Leigh Anne Harmon, Aprn, Np-C, Agcns-Bc, Nea-Bc, Ccds-O, Cpc, Crc, Cdeo, Cpma, Cpco, Bls Instructor Email & Phone Number

Anderson, Sc, Us

Anderson, Sc, Us

Denver, Co, Us

Denver, Co, Us

• Responsible for leading efforts to improve the risk adjustment programs, including accurate documentation. • Skills include risk adjustment expertise, evidence-based practice, mentoring, and change leadership. • Collaborate with risk adjustment, coding, and clinical and operations team members to design and implement a comprehensive education and monitoring program to drive accurate and efficient provider documentation.• Coordinates implementation of programs designed to ensure all diagnosed codes and conditions are properly supported by appropriate documentation in patient charts.• Serve as a resource for the market, network, and national operations on proper coding and documentation.• Builds strong relationships with all levels of teammates and partners, acutely focused on developing optimal partnerships between clinical and coding.• Partners with the education department on the ongoing chart review process to ensure continued high standards in documentation and coding.

• Responsible for comprehensive coding knowledge and experience in DRGs and ICD-10.• Utilizes collaborative strategies to ensure that severity of illness and level of care are accurately reflected in the health records to optimize third party collections, VERA funding and delivery of quality patient care. Collaborates with others (Nursing, Providers, HIM, CDI, etc.) to implement changes to support improved clinical documentation.• Completes assessments and/or reassessment via medical chart review, telephone conferencing and/or face-to-face contact with a primary overall goal of achieving the most complete and accurate medical record for the veteran.• Assists in determining educational needs of medical staff related to clinical documentation improvement. Collaborates with nursing staff, CPAC and HIM leadership to promote learning experiences for all clinical personnel to achieve quality patient documentation of care.• Collect, analyze, interpret, and prepare data for reports and presentations.• Participates in and may assume leadership role in providing direct support for the development, coordination, maintenance and operation of the Clinical Documentation Integrity program at the facility level.• Functions in evaluating medical records, improvements to clinical documentation and services. Initiates and maintains relationships with others to assess project needs and variances. Leads and/or facilitates recommendations for systems and/or resource changes that will serve to improve clinical needs.

• Teach and certify laypersons and healthcare providers in CPR/AED/BLS/First Aid for Adults, Children and Infants according to AHA Guidelines.

Brooklyn, New York, Us

• Perform prospective and retrospective reviews to ensure there is adequate supporting documentation; the closure of HEDIS and other quality gaps as needed in the progress note.• Knowledge of risk adjustment (HCCs), guiding principles, and reimbursement methodology.• Provider auditing for Centers for Medicare & Medicaid Services (CMS) requirements.• Conduct coding review on all provider documentation to assign the correct ICD-10 codes and ensure all documentation is accurate, precise, and adherent to CMS guidelines.• Maintain log of all documentation audits / reviews and conduct ongoing follow up activities and communication for uncompleted or unanswered queries.• Assist with analysis, trending, and presentation of audit / review findings, outcomes, potential issues, and their root cause.• Identify and correct billing errors and resubmit claims to payers.• Query providers to ensure that appropriate documentation appears in the medical record and follow each query through to closure.• Onboarding/Education of new providers in a group setting regarding Risk Adjustment, HCC coding and Clinical Documentation Improvement.• Burden/Severity of Illness training for providers to keep them professionally current and up to date of new guidance.• Quality analytics of KPI on providers once trained.• Develop and conduct ongoing education for new staff including coders, physicians, nurses, and behavioral health specialists.• Foundational understanding of existing EMRs and processes to surface risk opportunities.• Second level reviewer for chart reviews.• Remote Collaboration Tools: Gmail, Google Calendar, Google Drive, Google Docs, Google Sheets, Google Slides, Google Hangouts, Slack, Zoom, Find a Code, Health Gorilla, Cureatr, Epic EMR, Elation EMR.• Special Projects: Low Performer Chart Audit; immunodeficiency documentation training and presentation; participated in performing chart audits for data collection for future provider education.

Us

• Provide comprehensive in-home health assessments for Medicare Advantage plan recipients, evaluating medical, surgical and social history, performing physical exams, and developing a medical and social plan for the members to improve their quality of life.•Clinical expertise to ensure full, accurate and appropriate diagnosis, documentation, coding, and care that more precisely reflects the true risk level of the patients we serve, and ultimately leads to more accurate levels of reimbursement in accordance with regulatory guidelines, RAF/HCC focused.• Performance of non-invasive ambulatory screening tests, simple dipstick urinalysis, blood glucose, and Hgb A1C.• Assessment for need and recommendations for durable medical equipment.• Referrals including, but not limited to, pharmacy, social work, advanced illness programs, care management, adult protective services, and mental health services. • Knowledge of HEDIS measures, Star Gap closures, risk-adjustment scoring, and net Promoter Scoring.• Multidisciplinary collaboration to ensure positive health and social outcomes.• Experience with video virtual visits using Zoom, Sight Call, Vivify, Google Duo, FaceTime.• Remote Collaboration Tools: Zoom, Microsoft Teams, SharePoint, Jabber• Subject Matter Expert (SME): staff resource for ICD-10-CM Coding and documentation improvement.• Associated Appointments – Cultural Ambassador.• Courses Completed – Business Acumen, Care Philosophy Training, Advocacy Competence “Intermediate.”• Inspire Mentee/Mentor Program

