Anna Lopez Email & Phone Number

Cerritos, California, United States

Hands on experience with over 20+ years in the healthcare industry. My strong skills and leadership involvement HCC/Risk Adjustment, Provider Education, Training new hire staff, standardizing and developing new processes to develop a successful team.  Extensive expertise in Risk Adjustment, collaborate with designated teams within the organization to ensure team success Managing YOY recapture program to ensure patients chronic condition are documented on a yearly basis Work closely on priority projects with Business, Project Managers and System Analyst to ensure all data and timelines are met Manage a diverse team of Coding Analysts and Admin staff Maintain and evaluate team productivity Manager coding review prioritization, maintain coding review backlog and associated reporting/analysis on a weekly basis to ensure deadlines are met for RAPS/EDPS data submissions Prioritize work priorities for the coding department staff Manage outsourcing work to vendor (Episource) and provide quality feedback  Monthly Query Reporting to ensure all outstanding queries are completed by providers in a timely manner  Compile Query Analysis reporting, provided to Clinical Documentation Improvement Team, identify trends and educational opportunities  Work closely with coding department staff, physicians and office managers to resolve pending coding issues Train new staff, ensure training expectations are met Trained Staff on capturing Star/HEDIS measures Assist director to support departmental needs  Manage projects designed to educate, train and inform providers, including nurse practitioners and physicians Adhere to standards of Legal and Compliance Operate with integrity and follow Organization policy

Cerritos, Ca

 Educate nurse practitioners and physicians on HCC (Hierarchical Condition Category) training and documentation Code ICD-9 / ICD-10 and CPT from the patients’ medical record Audit patient charts for CMS (Center for Medicare & Medicaid Services) compliance Prioritize work schedules for the coding department staff Work closely with coding department staff, physicians and office managers to resolve pending coding issues Train new staff Help director with supervising coding department staff Assist with projects designed to educate, train and inform providers, including nurse practitioners and physicians

Cerritos, Ca

 Reviewed ICD-9 and CPT codes prior to data entry Worked with insurance companies, physicians’ offices and patients, as well as Alliance scanning locations across the country, to coordinate billing process Prepared reports for management Trained and provided support and assistance to charge entry staff and completed month-end close