Lana "Leigh" Remington
Zebulon,NC
Summary
Experienced medical coding educator and management professional with extensive expertise in coding practices and innovative training methodologies. Demonstrated success in communicating complex coding concepts while fostering a collaborative learning environment that enhances team performance and knowledge retention. Committed to developing cutting-edge training programs that empower healthcare professionals and elevate educational standards. Actively seeking a remote or hybrid role that prioritizes excellence in medical coding education, leveraging strong skills in curriculum development, instructional leadership, and staff training to drive impactful learning experiences.
Overview
25
25
years of professional experience
Work History
Education Manager
LogixHealth
Bedford, MA
05.2022 - 01.2026
- Developed and delivered comprehensive coder education and training programs to enhance skill sets. Provided ongoing support to offshore coders, ensuring quality and effective issue resolution. Maintained and updated training materials to reflect current best practices and industry standards. Created educational resources and presented findings to senior management, fostering a culture of continuous improvement.
HEDIS Field Reviewer
CSI Companies/Optum
Owasso, OK
01.2022 - 05.2022
- Conducted comprehensive HEDIS data reviews for TRC and PPC to ensure compliance with quality standards. Analyzed clinical records to identify gaps in care and recommend improvements. Participated in team meetings and ongoing training sessions for professional development purposes, staying current with industry best practices regarding HEDIS measurement standards.
Risk Adjustment Content Specialist - Full-time Remote
Ciox Health, Inc.
Alpharetta, Georgia
04.2021 - 12.2021
- Achieved successful onboarding of medical coders by effectively distributing login information for Okta, Find-A-Code, and HealthSource/Arch. Improved efficiency by assigning and monitoring work queues for new hires. Contributed to coder progress tracking, facilitating achievement of accuracy for permanent position eligibility. Optimized new hire training materials by organizing practice charts and keys in Smartsheet. Revitalized client training newsletters and highlight documents to enhance communication. Increased quality scores by providing targeted error trend analysis to coders. Delivered impactful training sessions via Zoom, Teams, and Articulate Storyline. Resolved coding supervisor inquiries to maintain workflow efficiency.
Sr. Instructional Designer - Full-time Remote
OptumInsight/UnitedHealthcare, Inc.
Brentwood, Tennessee
04.2019 - 04.2021
- Achieved high accuracy and completeness in training materials and practice sets for Anthem, a top client. Enhanced coder, auditor, and coder coach proficiency in ICD-10-CM and tamper guidelines. Conducted necessary client audits to maintain standards. Delivered effective group and individual training sessions via Webex, Zoom, or Teams. Generated key trend reviews for CMA bi-weekly tests, benefiting all Anthem coders and auditors. Improved coder coach performance through quarterly audits based on coder and auditor inquiries. Advanced knowledge of new and unique codes through targeted training in physician outpatient coding, inpatient hospital coding, ACA coding, and chart review. Fostered collaboration with US onshore coders while sharing resources on SharePoint for offshore global teams. Optimized code indexing and access to AHA coding clinics and ICD-10-CM guidelines using HCC Coder (Find-A-Code).
Risk Adjustment Quality Auditor/Coder Coach/Trainer - Full-time Remote
OptumInsight/UnitedHealthcare, Inc.
Brentwood, Tennessee
09.2014 - 04.2019
- Achieved high-quality results by collaborating with HCC coders and auditors to enhance client outcomes. Conducted thorough client audits and reviews to maintain standards. Delivered impactful weekly training sessions for groups and individuals via Webex and phone. Executed detailed audits of coder and auditor charts, focusing on unique risk adjustment data validation. Engaged with onshore coders and performed individual audits with offshore teams in Bangalore, Hyderabad, and Manila. Streamlined communication by managing an offshore mailbox for auditor inquiries. Enhanced support through a coder coach hotline and auditor hotline, providing six hours of daily assistance via Webex and phone. Successfully addressed up to 90 questions in four hours during new employee onboarding. Accessed AHA coding clinics using EncoderPro to support coding accuracy.
ED Coding Quality Assurance Specialist/Auditor – Full-time Remote
T-System, Inc.
Kansas City, Missouri
02.2013 - 07.2014
- Achieved improved coding accuracy through daily reviews and effective communication of results. Enhanced coder training via Webex, ensuring proficiency in new and existing accounts. Strengthened QA processes by conducting weekly reviews for coders below 95% accuracy, fostering continuous improvement.
Medicare Advantage HCC Contract Auditor – Full-time Remote
Ingenix/OptumInsight, Inc. (Aerotek, Inc.)
Franklin, Tennessee
07.2011 - 02.2013
- Achieved high-quality outcomes through meticulous chart reviews for high-risk Medicare HCC, RXHCC, COI, PCE, HEDIS, and HQPAF, ensuring accurate medical coding documentation. Improved review accuracy by auditing previous assessments and implementing corrective measures. Enhanced team efficiency by training coders on common errors, resulting in reduced mistakes. Facilitated timely chart management and reporting to leadership, contributing to operational excellence.
ED Contract Coder/Part-time ED Contract Auditor – Part-time Remote
Clinical Coding Solutions, Inc. (Now T-System, Inc.)
Kansas City, Missouri
10.2011 - 09.2012
- Achieved accurate coding and auditing of emergency department visits for two hospitals, improving compliance and accuracy. Enhanced coding and auditing of facility length of stay for infusion/injections and physician procedures, optimizing evaluation and management and diagnosis coding. Facilitated efficient daily import and export of patient charts, contributing to improved data management.
