Risk Adjustment Coder

Tiffany Brown, RHIT, CCA, CRC

********************@*****.*** 630-***-**** Chicago, IL

Professional Summary

Detail-oriented and certified Risk Adjustment Coder with over three years of experience in HCC coding, Medicare documentation compliance, and provider education. Proven track record of improving coding accuracy and documentation quality in alignment with CMS Risk Adjustment guidelines. Adept at conducting thorough chart reviews, collaborating with medical teams, and driving workflow improvements within fast-paced healthcare environments.

Certifications

- Certified Risk Adjustment Coder (CRC) – AAPC 10/2023 #01908028

- Registered Health Information Technician (RHIT) – AHIMA 06/2024 #265045

- Certified Coding Associate (CCA) – AHIMA 10/2023 #259453

Technical Skills

- ICD-10-CM, HCC Coding

- Risk Adjustment & CMS Guidelines

- CPT®, HCPCS Level II

- ICD-10-PCS (Introductory Level)

- Microsoft Office Suite & EHR Platforms

- HIPAA Compliance

- Chart Auditing & Provider Queries

- Conflict Resolution & Provider Communication

Professional Experience

Risk Adjustment Coder II

Northwestern Memorial Hospital – Chicago, IL

Aug 2021 – Present

- Accurately reviewed and coded patient diagnoses using ICD-10-CM and HCC guidelines for Medicare Advantage Risk Adjustment programs.

- Conducted in-depth retrospective and prospective chart reviews to identify documentation gaps and improve HCC capture.

- Partnered with physicians to provide feedback on clinical documentation, enhancing compliance and risk score accuracy.

- Led provider education sessions and developed training materials focused on risk adjustment and HCC compliance.

- Monitored coding trends and audit outcomes to refine coding workflows and improve accuracy.

- Collaborated in weekly team reviews and case discussions to resolve complex coding scenarios.

- Maintained up-to-date knowledge of CMS coding regulations and annual HCC model updates.

- Supported CDI initiatives by rounding with providers to align clinical care with accurate coding practices.

Education

Associate of Applied Science – Health Information Technology

Rasmussen University – Chicago, IL 03/2024

Associate of Science – Medical Billing and Coding

Ultimate Medical Academy – Clearwater, FL 08/2021

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