Jacqueline Burt Email & Phone Number

Summerfield, Fl, Us

Monitor HCC coding performed by external vendors and internal coders through quality audits to ensure accuracy.Develop and deliver training materials focused on provider education, emphasizing coding and documentation best practices.Conduct provider-specific record reviews, offering feedback on documentation and ICD-10 coding practices.Serve as a Subject Matter Expert (SME) in Risk Adjustment and ICD-10 coding, advising on best practices.Prepare detailed presentations of audit findings, adhering to official coding guidelines, including AHA Coding Clinic standards.Validate and abstract diagnosis codes from provider documentation, ensuring accurate data entry into the coding platform.Analyze and investigate coding issues and patterns, identifying areas for improvement through medical record reviews.Identify coding trends and errors, providing targeted education to address gaps in documentation and coding standards.Maintain up-to-date knowledge of coding guidelines and federal regulations, utilizing CPT, HCPCS,ICD-10, and other relevant materials.Ensure confidentiality and compliance with company policies regarding the use and disclosure of protected health information.Special Projects and Achievements:Led the development of educational materials and conducted training for onboarding medical providers as part of a new project focused on in-home patient visits. This training emphasized the correct use of place of service codes and modifiers to ensure compliant documentation and coding.Solely responsible for the ongoing review of charts and coding edits for approximately 20 providers, managing the coding for about 80 patient visits per week.Awarded the 5-Star Individual Award in January 2023, recognizing exceptional performance, with a$500 prize.

Remote

Remote

Optum

• Coded outpatient encounters at a rate of 120 per day • Carefully reviewed medical records for accuracy and completion as required by insurance companies.• Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.• Strictly followed all federal and state guidelines for release of information.• Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.• Accurately entered procedure codes, diagnosis codes and patient information into billing software.• Consistently ensured proper coding, sequencing of diagnoses and procedures.• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.• Thoroughly reviewed remittance codes from EOBS/AR's