Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
Generic

Christina Harris

Macon,GA

Summary

Talented Instructor effectively facilitates learning for students of all ages by providing engaging, relevant instruction. Adapts teaching methods and instructional materials based on varying needs, abilities and interests of students. Proficient in crafting lesson plans with clear objectives easily communicated to students.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Program Manager Risk Adjustment

Agilon Health
09.2023 - Current
  • Engages with Providers and their office staff on risk adjustment
  • This includes creating and sharing actionable data with them and driving performance
  • Engagement can be a combination of remote support (email and telephonic) and traveling to the practices to engage in person
  • Is the subject matter expert for risk adjustment topics and fields questions from the providers and their office staff related to risk adjustment.
  • Managed and supervised administrative and daily program operations, complying with policies and regulations.
  • Established strong relationships with key stakeholders, ensuring support for program initiatives.
  • Developed strategic plans, setting clear objectives and achievable milestones for the team.

Virtual Instructor

AAPC
02.2023 - Current
  • Facilitate online curriculum through the Black Board platform for core and specialty credentials
  • Monitor and measure student participation, attendance, and completion of assignments and assessments
  • Respond to student queries and provide relevant and timely feedback
  • Participate in faculty meetings and contribute to process improvement efforts.
  • Promoted a positive learning environment by establishing clear expectations and maintaining consistent classroom management techniques.
  • Tracked student progress, frequently checking in with struggling students and identifying root causes of problems.
  • Participated in professional development opportunities to stay current on educational trends and enhance teaching effectiveness.
  • Increased student participation via engaging lectures and assignments.

Medicaid Risk Adjustment Provider Educator Lead

Denova Healthcare
05.2023 - 09.2023
  • Performs concurrent review of provider documentation, diagnoses and charge codes for patients assigned to providers or sites to ensure proper ICD-10, CPT, CPTII, HCPCS, and modifiers are applied.
  • Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10 HCC diagnosis codes.
  • Reviews additional chart details and documentation as necessary to ensure proper diagnosis codes are applied, including reviewing orders, pathology, radiology, labs, and other test results.
  • Knowledge of how to identify unreported conditions and instruct providers how to readdress open chronic conditions.
  • Responsible for building positive relationships with assigned Physicians and serve as a contact for any questions or concerns that may arise.
  • Identifying/extracting any additional documented HCC diagnosis not coded by provider for reviewed encounter.
  • Assists billing office staff with claims denials and corrections for re-billing purposes as needed.
  • Conducts training sessions for physicians on relevant topics or updates, such as documentation guidelines, Medicare/Medicaid regulations, and documentation and coding requirements for HCC/risk adjustment.

Client Service Liaison

Tabula Rasa (Capstone)
02.2022 - 04.2023
  • Completes quarterly assessments for assigned panel with input from all Capstone departments
  • Develops and strengthens CareVention client relationships in a defined assignment panel
  • Responsible for ensuring customer satisfaction by resolving issues quickly and creatively.

Medicare & ACO Risk Adjustment Provider Educator

Wellcare
02.2019 - 01.2022
  • Chart audits reviews for Medicare Advantage patients
  • Provide provider education on chronic conditions and coding guidelines to keep them in compliance with CMS & ICD 10 Guidelines
  • Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and improve quality of care.

Remote HCC Audit Coder Lead

Himagines Solutions
10.2018 - 02.2019
  • Perform audits for CMS RADV Submission
  • Review submitted medical records from other coders to identify correct diagnoses submitted.

Remote HCC Coder (contract)

Optum Healthcare
07.2015 - 02.2019
  • Reviewed submitted medical records to identify ICD 10 codes for correct assignment and reporting
  • Perform chart audits for Medicare, Medicaid & ACO risk adjustment.

HCC Coder II

Fresenius
07.2018 - 09.2018
  • Perform coding quality assurance review of medical records to ensure the proper capture of HCC conditions and perform effective Risk Adjustment Data Validation (RADV) audits.

Medical Billing and Coding Instructor

Virginia College
05.2013 - 12.2015
  • Developed the syllabus for each course assigned based on ACICS and department criteria
  • Taught the depth and scope of class materials as outlined in the syllabus and catalog.

Education

Associate of Science -

Bohecker College
Westerville, OH
02.2010

Skills

  • Strong Communication Skills
  • Public Speaking
  • Understanding of learning styles
  • Curriculum Development
  • Expertise in subject matter
  • Group and individual instruction
  • Continuous professional development
  • Classroom Management
  • Online Teaching Experience
  • Team Collaboration

Certification

  • CPCO- Certified Professional Compliance Officer
  • CPMA- Certified Professional Medical Auditor
  • CDEO- Certified Documentation Expert Outpatient
  • CRC- Certified Risk Adjustment Coder
  • CPB- Certified Professional Biller
  • CEMC- Certified Evaluation and Management Coder
  • CPC- Certified Professional Coder
  • CPC-I- AAPC Approved Instructor



Personal Information

AAPC Macon Chapter President 2022-2023

AAPC Macon Chapter Vice-President 2021-2022

Timeline

Program Manager Risk Adjustment

Agilon Health
09.2023 - Current

Medicaid Risk Adjustment Provider Educator Lead

Denova Healthcare
05.2023 - 09.2023

Virtual Instructor

AAPC
02.2023 - Current

Client Service Liaison

Tabula Rasa (Capstone)
02.2022 - 04.2023

Medicare & ACO Risk Adjustment Provider Educator

Wellcare
02.2019 - 01.2022

Remote HCC Audit Coder Lead

Himagines Solutions
10.2018 - 02.2019

HCC Coder II

Fresenius
07.2018 - 09.2018

Remote HCC Coder (contract)

Optum Healthcare
07.2015 - 02.2019

Medical Billing and Coding Instructor

Virginia College
05.2013 - 12.2015

Associate of Science -

Bohecker College
  • CPCO- Certified Professional Compliance Officer
  • CPMA- Certified Professional Medical Auditor
  • CDEO- Certified Documentation Expert Outpatient
  • CRC- Certified Risk Adjustment Coder
  • CPB- Certified Professional Biller
  • CEMC- Certified Evaluation and Management Coder
  • CPC- Certified Professional Coder
  • CPC-I- AAPC Approved Instructor



Christina Harris