great team using my vast experience to make a difference.

Certifications: - DCR(London) College of Radiographers London, United Kingdom.

- CPC, CRC -American Academy of Professional Coders

Proficiencies: - ICD-10-CM, CPT, HCPCS, Encoder Pro, HCC Coder.

Employments:

Updates - Current 2020/2021: UnitedHealth Group: HCC season

-2020/2021: GeBBS Healthcare Solutions: HCC season

1.Visionary RCM Cotiviti (July 2019 to May 2020) - Contract for 2019/2020 HCC season on 40 hour per week. Review patients records to capture all mapping HCC and RxHCC codes applying all ICD-10-CM guidelines, company guidelines and policies. Participate in peer review session with supervisor and attend coding meetings.

2.Open Door Integrated Solutions, Atlanta GA (July 2018 to June 2019) -Participated in Outpatient, Profee and E&M coding projects under contract. Review physician and other approved provider records as to pick up codes. Encoder, EPIC used for this project. Participated in coder meetings to review performance and productivity. ICD-10-CM and CPT codes captured.

3.United Health Group – Optum, Nashville TN (May 2017 to April 2018) - Major coding contract with Optum for the 2017/2018 Risk Adjustment Coding season. High volume coding environment with high percentile quality on production. Participate in weekly IRR-Quality coding analysis/test Used all company tools including ICD-10-CM guidelines as to ensure accuracy. All Date of Service code capture of all mapping HCC & RxHCC codes.

4.Advantmed, LLC – Santa Ana, CA (August 2016 to May 2017) - Full time coding projects, covering all aspects of coding including HCC, Profee, Outpatient and Inpatient. HEDIS review and coding of records. Participate in all coding meetings, training, and peer reviews with supervisor/coding manager.

5.OS2 Healthcare Solutions, Killeen TX (March 2016 to July 2016) - Non-Salary Risk Adjustment pre-season training. Review all HCC documents and policies. Documentations, Signature requirements, TAMPER/MEAT meaning and significance, Face to Face records and all Risk Adjustment Criteria. Practice HCC coding/charts review. Review HIPPA and CMS policies and guidelines.

6.Previous Work History – Diagnostic Radiology Technologist.



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