HCC Coding Review Consultant / Over-Reader / Auditor – Full-time Remote
MedAssurant, Inc.
Bowie, Maryland
08.2008 - 07.2011
- Achieved high-quality outcomes in Medicare HCC CRG and RXHCC chart reviews by accurately identifying and documenting medical coding. Enhanced review processes through thorough audits of prior work, ensuring completeness and precision. Contributed to productivity and accuracy across special projects. Streamlined chart management and reporting to leadership on a daily basis.
Billing Integrity Program Compliance Officer / BIP Coordinator
Physician Support Services, Inc. (P.S.S.I., Inc.)
Tulsa, Oklahoma
10.2004 - 08.2008
- Achieved efficient outpatient coding for Omni Medical Group clinics in Tulsa and surrounding areas through accurate application of ICD-9, CPT-4, and HCPCS codes. Enhanced productivity monitoring by developing Excel spreadsheets and graphs in collaboration with the Billing Integrity Program (BIP) manager. Streamlined daily operations and supported CEU audio conferences. Maintained oversight of coding staff through weekly supervision and during manager's absence, ensuring operational effectiveness. Successfully managed all responsibilities in the absence of the manager for two months, facilitating a smooth transition. Optimized use of electronic medical records with Cerner and Practice Partner applications. Delivered comprehensive analysis and reporting on no charge and physician delay no charge reports for administration. Proactively updated coding systems within Practice Partner to reflect annual changes. Fostered communication with physicians to align on new EMR templates and documentation requirements for evaluation and management levels.
Project Coordinator / Executive Director Assistant / PSSI Financial Analyst
Physician Support Services, Inc. (P.S.S.I., Inc.)
Tulsa, Oklahoma
11.2000 - 10.2004
- Assist Executive Director and Executive Management team with reporting and Financial Analysis of organizational activity. Responsible for all aspects of OMNI HMO Specialty payment reporting and modified MFM Financials. Acts as resource and assists in problem solving for PSSI Management team as needed. Performs Financial/Production Analyses, Operational Budget preparations for PSSI group companies (PSSI, OMNI and MFM). Provider Compensation /Incentive Analyses. Maintain effective open communication within the management team, staff, physicians, and patients.
Education
Certified Risk Adjustment Coder license -
AAPC
01.2017
High School Diploma -
Gainesville, FloridaICD-10-CM Anatomy/Pathophysiology Training -
AAPC And Optum
Certified Professional Coder courses - undefined
AAPC
01.2005
Skills
- With over 20 years of experience in medical coding and auditing, I specialize in developing and delivering high-quality training programs tailored for coders and auditors in the healthcare industry I lead initiatives to enhance coding education and proficiency, leveraging my expertise in medical coding guidelines, and training design
- My mission is to empower professionals with the skills and knowledge needed to excel in coding accuracy and compliance As a CPC and CRC-certified educator, I am committed to fostering team success and supporting organizational goals through effective instructional design and collaboration
- Knowledgeable in ICD-10, ICD-9, CPT and HCPCS codes Proficient in Physician Outpatient coding, Emergency Department, Medicare Risk Adjustment HCC, RxHCC, CRG, COI, PCE, HEDIS, HQPAF, PAF(IOA), ACA, RADV and anatomy and medical terminology experience
- Very efficient in using Microsoft Office software, including Microsoft Word, Microsoft Excel, PowerPoint, Publisher and SharePoint Efficient in Articulate Storyline to create interactive course material Electronic Medical Records expertise in Epic, HPF, MedHost, Powerchart, Citrix, Cerner, Practice Partner and many other EMRs
- I am very detail oriented, a quick learner, computer literate and multi-task oriented Work well as individual and also in a team I obtained my CPC through AAPC in 2007 I obtained my CRC in 2017 I am looking for a role where I can utilize my skills and training knowledge
Timeline
Education Manager
LogixHealth
05.2022 - 01.2026
HEDIS Field Reviewer
CSI Companies/Optum
01.2022 - 05.2022
Risk Adjustment Content Specialist - Full-time Remote
Ciox Health, Inc.
04.2021 - 12.2021
Sr. Instructional Designer - Full-time Remote
OptumInsight/UnitedHealthcare, Inc.
04.2019 - 04.2021
Risk Adjustment Quality Auditor/Coder Coach/Trainer - Full-time Remote
OptumInsight/UnitedHealthcare, Inc.
09.2014 - 04.2019
ED Coding Quality Assurance Specialist/Auditor – Full-time Remote
T-System, Inc.
02.2013 - 07.2014
ED Contract Coder/Part-time ED Contract Auditor – Part-time Remote
Clinical Coding Solutions, Inc. (Now T-System, Inc.)
10.2011 - 09.2012
Medicare Advantage HCC Contract Auditor – Full-time Remote
Ingenix/OptumInsight, Inc. (Aerotek, Inc.)
07.2011 - 02.2013
HCC Coding Review Consultant / Over-Reader / Auditor – Full-time Remote
MedAssurant, Inc.
08.2008 - 07.2011
Billing Integrity Program Compliance Officer / BIP Coordinator
Physician Support Services, Inc. (P.S.S.I., Inc.)
10.2004 - 08.2008
Project Coordinator / Executive Director Assistant / PSSI Financial Analyst
Physician Support Services, Inc. (P.S.S.I., Inc.)
11.2000 - 10.2004
Certified Professional Coder courses - undefined
AAPC
Certified Risk Adjustment Coder license -
AAPC
High School Diploma -
ICD-10-CM Anatomy/Pathophysiology Training -
AAPC And Optum