Risk Adjustment Coder
CurrentPerformed concurrent reviews of clinical progress notes for twelve American Board of Family Medicine certified clinicians wherein Clinical Documentation Improvement efforts are implicated, utilized CMS ICD-10 Mappings, Official ICD-10 CM Guidelines, Coding Clinic Guidance, and other acceptable sources for accurate diagnosis documentation to best report HCCs to MA plans and CMS - thus prospectively espoused the mitigation of costly extrapolations amidst retrospective RADV audits sequentially affecting the practice’s bottom line, queried clinicians relating to documentation oversight in respect to quality metrics, e.g. HEDIS or MIPS and/or factual diagnosis coding, and purveyed opportunities for dialogue and direction for apropos addenda to meet regulatory compliance. Involvement in patient outreach as well as submission of attestations for care-gap closures.