Wendy Leonard

Wendy Leonard Email and Phone Number

Senior Risk Adjustment Professional (Project Manager) @ Humana
Phoenix, AZ, US
Wendy Leonard's Location
Phoenix, Arizona, United States, United States
Wendy Leonard's Contact Details

Wendy Leonard personal email

n/a
About Wendy Leonard

RiskWise LLC is your ultimate destination for ICD-10 coding accuracy and improvement! We offer a dynamic range of services, including coding audits and provider education, designed to transform behaviors and elevate healthcare outcomes. Our approach is straightforward and engaging, making education easy for providers to digest.We generate our own data for coding accuracy as part of our package, believing this to be the most effective approach. Providers don't need data thrown at them from all sides to be successful! We identify missed opportunities in medical records and report them in an easy-to-understand format. We also review documentation to ensure providers are audit-ready.Our streamlined plan allows us to focus on what truly matters, simplifying a process that has become cumbersome over the years. We educate providers and practice staff on best practices for success in risk adjustment, without the need for downloading unnecessary forms or jumping through impossible hoops. We keep it simple, effective, and exciting!

Wendy Leonard's Current Company Details
Humana

Humana

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Senior Risk Adjustment Professional (Project Manager)
Phoenix, AZ, US
Wendy Leonard Work Experience Details
  • Humana
    Senior Risk Adjustment Professional (Project Manager)
    Humana
    Phoenix, Az, Us
  • Wendy Leonard Dba Riskwise Llc
    Risk Adjustment Consultant - Owner - Riskwise Llc
    Wendy Leonard Dba Riskwise Llc Oct 2024 - Present
    I am now the owner of RiskWise LLC - Currently contracting new clients interested in improving risk adjustment coding accuracy. We provide audit services and in person or virtual provider education to change behaviors and ensure audit readiness in the event one should occur.
  • Equality Health
    Risk Adjustment Program Manager
    Equality Health May 2023 - Nov 2024
    Scottsdale, Arizona, Us
    • Spearheaded the development of a comprehensive risk adjustment program, encompassing coding audits, issue tracking, and extensive educational initiatives.• Pioneered and managed a concurrent coding review program, ensuring accuracy and compliance from inception to execution.• Transformed raw data into actionable insights, producing detailed reports that drive strategic decision-making.• Cultivated strong partnerships with over 60 healthcare practices across Arizona, enhancing collaboration and program effectiveness.• Designed and delivered an educational deck featuring over 71 condition-specific slides, significantly improving coding accuracy.• Authored six in-depth coding flyers on critical topics such as Chronic Kidney Disease (CKD), Hypertension (HTN), and Chronic Obstructive Pulmonary Disease (COPD).• Developed a comprehensive diabetic playbook flyer, detailing all complications and their corresponding coding protocols.
  • Humana
    Senior Risk Adjustment Professional (Project Manager)
    Humana Dec 2021 - May 2023
    Louisville, Kentucky, Us
    *Managed Humana PAF Program in all aspects including incentive reporting and payments as well as tracking of medical record documentation. Tracked ROI for the program and evaluated participation when needed. *Leads workgroup to assist team members in developing a foundational knowledge of CDI including theability to analyze and interpret medical record documentation, formulate appropriate physician queries,interpretation of ICD-10-CM coding guidelines, best practices for objective feedback and performanceimprovement Conducted root cause analysis of poor performing participants in the Humana PAF program as measuredthrough ROI. Identified stakeholders that could detract from the success of the program, inserted necessaryinfluence over them to ensure success of project by balancing their demands, needs and expectations.Developed tracking tool to monitor all program information and ensure all files are up to date at all times.Created policy and procedure documents streamlining efficiency of employee’s work. Saved each FTE anaverage of 16 hours and within seven months of go live for new HPAF management increased ROI by .2 Worked with Value Base groups to improve risk score through accurate documentation and coding;Performed HCC coding reviews and provided high level education to executives
  • Centene Corporation
    Risk Adjustment Prospective Market Advisor
    Centene Corporation Mar 2021 - Dec 2021
    Saint Louis, Mo, Us
     Ultimately accountable for the Risk Adjustment performance of 5 assigned states Worked with CFOs & Plan Presidents to determine staffing model, initiative selection and design, curriculumdevelopment (ICD, RA 101, Documentation, Effective Communication with Clinicians) Developed and employed process monitoring tools to identify root cause, and provide timely reporting onproductivity, audit results, and process improvement opportunities Evaluated newly implemented Risk Capture tool. Developed change requests to modify platform to ensureend-user satisfaction and Risk Adjustment performance. Monitored Risk Capture tool to ensure functionality.Reviewed concerns about tools function to determine validity, engaged with teams to resolve concerns andtrack to resolution. Completed Executive Immersion Program, Business track, designed to cultivate future leaders throughdeveloping high potential candidates by giving them in-depth experiences across different parts of thebusiness
  • Centene Corporation
    Risk Adjustment Auditor Educator
    Centene Corporation Jun 2019 - Mar 2021
    Saint Louis, Mo, Us
    Built meaningful relationships with PCP offices in the Phoenix, Avondale, and Glendale Trained and supported over 80 offices on a new tool for HCC recapture, coding documentation guidelines tomeet requirements for HCC coding and HEDIS gaps Designed training for other coders on various subjects Completed Care Nationals HEDIS Certification Course to develop skills in compliant abstraction of HEDISdata for Hybrid measures and compliance
  • Evolent Health
    Coding Educator
    Evolent Health Nov 2016 - Jun 2019
    Arlington, Va, Us
    • Built meaningful relationships with PCP offices and providers throughout the Sun City, Sun City West, and Surprise area• Contact for providers for coding education and questions• Trained and supported all offices on a new tool for HCC recapture • Trained all offices on coding and documentation guidelines • Highest performing Coder Educator in the entire network all across the valley • Leading the charge with over 50,000 HCCs recaptured in my neighborhoods by May 2017• Responded and provided any items needed day or night, weekends or holidays. 100% available to my practices at all times

Wendy Leonard Skills

Icd 9 Medical Coding Healthcare Information Technology Medical Terminology Hipaa Medical Billing Healthcare Information Technology Icd 9 Cm Icd 10 Medical Records Revenue Cycle Medicare Medicaid Hospitals U.s. Health Insurance Portability And Accountability Act Healthcare Current Procedural Terminology Emr Electronic Medical Record Microsoft Office Microsoft Excel Health Information Management Cpt On The Job Training Revenue Cycle Management Physican Education Medical Coding Education

Wendy Leonard Education Details

  • Phoenix College
    Phoenix College
    Health Information/Medical Records Technology/Technician

Frequently Asked Questions about Wendy Leonard

What company does Wendy Leonard work for?

Wendy Leonard works for Humana

What is Wendy Leonard's role at the current company?

Wendy Leonard's current role is Senior Risk Adjustment Professional (Project Manager).

What is Wendy Leonard's email address?

Wendy Leonard's email address is wl****@****lth.com

What schools did Wendy Leonard attend?

Wendy Leonard attended Phoenix College.

What skills is Wendy Leonard known for?

Wendy Leonard has skills like Icd 9, Medical Coding, Healthcare Information Technology, Medical Terminology, Hipaa, Medical Billing, Healthcare Information Technology, Icd 9 Cm, Icd 10, Medical Records, Revenue Cycle, Medicare.

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