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.
References
References available upon request.
Timeline
Senior Risk Adjustment Auditor, CPC, CPMA
Bakersfield Family Medical Center
02.2008 - Current
High School Diploma -
Stockdale High School
- 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).
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