CHERRYANN TRAYLER
Summary
Licensed Practical Nurse Lead Risk Adjustment Coder at Diagnostic Medical Clinic, adept in ICD-10 proficiency and demonstrating a self-motivation discipline. Excelled in maximizing reimbursement potential through accurate HCC coding, achieving coder productivity above benchmarks. Proven track record in HIPAA compliance and continuous learning, enhancing revenue cycle management and patient care outcomes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
LICENSED PRATICAL NURSE LEAD RISK ADJUSTMENT CODER
Diagnostic Medical Clinic
05.2013 - Current
- Prospective and Retrospective HCC coding of Medicare Advantage plan members and commercial
- Submission of attestations to Medicare Advantage Plans
- Reviews patient chart for HCC diagnosis codes based on prior documentation not addressed for current year
- Reviews specific clinical findings, labs, radiology, pathology, outside specialty records in support of possible new HCCs to query physician
- Audit medical records to ensure all assigned correct HCC ICD-10 codes are accurate and are supported by provider documentation for submission to Medicare Advantage plan
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential
- Achieved levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates
- Clear understanding of Risk adjustment guidelines
- Utilizes CMS Medicare|Commercial Maps, ICD-10 coding book, Encoder, and Coding clinic
- Communicated effectively with supervisor, coworkers, and providers, by email, chat and telephone.
LICENSED PRACTICAL NURSE
Abundant Home Health Care
07.2012 - 05.2013
- Licensed nurse duties assigned to home health locations on an as needed basis.
Education
Associate of Science - Licensed Practical Nurse
Pinellas Technical Education Center
St. Petersburg, FL01.2008
Skills
- Self-motivation and discipline
- Deadline Oriented Approach
- Continuous Learning Attitude
- ICD-10 Proficiency
- HIPAA Compliance
- Excel/Word/EMR/Outlook
Certification
CERTIFIED MEDICAL CODER
CERTIFIED RISK CODER
Timeline
LICENSED PRATICAL NURSE LEAD RISK ADJUSTMENT CODER
Diagnostic Medical Clinic
05.2013 - Current
LICENSED PRACTICAL NURSE
Abundant Home Health Care
07.2012 - 05.2013
Associate of Science - Licensed Practical Nurse
Pinellas Technical Education Center
CERTIFIED MEDICAL CODER
CERTIFIED RISK CODER
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