Jennifer Ordner
Temple,TX
Summary
Dynamic healthcare professional with extensive experience at Baylor Scott & White, excelling in HCC validation and clinical documentation. Proven ability to enhance RAF scores through effective provider education and meticulous coding. Skilled in Microsoft Office and known for strong interpersonal communication, fostering teamwork and driving compliance with ICD-10-CM guidelines.
Overview
18
18
years of professional experience
Work History
Patient Records Abstractor III
University of California San Diego
10.2024 - Current
- Review inpatient and outpatient medical records to determine if the diagnoses listed on the claim are supported.
- Query providers for clarification on discrepancies and missed opportunities.
Provider Educator, HCC Coder
VillageMD
01.2021 - 10.2024
- Review medical records and validate HCC’s
- Query providers for supporting documentation
- Educate providers in person/virtual, create material by using PowerPoint or adobe
- Track and manage, and develop ways to improve our physicians RAF scores, oversee yearly RADV audits
- Ensure compliance with current ICD-10 CM Guidelines, AHIMA’s Coding Clinic, and Optum Coding Guidelines
- Learning the new V28 model
Risk Adjustment Auditor, ED Coder, Surgery/Anesthesia Coder
Baylor Scott & White
Temple, TX
06.2007 - 12.2020
- Audit clinical documentation for HCC/ICD-10-CM coding to identify coding opportunities and deficiencies
- Audited 20 DOS per one physician, educating physicians on correct ICD-10-CM codes for higher RAF scores
- Maintain knowledge of HCC and ICD-10-CM coding/documentation updates through participating in educational sessions for the HCC coding team and researching diagnoses
- Coded E/M levels and ICD-9-CM & ICD-10-CM codes for level 1 trauma center
- Coded Facility charges such as: Infusions and Injections, Labs and Radiology, supply charges
- Analyze medical chart for proper anesthesia billing codes
Supervisor Risk Adjustment
Kelsey-Seybold Clinic
07.2018 - 05.2019
- Oversee 12 Risk Adjustment coders
- Evaluated employee performance through periodic reviews and documented results accordingly.
- Trained new employees on company policies and procedures.
- Participated in recruitment efforts by interviewing prospective candidates for open positions.
- Meeting with coders on weekly basis to review overall work environment
- Answer coding questions
- Perform a third level review of Medicare Advantage charts for a Targeted Review Project where I validate already captured V24HCCs and code any missing Suspect V24 HCCs in addition to V23, and RxHCC based on provider documentation using ICD-10 Coding Guidelines
- Participated in HEDIS medical review
- Participated in a RADV Audit
Education
AAPC CRC -
AAPC
10.2018
AAPC CEDC -
AAPC
10.2012
AAPC CPC -
AAPC
02.2010
Skills
- Proficient in Microsoft Office (Word, Excel, and PowerPoint)
- Good interpersonal communication
- Customer service
- Attention to detail
- Skilled at multi-tasking
- Experience with Athena
- Experience with Risk Acuity
- Experience with EPIC
- Experience with 3M Encoder
- Experience with OPTUM Encoder
- Understanding of medical terminology
- ICD-10-CM
- CPT
- HCPCS
- Medical coding
- ICD-10 coding
- HCC validation
- Clinical documentation
- Provider education
- Team leadership
- Problem solving
Timeline
Patient Records Abstractor III
University of California San Diego
10.2024 - Current
Provider Educator, HCC Coder
VillageMD
01.2021 - 10.2024
Supervisor Risk Adjustment
Kelsey-Seybold Clinic
07.2018 - 05.2019
Risk Adjustment Auditor, ED Coder, Surgery/Anesthesia Coder
Baylor Scott & White
06.2007 - 12.2020
AAPC CRC -
AAPC
AAPC CEDC -
AAPC
AAPC CPC -
AAPC
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