Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Published Articles
Affiliations
Volunteer Experience
Timeline
Generic

Jennifer Smith, RMA, CPC, CRC

Holiday,Florida

Summary

Certified Risk Adjustment Coding Specialist with over 8 years experience in healthcare and a 2+ year strong background in outpatient coding and revenue cycle management. Proficient in conducting pre-visit, concurrent, and post-visit CDI audit reviews to ensure accurate documentation and coding, consistently maintaining accuracy above 95% and surpassing goals. Skilled in identifying and addressing gaps in documentation to enhance accuracy and compliance, collaborating closely with providers. Dedicated to value-based care initiatives, adept at improving documentation to capture Hierarchical Condition Categories (HCCs) for improved patient outcomes. Knowledgeable in CMS guidelines, HIPAA compliance, and revenue processes, contributing to optimization and efficiency in revenue cycle management. Experienced in utilizing Epic, eClinicalWorks, and Meditech EHR systems. Possess strong interpersonal skills for effective communication with providers, providing provider education via query, and colleagues through all collaboration, including peer-to-peer counseling, training, and mentorship.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Pro Fee Medical Coder - Primary Care

KODE Health
05.2024 - Current
  • Extract information and assigning accurate codes in CPT, ICD-10-CM, and HCPCS coding, for professional Primary Care office visits, ensuring adherence to guidelines and standards.

Risk Adjustment Coding Accuracy Specialist

Lumeris Healthcare
09.2023 - Current


  • Conduct pre-visit plans, concurrent reviews, and post-visit audits to ensure accurate documentation and coding, while maintaining accuracy above 95% and surpassing goals.
  • Proactively query providers to educate and improve documentation resulting in accurate capture of Hierarchical Condition Categories (HCCs) for enhanced patient outcomes.
  • Foster strong partnerships with providers and clinical/administrative staff to align with Clinical Documentation Improvement program goals and achieve Risk Adjustment strategic objectives.
  • Keep up-to-date with the latest industry knowledge and best practices by participating in professional meetings, seminars, and continuing education events.
  • Collaborate seamlessly with internal teams to ensure the successful accomplishment of client and project-specific goals.

Medical Coding Specialist

Sherloq Revenue Solutions
09.2022 - 09.2023
  • Resolved outpatient hospital facility and clinic coding denials for multiple specialties, ensuring compliance with payer policies and CMS guidelines.

Insurance Verification Specialist, Revenue Cycle

CCS Medical
08.2020 - 04.2022
  • Conducted thorough insurance benefit verifications, ensuring accurate documentation and reimbursement.

Chronic Care Management Coordinator

HealthXL, LLC
02.2019 - 05.2020
  • Managed chronic care patients, conducted health status assessments, and coordinated preventive health services.

Patient Relations Specialist

Women’s Care Florida
12.2017 - 10.2018
  • Provided administrative support, scheduled appointments, and verified insurance coverage.

Medical Assistant

Office of Hans Langschwager, MD
11.2016 - 10.2017
  • Performed all clinical and administrative duties, including patient intake, vitals, and EMR management.

Education

Diploma - Medical Billing & Coding

Ultimate Medical Academy - Tampa
Tampa
02.2021

Diploma - Medical Assisting

Ultimate Medical Academy - Clearwater
Clearwater, FL
02.2017

Skills

  • Risk Adjustment Coding (HCC)
  • Clinical Documentation Improvement (CDI)
  • Value-Based Care Model
  • Medical Coding (CPT, ICD-10-CM, HCPCS)
  • Revenue Cycle Management
  • CMS Guidelines and HIPAA Regulations
  • Querying Providers for Clarification and Education
  • Auditing for Accuracy and Specificity Per Coding Guidelines

Accomplishments

  • 2024 AAPC Emerging Leaders Program - Chosen to participate as one of the select few AAPC member applicants in the esteemed pilot leadership cohort led and taught by industry leaders and experts, Expected Completion-Spring 2025

  • 2024 President of the AAPC Clearwater, FL - Increased member engagement and meeting attendance by 750% to date over the previous year.

Certification

  • CRC - Certified Risk Adjustment Coder
  • CPC - Certified Professional Coder
  • RMA - Registered Medical Assistant

Published Articles

Unlocking the Power of Accurate Documentation: Optimizing Value-Based Care through Pre-Visit Planning, 2/6/2024

https://www.linkedin.com/pulse/elevating-healthcare-value-collaborative-role-risk-jenniferrzglc/?trackingId=sBkx3WrBTAqH%2B8ZUsT5uGg%3D%3D


Navigating the Path: Tips for New Medical Coders in a Dynamic Healthcare Landscape, 12/20/23

https://www.linkedin.com/pulse/navigating-path-tips-new-medical-coders-dynamic-smith-rma-cpc-crc-wvtae/?trackingId=EEX2J0F7RyiMtdCfvJgG0Q%3D%3D

Affiliations

  • American Academy of Professional Coders (AAPC) - #01781898
  • American Medical Technologists (AMT) - #2813846

Volunteer Experience

President, AAPC Clearwater, Florida Local Chapter, 2024


Hospitality | Greeter | Counter | Child Care,  New Hope Church Palm Harbor, October 2019 - Present 


Crochet/Knitter Volunteer, Awesome Breastforms, August 2019 - Present

As a dedicated volunteer, I create free crochet and knit breast forms for lumpectomy and mastectomy patients. By providing comfort and support to those going through challenging times, I strive to make a meaningful difference in their lives.

 


Timeline

Pro Fee Medical Coder - Primary Care

KODE Health
05.2024 - Current

Risk Adjustment Coding Accuracy Specialist

Lumeris Healthcare
09.2023 - Current

Medical Coding Specialist

Sherloq Revenue Solutions
09.2022 - 09.2023

Insurance Verification Specialist, Revenue Cycle

CCS Medical
08.2020 - 04.2022

Chronic Care Management Coordinator

HealthXL, LLC
02.2019 - 05.2020

Patient Relations Specialist

Women’s Care Florida
12.2017 - 10.2018

Medical Assistant

Office of Hans Langschwager, MD
11.2016 - 10.2017

Diploma - Medical Billing & Coding

Ultimate Medical Academy - Tampa

Diploma - Medical Assisting

Ultimate Medical Academy - Clearwater
  • CRC - Certified Risk Adjustment Coder
  • CPC - Certified Professional Coder
  • RMA - Registered Medical Assistant
Jennifer Smith, RMA, CPC, CRC