Risk Adjustment Clinical Documentation
Resume:
Deborah Brookhart, CPC, CRC
HCC/Risk Adjustment Coder/Auditor/Educator
Evergreen Park, IL 60805
***************@*****.***
Seeking a position using my skills to assist providers in their clinical documentation to ensure accurate and compliant coding of HCC/Risk Adjustment exams. Seeking a completely remote position.
Authorized to work in the US for any employer
Work Experience
HCC Coding Specialist
Corro Health/Virtix Health
September 2024 to present
Remote HCC coder currently for a contract with Centene Corp.
Clinical Documentation Coder
VillageMD
February 2023 to September 2024
Remote HCC coder for providers from VillageMD
Health Risk Educator
CVS Health
October 2022 to December 2022
Hired to perform ACO REACH reviews and provider group education for local ACO REACH providers and assist with other providers as needed.
Risk Adjustment Auditor Educator
CENTENE CORP/CHS
May 2022 to October 2022
Hired directly from my temp-to-permanent position. My position was auditing provider documentation, discovering trends and creating education for providers, to improve their outcomes in a value-based system, while creating better outcomes for patients.
Risk Adjustment Auditor Educator
Medasource Agency for Centene Corp. - Indianapolis, IN
November 2021 to May 2022
This is a temporary-to-permanent position reviewing HCC gaps in retrospective and prospective audits.
Quality Review/Audit Analyst
ALEGIS CARE HOME PHYSICIANS (part of CIGNA) - Chicago, IL
June 2014 to November 2021
Promoted to Quality Review/Audit Analyst auditing coder work product. Assisted in training new coders, training another entity on HCC/Risk Adjustment coding and assist in NextGen updates as a Subject Matter Expert (SME). Currently working remotely 5 days/week.
Medical Records Coder (6/30/14 – 5/01/15): Responsible for the HCC coding of home care assessments. I also trained new coders in the Peoples Health insurance provider claims.
D. Brookhart Resume page 2/3
Medical Bridge Instructor
CENTERS FOR NEW HORIZONS, INC. - Chicago, IL
October 2013 to June 2014
Medical Bridge Instructor for a 12-week Medical Terminology course under the scope of a grant administered by the Workforce Development sector of this not-for-profit agency.
Billing Specialist
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC. - Chicago, IL
August 2011 to December 2011
Duties included collection of insurance balances for physicians and their assistants, analysis and resolution of patient account issues, follow-up on denials and appeals of insurance claims and discussing/educating patients regarding account balances. Practice sold to North Shore University Hospital Systems.
Adjunct Instructor
PRAIRIE STATE COLLEGE, MATTESON AREA CENTER - Matteson, IL
February 2005 to December 2011
Instructor: Was employed as a part-time, evening instructor for Intro to CPT-4 Coding and Intro to ICD-9-CM Coding. I started out with PSC teaching Medical Terminology which included Anatomy & Physiology.
Outpatient Coder
Mercy Hospital & Medical Center
May 2010 to March 2011
(05/17/10-03/11/11) Worked in the HIM dept. as a coder doing the observation coding and other outpatient clinics, as well as satellite clinic coding, utilizing 3M Encoding software, Cerner Powerchart software and Citrix software. Assigned out of the Beachwood, OH office, 866-***-****.
Medical Billing and Coding Instructor
EVEREST COLLEGE - Burr Ridge, IL
July 2008 to March 2009
Instructor: Was employed as Medical Insurance Billing and Coding (MIBC) instructor for the 7am – noon and noon – 5p sections, Mon. – Thurs. Was awarded the Inspire award for November 2008 for Midwest Region of corporation. Decided to leave after the Program Chair was hired in February 2009.
Contract Coder
Maxim Healthcare Group
February 2007 to August 2007
Part-time contract coder for the Fresno, CA
VA site doing remote outpatient coding from home. Assigned out of the Gardena, CA office. 866-***-****.
D. Brookhart Resume page 3/3
Contract Coder
Maxim Healthcare Group - Maywood, IL
October 2006 to December 2006
Full-time contract coder placed at Hines VA Hospital doing outpatient coding. My contract period ended12/27/06 because Maxim lost the contract with Hines. Assigned out of Beachwood, OH office. 866-***-****.
Full-time Instructor
EVEREST COLLEGE – MERRIONETTE PARK - Merrionette Park, IL
February 2006 to October 2006
for the Medical Insurance Billing and Coding
Diploma program, teaching computerized medical billing, coding, collections and
HIPAA compliance.
Coder/Abstractor
U. OF CHICAGO HUMAN GENETICS DEPT. - Chicago, IL
May 2003 to February 2006
Employed as a permanent, full-time, non-exempt employee of the
University of Chicago. Duties include coding the genetic laboratory tests, entering charges directly into the IDX system for UCP, answering phones, and other administrative-assistant duties as needed.
Education
High School diploma with honors (top 10% of class)
Bayside High School - Virginia Beach, VA
Professional Medical Coding Curriculum (CPC)
CPC Solutions, Inc. (CPCSI) – Country Club Hills, IL
Compliant Coding Academy (Now AAOMCP) (CRC)
Certifications / Licenses
AAPC certification of Certified Professional Coder (CPC)
AAPC certification of Certified Risk Adjustment Coder (CRC)
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