Dwan Johnson Cpc,Crc Email & Phone Number

United States

United States

 Identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider.  Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Reviews medical records and arranges educational sessions with providers aimed at quality of care and documentation improvements.  Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.  Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures Collaborative relationships with provider engagement, finance, contracting, quality and corporate partners Attend Provider Data Validation monthly corporate meetings for Virginia, North Carolina market. Successfully managing and developing relationships with engaged groups Conducted Medicare Risk Adjustment provider deep dive meeting with engaged groups Completed Annual Wellness Visit Day (CaDET) groups with educator(s) Implementing/ Discussion technology solutions for 60% of assigned groups Established regular monthly cadence meetings with engaged groups Successfully present monthly chronic conditions webinar to engaged and non-engaged groups  Additional MRA education responsibilities within the market

Richmond, Virginia, United States

 Perform retrospective and prospective reviews to assist with closing care gaps and to identify opportunities for coding education. Communicates coding education via Webex or Face to face. Identifies opportunities to improve provider documentation and creates an specific education plan. Attend weekly Cadet training for Humana. Attend monthly quality meetings for Humana and CareMore. Develops and communicates coding education materials via webinar and in-person via provider office visits. Identifies action plans for providers to implement improved coding practices. Participates in design, development, and implementation of community learning forums. Actively participates in developing program recommendations and internal action plans. Conducts coding audits as required by contractual obligations in identified provider offices and on claims submitted by other vendors. Supports the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of care savings and improved health outcomes for patients. Provides education for practices to develop expertise with metrics and data review for quality improvement. Improves the effectiveness and efficiencies of provider’s individual RAF score.

Glen Allen, Va

Upload all transcription files and make necessary corrections in a timely manner to ensure our physicians/ extenders have the documentation as quickly as possible in order to provide the best patient care.

Glen Allen, Va

Responsible for managing and processing requests of patient medical records in a high volume time sensitive electronic environment.Responsible for creating invoices for all applicable billable medical records request.Responsible for posting of medical records payments to the database program.Responsible for applying the Health Insurance Portability and Accountability Act ( HIPAA) guidelines to all medical records request. This includes compliance with the federal and state regulations in Maryland, Pennsylvania and Virginia.Responsible for providing expert customer service to all medical records inquiries/requests via face-to-face, telephone and in written form.

Henrico, Va

Obtained, reviewed and processed medical records from medical providers for the Centers of Medicare and Medicaid Services (CMS) audit. . Demonstrated ability to work within a call center environment and managed outbound and inbound calls to ensure customer service fulfillment. Identified and resolved complex provider concerns and issues surrounding their pending audits.First point of contact for obtaining attestation statements for the physicians CMS Certification Program audits.Responsible for assigning claims for nurse audit reviews in a timely manner. Responsible for reporting the claims review audit metrics on the daily/weekly reports.Responsible for documenting all compliance and HIPAA changes that created changes in the work flow process.