Ingrid Millington
NV
Summary
Dynamic and results-oriented healthcare compliance professional with extensive experience in Medicare Advantage programs, risk adjustment, and coding compliance. Proven expertise in developing and implementing compliance programs, conducting audits, and mitigating regulatory risks. Seeking a leadership role where I can drive organizational adherence to healthcare laws and regulations, ensure ethical practices, and foster a culture of compliance across all operational levels.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Associate Director of Coding and Compliance
Optum-UHC
01.2019 - Current
- Lead and manage comprehensive healthcare compliance and coding initiatives, ensuring alignment with federal regulations and CMS standards
- Directed a team of 21 FTEs, including coding managers and auditors, focusing on the implementation of coding compliance strategies and operational excellence
- Developed compliance programs that utilized AI logic for optimizing coding selections and data visualization tools, ensuring accurate and compliant documentation practices
- Spearheaded the creation of auto-generated queries, enhancing compliance with coding and clinical guidelines across multiple departments
- Conducted high-level compliance audits, identifying gaps, risks, and areas for improvement, and implemented corrective actions to mitigate regulatory violations
- Developed and enforced healthcare compliance policies and procedures, ensuring adherence to state and federal regulations while collaborating with legal teams to report findings and recommend preventive measures
- Provided compliance training and education to cross-functional teams, medical practitioners, and senior leadership, ensuring a deep understanding of coding and clinical documentation regulations
- Recently completed HCCA Compliance Academy, reinforcing my commitment to staying current with healthcare regulatory requirements.
Manager of Coding and Compliance
OptumCare-UHC
01.2017 - 01.2019
- Directed coding audits and compliance oversight for quality assurance programs, ensuring compliance with Optum guidelines and federal healthcare regulations
- Led high-level compliance projects and audits to ensure consistent application of healthcare laws and internal policies
- Trained and mentored auditors on compliance regulations, coding guidelines, and best practices, fostering a culture of compliance within the organization.
Manager HCC Programs
Davita Healthcare Partners
06.2013 - 01.2017
- Managed HCC program expansion, ensuring compliance with CMS risk adjustment guidelines and Medicare regulations
- Led initiatives to educate a network of 300 providers and staff on compliance and documentation integrity, aligning organizational practices with regulatory standards
- Collaborated with medical directors and operations teams to address compliance risks and improve performance in key compliance metrics.
Senior Coding Specialist
Davita Healthcare Partners
03.2013 - 06.2013
- Supported compliance efforts by conducting clinical validation audits and ensuring adherence to CMS guidelines for risk adjustment
- Developed and implemented policies that ensured the organization's compliance with federal and state healthcare regulations.
Coding Specialist II
Davita Healthcare Partners
01.2013 - 06.2013
- Conducted compliance audits focused on Risk Adjustment Data Validation (RADV) and educated providers on documentation improvements, ensuring regulatory compliance with CMS.
Medicaid Risk Adjustment Chart Reviewer
UnitedHealthcare
01.2009 - 01.2012
- Performed chart reviews and audits for Medicaid risk adjustment, ensuring compliance with federal and CMS Medicaid guidelines
- Coordinated documentation submissions, resolving compliance issues with providers and ensuring adherence to regulatory requirements.
Health Information Management Specialist
United Healthcare Group
01.2004 - 01.2009
- Ensured compliance with Medicaid Risk Adjustment programs, educating providers on CMS regulations and fostering a compliance-driven environment.
Education
MBA - Master Healthcare Management
Western Governors University
12.2025
Registered Health Information Technician (RHIT) -
Devry
Las Vegas, NV01.2011
Bachelor of Arts in Archival Science -
Uni-Rio
12.2003
Skills
Project Management
Strategic leadership
Analytical Thinking
Coaching and Mentoring
Relationship Building
Decision-Making
Team Collaboration and Leadership
Operations Management
Certification
- RHIT
- AHIMA Approved ICD-10 CM/PCS Trainer and Ambassador
Affiliations
- Healthcare Compliance Association (HCCA)
- American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
Timeline
Associate Director of Coding and Compliance
Optum-UHC
01.2019 - Current
Manager of Coding and Compliance
OptumCare-UHC
01.2017 - 01.2019
Manager HCC Programs
Davita Healthcare Partners
06.2013 - 01.2017
Senior Coding Specialist
Davita Healthcare Partners
03.2013 - 06.2013
Coding Specialist II
Davita Healthcare Partners
01.2013 - 06.2013
Medicaid Risk Adjustment Chart Reviewer
UnitedHealthcare
01.2009 - 01.2012
Health Information Management Specialist
United Healthcare Group
01.2004 - 01.2009
MBA - Master Healthcare Management
Western Governors University
Registered Health Information Technician (RHIT) -
Devry
Bachelor of Arts in Archival Science -
Uni-Rio
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