Woonsocket, Ri, Us

• Provided care for patients in the retail healthcare setting including episodic illness, minor injuries, and chronic disease management. Exams included DOT exams, Pre-Employment Physicals and Sports Physicals.• Ensured compliance with record keeping and occurrence reporting in accordance with all regulations. Utilized the Company information systems as directed and in compliance with HIPAA regulations and company policies.

Greenwood Village, Co, Us

• Transportation Network Company (TNC) physicals.• Included reviewed personal and family medication history, current list of medications.• These physicals are designed to detect physical, mental and emotional issues that can impact the ability to drive safely. Drivers cannot drive for Lyft or Uber until they are cleared by a licensed medical professional.

Cincinnati, Ohio, Us

• Supervisory role• Provided care for patients in the retail healthcare setting including episodic illness, minor injuries, and chronic disease management. Exams included DOT exams, Pre-Employment Physicals and Sports Physicals.• Embraced fiscal respect within the clinic in terms of maintaining patient volume and reducing waste including decreasing inventory, monitored monthly inventory reports.• Ensured compliance with record keeping and occurrence reporting in accordance with all regulations. Utilized the company information systems as directed and in compliance with HIPAA regulations and Company policies.• Act as mentor for all providers and other clinic employees for ongoing training and competencies. Actively engaged with the orientation and training of new team members.• Supervised and coached direct reports in the performance of their duties and ensure successful operation of clinic activities, and ensured all provider licensures, protocols, patient conflict resolution. Included chart audits/reviews to ensure HEDIS measures are being met, evidence-based guideline practice is being followed and provide constructive feedback to provider.

• Interim Clinic Coordinator (2013-2014) worked along with senior leadership team to guide nurse practitioners and medical assistants towards excellent in providing health care to patients.• Assistant Educator (2012-2015) acted as mentor for all providers and other clinic employees for ongoing training, competencies, and check off for point of care (POC) testing. Actively engaged with the orientation and training of new team members.• Designee for clinic set up for the Chicago Market which included standardization of exam rooms and inventory to meet AAAHC guidelines.• Participated in setting goals for the clinic and ensure financial performance of the clinic meets or exceeds budgeted expectations. Controlled costs at the clinics to meet the budgeted profitability goals.• Provided care for patients in the retail healthcare setting including episodic illness, minor injuries, and chronic disease management. Exams included DOT exams, Pre-Employment Physicals and Sports Physicals.• Ensured compliance with record keeping and occurrence reporting in accordance with all regulations. Utilized the Company information systems as directed and in compliance with HIPAA regulations and company policies.•Assuring performance adheres with established quality standards, evidenced based practice guidelines and departmental benchmarks and workflows.

Congers, New York, Us

• Provided care for patients in the urgent care setting including episodic illness, minor injuries, and chronic disease management. Exams included Pre-Employment Physicals and Sports Physicals.• Ensured compliance with record keeping and occurrence reporting in accordance with all regulations. Utilized the Company information systems as directed and in compliance with HIPAA regulations and company policies.• Procedures included suturing, incision and drainage of abscesses, ordering and interpreting x-rays, splinting fractures.

Anderson, Sc, Us

• Provided holistic care for pediatric and adult patients in the family practice/urgent care setting and provided care for episodic illness, minor injuries and participated in chronic disease management. Exams included School Physicals, Pre-Employment Physicals and Sports Physicals.• Procedures included suturing, incision and drainage of abscesses, ordering and interpreting x-rays, splinting fractures.

• Provided care for patients in the family practice healthcare setting including episodic illness, minor injuries, and chronic disease management. Exams included DOT exams, Pre-Employment Physicals and Sports Physicals.• Procedures included suturing, incision and drainage of abscesses, ordering and interpreting x-rays, splinting fractures.

Anderson, Sc, Us

• Associated Appointments – Pain Resource Nurse, Lead Gastric Bypass Nurse, Lead Preceptor.• Assessed patient conditions based upon observation, examination, and/or interview, physician diagnosis, laboratory findings, age-related issues and other pertinent information. • Identified and consistently monitored for changes in normal and abnormal parameters in the patient's physiological, psychological, cultural, developmental and spiritual needs.• Worked with multidisciplinary team to organize patient care, discuss Length of Stay for inpatients as appropriate and coordination of services.

Master'S Degree, Family Practice Nurse/Nursing

Bachelor'S Degree, Registered Nursing/Registered Nurse

Associate'S Degree, Registered Nursing/Registered Nurse

Certificate, Medical Billing And Coding

Doctor Of Education - Edd