Coding Specialist Risk Adjustment

LeAnn Goedeken

Cell: 402-***-**** - ********@*****.***

Professional Summary

Certified medical record coder, billing and coding specialist with many years of experience, 9 years in HCC coding. Details of auditing frequency as well as accuracy rate and production rate are documented in current job information below. Detail-oriented, multi-tasker, and team player with a positive attitude, compassionately communicate with patient. Inpatient and outpatient records coding specialist with ICD-10 and CPT coding expertise. Organized and flexible. Registered Health Information Technician, Certified Coding Specialist certification, Certified Risk Adjustment Coder, Certified Professional Biller. Experience supporting numerous physicians. Observation, Inpatient and Outpatient coding. Experience with a multitude of different computer programs throughout my career, as well as Electronic Medical Record programs. Recently promoted to Lead Abstractor position. In the process of obtaining CDIP certification.

Skills

CPT, ICD-9 and ICD-10 Coding Microsoft Word

Excel Microsoft Office

Microsoft Outlook

Various Electronic Record Formats

Strong work ethic

Detail-oriented and attention to detail

Deadline-driven and Dependable

Exercises good judgement

Maintains strict confidentiality

Team player, but also able to work independent

Positive attitude

Good verbal and written communication People person

Abide by HIPAA regulations

Interpersonal Skill

Work History

Risk Adjustment/HCC Coder – September 2021 to Present

Amergis Healthcare for Cognisight – Remote

•Review clinical documentation to abstract and confirm all diagnosis codes mapping to HCC categories, according to Risk Adjustment policies, internal contract terms, and coding guidelines, for proper diagnostic code assignment as well as adequate chart documentation

•Assign codes for HCC coding projects, and Complete Code Capture

•RADV, MA & IVA coding

•Audit other coders’ work

•Maintain quality accuracy rate of 94-96% while meeting and exceeding production goals of 3-4 charts per hour (depending on chart size and complexity), while supporting fellow coders in the same goal. The auditing of charts is on an ongoing basis.

•Initial, Senior & QC Peer Review of fellow coders’ charts

•Advise and train coders assigned to me

Attended conference calls as necessary to provide information and/or feedback.

Accomplishments – Promoted to Lead positions, managed 20-30 chart reviewers - guided and motivated them

Treatment Coordinator - September 2023 – March 2024

Nebraska Oral & Facial Surgery

Columbus, NE

Greet patients

Answer phones

Schedule appointments

Provide cost estimates

Collect patient financial responsibility

Manage the doctor’s schedule

Communicate with patient and referring offices

Fast-paced Office

Risk Adjustment/HCC Coder – June 2021 to October 2021

CIOX Health – Remote

•Review clinical documentation to abstract and confirm all diagnosis codes mapping to HCC categories, according to Risk Adjustment policies, internal contract terms, and coding guidelines, for proper diagnostic code assignment as well as adequate chart documentation

•Assign codes for HCC coding projects, and Complete Code Capture

•RADV, MA & IVA coding

•Audit other coders’ work

Maintain quality accuracy rate of 94-96% while meeting and exceeding production goals of 3-4 charts per hour (depending on chart size and complexity), while supporting fellow coders in the same goal. The auditing of charts is on an ongoing basis

Risk Adjustment/HCC Coder – February 2021 to June 2021

Centauri Health Solutions – Remote

•Review clinical documentation to abstract and confirm all diagnosis codes mapping to HCC categories, according to Risk Adjustment policies, internal contract terms, and coding guidelines, for proper diagnostic code assignment as well as adequate chart documentation

•Assign codes for HCC coding projects, and Complete Code Capture

•RADV, MA & IVA coding

•Audit other coders’ work

Maintain quality accuracy rate of 94-96% while meeting and exceeding production goals of 3-4 charts per hour (depending on chart size and complexity), while supporting fellow coders in the same goal. The auditing of charts is on an ongoing basis

Senior Medical Coder -- August 2015 to February2021

Insight Global for UHG/Optum - Remote

Review clinical documentation to abstract and confirm all diagnosis codes mapping to HCC categories, according to Risk Adjustment policies, internal contract terms, and coding guidelines, for proper diagnostic code assignment as well as adequate chart documentation

Assign codes for HCC coding projects, and Complete Code Capture

RADV, MA & IVA coding

Audit other coders’ work

Maintain quality accuracy rate of 94-96% while meeting and exceeding production goals of 3-4 charts per hour (depending on chart size and complexity), while supporting fellow coders in the same goal. The auditing of charts is on an ongoing basis.

Attended conference calls as necessary to provide information and/or feedback.

Accomplishments

Promoted to 1 of 5 Lead positions out of 200 fellow chart reviewers

Education

Certified Professional Biller

On-line Course

Certified Risk Adjustment Coder: Medical Record Coding

On-line Course

Certified Coding Specialist: Medical Record Coding

Self Study

Associate of Science: Health Information Management

College of St Mary

Certificates

Certified Professional Biller (CPB) - 01422749

Certified Risk Adjustment Coder (CRC) - 01422749

Certified Coding Specialist (CCS) – C037357

Registered Health Information Technician (RHIT)- 29049

Affiliations

American Health Information Management Association (AHIMA)

American Academy of Professional Coders (AAPC)

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