Debra Smith
Holden,MA
Summary
Dedicated healthcare professional with extensive experience in risk adjustment and patient care. Skilled in analyzing coding practices and improving compliance, while fostering collaboration among healthcare teams to enhance patient documentation and outcomes.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Risk Adjustment Specialist
Reliant Medical Group
Worcester, MA
01.2014 - Current
- Monitored regulatory changes to adapt risk adjustment strategies, ensuring compliance and effectiveness.
- Analyzed coding practices to ensure compliance with regulations.
- Reviewed patient records to ensure accuracy of risk adjustment data, enhancing data integrity.
- Maintained knowledge of current industry standards related to risk adjustment coding and reimbursement.
- Collaborated with healthcare teams to improve patient documentation quality.
- Educated staff on risk adjustment processes and guidelines.
LPN Office Nurse
Reliant Medical Group
Holden, MA
09.2008 - 01.2014
- Monitored vital signs daily while providing direct patient care.
- Administered prescribed medications and initiated intravenous fluids, documenting times and amounts.
- Assisted physicians with examinations and medical procedures, improving patient care workflow.
- Administered vaccinations to patients against communicable diseases, supporting community health initiatives.
- Prepared and administered vaccines and controlled substances while maintaining instrument sterilization standards.
- Recorded patient information accurately in electronic medical records system.
- Answered telephones promptly while scheduling patient appointments courteously.
Education
LPN - Nursing
Assabet Valley Regional Technical School
Marlboro, MASkills
- Risk adjustment coding
- Quality assurance
- Data analysis and reporting
- Risk adjustment strategies
- Patient record review
- Patient documentation
- Proficient in Epic for Reliant Medical Group and Atrius HealthCare
- Experience with Microsoft Word, Excel, and some Power Point
Certification
LPN License MA
Timeline
Risk Adjustment Specialist
Reliant Medical Group
01.2014 - Current
LPN Office Nurse
Reliant Medical Group
09.2008 - 01.2014
LPN - Nursing
Assabet Valley Regional Technical School