Amanda Makin
Rhome,USA
Summary
Experienced with patient care management, clinical consultation, and regulatory compliance. Utilizes strategic planning to enhance healthcare delivery and patient outcomes. Knowledge of effective communication and clinical process improvement ensures high standards of care.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Sr. Clinical Coding Nurse Consultant
UHC/WellMed
08.2022 - Current
- Lead initiatives, create business plans, and develop tools to improve HCC Ratio, HCC Covered Ratio, and overall risk adjustment metrics.
- Deliver clinical guidance and education to providers and staff on Risk Adjustment, documentation, and coding best practices.
- Interpret risk adjustment reports (HCC Ratio, Disagree/Resolution rates) and use data to strategize market improvements.
- Develop operational frameworks, simplify processes, and automate tasks for better efficiency in Risk Adjustment.
- Work with market leadership, coding analysts, and cross-functional teams to implement enterprise goals.
- Ensure accuracy in coding highly complex clinical information from medical records for risk adjustment purposes.
Executive Director, RN
Klarus Home Health and Hospice
12.2020 - 08.2022
- Achieved compliance with state and federal regulations through diligent monitoring.
- Educated patients and families on managing complex chronic disease processes effectively.
- Facilitated employee performance evaluations, implementing discipline when necessary.
- Coordinated weekly employee schedules to optimize operational efficiency and service delivery.
- Recruited skilled individuals, building a passionate and talented healthcare team.
- Generated quality assurance reports to uphold health, safety, and legal standards.
Clinical Director, RN
Asana Hospice & Palliative Care
01.2017 - 06.2020
- Ensured accurate ICD-10 coding by analyzing medical record information.
- Led interdisciplinary teams to enhance patient care and treatment outcomes.
- Conducted comprehensive assessments addressing clinical, social, and financial needs.
- Managed budgeting and resource allocation to optimize operational efficiency.
- Monitored compliance with policies per state and federal regulations.
- Educated patients and families on chronic disease management and resources.
RN Case Manager
Hospice Community Care of Texas
03.2016 - 12.2016
- Enhanced patient care quality through interdisciplinary team collaboration and effective communication.
- Oversaw comprehensive care coordination among assigned caseload of healthcare professionals.
- Executed physicians' orders while coordinating care with primary care physicians.
- Facilitated problem-solving initiatives through solution-oriented teamwork and collaboration.
- Applied assessment and intervention skills to optimize patient quality of life.
- Conducted recertifications, admissions, and managed wound care and vital sign monitoring.
RN Case Manager
Holy Savior Hospice
03.2015 - 03.2016
- Enhanced patient quality of life through chronic disease management education.
- Collaborated with interdisciplinary teams to improve patient care outcomes.
- Oversaw multidisciplinary care team including LVNs, Chaplains, and Social Workers.
- Utilized assessment skills to maximize care quality for assigned patients.
- Conducted recertifications, admissions, and medication reconciliations effectively.
LVN
Grace Hospice
10.2012 - 01.2015
- Enhanced patient quality of life through effective care and interventions.
- Educated patients and families on health management and treatment options.
- Provided emotional support, addressing patient and family needs for reassurance.
- Documented patient care goals, interventions, and outcomes for quality assurance.
- Facilitated communication with Interdisciplinary Team to ensure coordinated patient care.
Education
Associate of Science - Nursing
Allegany College of Maryland
Cumberland, MDSkills
- Financial budget management
- Complying with regulatory guidelines
- Operational improvement
- Management of chronic diseases
- Skilled in Microsoft Office
- Proficient in electronic medical records
- ICD-10-CM/PCS, CPT, HCPCS Level II
- CMS Guidelines
- Risk Adjustment (HCCs)
- Provider Education
- Client case management
- Interprofessional collaboration
Certification
Certified Professional Coder (CPC)
Hospice Administrator Certification, inactive
Honors And Recognition
- Alpha Delta Nu
- Florence Nightingale Award
Timeline
Sr. Clinical Coding Nurse Consultant
UHC/WellMed
08.2022 - Current
Executive Director, RN
Klarus Home Health and Hospice
12.2020 - 08.2022
Clinical Director, RN
Asana Hospice & Palliative Care
01.2017 - 06.2020
RN Case Manager
Hospice Community Care of Texas
03.2016 - 12.2016
RN Case Manager
Holy Savior Hospice
03.2015 - 03.2016
LVN
Grace Hospice
10.2012 - 01.2015
Associate of Science - Nursing
Allegany College of Maryland