DeAnna Janse Van Rensburg
Casselberry,FL
Summary
Proven leader in coding with over 15 years of experience in risk coding and 21 years total experience as a medical coder. Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
21
21
years of professional experience
Work History
Medicare Risk Adjustment Coder, CPC, CRC
Orlando Health
2015.06 - Current
- Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Contributed to ongoing process improvements within the department by identifying inefficiencies or inconsistencies in current workflows and suggesting practical solutions.
- Increased overall team performance through active participation in weekly meetings with peers and sharing expertise with colleagues as needed.
- Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
- Facilitated clear communication and education between healthcare providers and physician office staff, bridging gaps in understanding and promoting accurate documentation practices.
- Assists in the development and distribution of coding and documentation improvement educational materials. Provides articles for quarterly coding newsletter.
- Supported the onboarding of new team members by providing mentorship and training as they learned the intricacies of risk adjustment coding.
- Mitigated potential financial loss due to improper code assignments by staying informed on payer-specific requirements and trends in risk adjustment methodology.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Works with Managed Medicare Programs and Accountable Care Organization Programs.
- Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented. Processes supplemental claims if necessary.
- Performs concurrent and prospective reviews and retro reviews.
- Generated reports to identify coding trends and discrepancies.
- Hybrid work schedule. Remote and in office.
Lead Hospital Physician Surgical Coder, CPC
Orlando Health
2014.06 - 2015.06
- Specialties included OB/GYN, Orthopedics, Podiatry, and Pediatric Gastroenterology. Hospital Consultation E/M levels. Worked AR denials. Mentored new coders on the team. Charge entry for surgical charges and consultations. Was able to meet every monthly deadline of having all charges entered by month's end.
Medicare Risk Adjustment Analyst, CPC
Physician United Plan
2012.08 - 2014.06
- Lead Coder responsible for all aspects of MRA coding with retrospective and prospective review.
- Project Manager for 5000 PUP members chart reviews.
- Worked closely with physicians for documentation improvement and education. Assigned group of physicians to initiate and complete chart reviews.
- HEDIS certified and HEDIS auditor
- RAPS file auditor
- Remote position with some travel
Critical Care Physician Coder, CPC
Orlando Health
2011.01 - 2012.08
- In patient and Out Patient coding for high volume Critical Care department with focus on Pulmonary Division.
- Coding also for Trauma, Internal Medicine, and Pediatrics.
- Responsible for assigned group of physicians to complete daily chart review.
- Education specialist for improved physician documentation with weekly meetings with senior physician staff members to help maintain monthly financial goals.
- Charge entry of billed services.
Auditor Medicare Risk Adjustment, CPC
Peak Health Solutions-contract Position
2010.10 - 2011.01
- Provided detailed documentation on audit findings to individual MRA coders and project managers.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of audit process.
- Ensured compliance with regulatory requirements by performing regular audits and staying up to date on industry standards.
- Entered audit findings into their software program.
- Had weekly meetings to streamline audit process and devise innovative ways to improve education for MRA coders
- Remote position
Medicare Risk Adjustment Analyst, CPC
Physician Partners of Greater Orlando
2007.07 - 2009.03
- Senior Analyst responsible for all aspects of MRA coding
- Responsible for maintaining master spreadsheet with scheduled chart reviews and work completion. Provided resolutions for any difficult office scheduling.
- Interfaced with IT on monthly basis for membership changes and claims updates.
- Provided physician education with detailed examples and solutions for improvement
- HEDIS certified and HEDIS auditor
- Remote with local travel
Medical Coder, CPC
Advanced Dermatology and Cosmetic Surgery
2003.06 - 2007.06
- Reviewed, analyzed, and managed diagnosis coding and CPT coding contained in the outpatient medical records from high volume offices while meeting deadlines for claim submissions.
- Collaborated with physicians to obtain any missing documentation, improving claim approval rates. Reviewed any claim denials.
- Charge entry of daily charges.
- Provided one on one physician education
- In charge of training new hire coders.
Education
Applied Technology Diploma Medical Record Coder - HIM
Seminole State College of Florida
Sanford, FL05.2003
Skills
- Medical Coding Expertise
- ICD-10 Proficiency
- Teamwork and Collaboration
- Training and Mentoring Abilities
Affiliations
- American Academy of Professional Coders
Timeline
Medicare Risk Adjustment Coder, CPC, CRC
Orlando Health
2015.06 - Current
Lead Hospital Physician Surgical Coder, CPC
Orlando Health
2014.06 - 2015.06
Medicare Risk Adjustment Analyst, CPC
Physician United Plan
2012.08 - 2014.06
Critical Care Physician Coder, CPC
Orlando Health
2011.01 - 2012.08
Auditor Medicare Risk Adjustment, CPC
Peak Health Solutions-contract Position
2010.10 - 2011.01
Medicare Risk Adjustment Analyst, CPC
Physician Partners of Greater Orlando
2007.07 - 2009.03
Medical Coder, CPC
Advanced Dermatology and Cosmetic Surgery
2003.06 - 2007.06
Applied Technology Diploma Medical Record Coder - HIM
Seminole State College of Florida
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