Angela Pommarane
Gold Beach
Summary
Experienced Senior Coding & Compliance Specialist with over 20 years' experience managing data collection and analysis and regulatory compliance. Proven track record of ability to adapt quickly to technological changes and learn new software programs. Known for being approachable and easy to work with. Ability to work independently with little or no supervision by organizing workload with company priorities. Confident, committed, and able to manage multiple priorities under pressure and on deadline. Highly knowledgeable with ability to problem solve quickly. Medicare and commercial payor knowledgeable.
Overview
19
19
years of professional experience
Work History
Coding Auditor
Signify Health
03.2024 - 09.2024
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Followed established auditing processes to meet internal and regulatory requirements.
- Adapted plans and schedules to meet changing priorities of work objectives, resources and workload demands.
- Maintained up-to-date knowledge of industry regulations and standards, ensuring audit practices remained compliant.
- Constantly maintained production and percentage requirements.
Risk Adjustment Coding Specialist
Family Care Network
09.2018 - 12.2023
- Reviewed medical records to identify, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
- Audited provider documentation of CPT and ICD-10 codes to ensure adherence with coding and CMS risk adjustment guidelines
- Evaluated HCC audit processes and provided analysis and recommendations to improve overall provider documentation and coding
- Led ongoing ICD-10 training for providers and site team members
- Member of process and quality improvement initiatives team
- Wrote and implemented policies and procedures to streamline departmental access standards
Senior Coding & Compliance Specialist
Family Care Network
03.2014 - 09.2018
- Responsible for all initial new provider orientations and provider audits
- Provided continuing education to Physicians on coding and documentation
- HCC chart reviews for contracted Medicare Advantage Plans
- Wrote policies and procedures for the billing and coding department to stay compliant with Medicare
- ICD-10 Certified Professional coder, ICD-10 EMR diagnosis conversion team member and ICD-10 training team member
Clinic Representative
Family Care Network
06.2008 - 03.2014
Patient Account Services Representative
Family Care Network
12.2005 - 06.2008
Skills
- ICD-10 Certified
- NCCIEdits
- 3M Encoder
Timeline
Coding Auditor
Signify Health
03.2024 - 09.2024
Risk Adjustment Coding Specialist
Family Care Network
09.2018 - 12.2023
Senior Coding & Compliance Specialist
Family Care Network
03.2014 - 09.2018
Clinic Representative
Family Care Network
06.2008 - 03.2014
Patient Account Services Representative
Family Care Network
12.2005 - 06.2008
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