Ashley Lynch
Bakersfield,CA
Summary
Seasoned career-focused Auditor and Coder. Adds value to any organization in need of great collaboration, strong work ethic and multitasking abilities. Detail-oriented Auditor with well-established knowledge of HCC Risk Adjustment and coding guidelines.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Risk Adjustment Auditor, CPC, CPMA
Bakersfield Family Medical Center
Bakersfield, CA
02.2008 - Current
- Audit provider documentation and code ICD-10CM to validate documentation performed to ensure proper reimbursement.
- Perform code abstraction from electronic medical records to ensure ICD-10CM HCC Risk Adjustment codes are accurately assigned and supported by clinical documentation.
- Review medical charts for potential HCC diagnoses. ie, diagnostics, labs, medication lists, hospital discharge notes, and specialty notes.
- Review medical records to ensure documentation accurately reflects and supports code selection based on the established ICD-10CM coding guidelines.
- Query providers for potential HCC diagnoses and for corrections to ensure all appropriate diagnoses are properly documented.
- Interact effectively and efficiently with providers on HCC and coding documentation questions and concerns.
- Determine appropriate Evaluation and Management levels,CPT-4, and HCPCS codes for Internal Medicine, Family Practice, Urgent Care, Injections and Infusions, Pediatrics, Podiatry, Infectious disease, and Outpatient Hospital.
- Assist in training and monitoring new hires.
Education
High School Diploma -
Stockdale High School
Bakersfield, CA06-2002
Skills
- Certified Professional Coder
- Certified Professional Medical Auditor
- Clinical Documentation
- Critical thinking
- Attention to Detail
- Teamwork and Collaboration
- Adaptability and Flexibility
- Nextgen EHR system
- Microsoft Word, Excel, and Outlook
Certification
- CPC cert in January 2010. Independent study course through AAPC (American Academy of Professional Coders).
- CPMA cert in 2012. Independent study course through NAMAS (National Alliance of Medical Accreditation Services).
Additional past experience
- Patient receptionist - January 2006- February 2008, for Bakersfield Family Medical Center. Experience with patient registration, insurance eligibility, medical records, and customer service.
- Store Manager - March 2005 - April 2006 at Planet Smoothie Cafe Bakersfield Ca. Responsible for hiring new employees, maintained staff schedules, arranged store advertising, coordinated store associated fundraisers, placed and received orders for store products.
- General Merchandiser - June 2002- March 2005 at Ralph's Grocery store. Courtesy clerk, bakery department, shipping, receiving, night crew stocking.
Timeline
Senior Risk Adjustment Auditor, CPC, CPMA
Bakersfield Family Medical Center
02.2008 - Current
High School Diploma -
Stockdale High School