LaShornda Hughes
Gretna,LA
Summary
Efficient Risk Adjustment Coder known for high productivity and ability to complete tasks swiftly without compromising accuracy. Possess specialized skills in medical coding standards, healthcare compliance, and data analysis. Excel in critical thinking, problem-solving, and communication, ensuring clarity and efficiency in all coding processes.
Overview
23
23
years of professional experience
Work History
Risk Adjustment Coder
CSI Companies
7720 Bay Meadows RD E, FL
02.2023 - Current
- Reviewed medical records to identify and code diagnoses in accordance with ICD-10 guidelines.
- Attended seminars and webinars regularly in order to stay up-to-date on latest industry trends.
- Interpreted payer contracts as they relate to risk adjustment activities such as DRG assignment or payment methodology.
- Compiled and coded patient data using standard classification systems.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Completed multiple coding projects, applying ICD-10 codes for risk adjustment while adhering to HIPAA laws and regulations.
- Maintained current knowledge of changes related to ICD-10, CPT and HCPCS codes, modifiers, CMS regulations.
- Documented risk adjustment codes into electronic health record systems, ensuring accuracy of data entry.
Certified Nursing Assistant
Maxim Healthcare
Denver, CO
02.2022 - 12.2022
- Traveled to various homes to assist with activities of daily living (ADL) and medication management.
- Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Measured and recorded food and liquid intake and output, reporting changes to medical or nursing staff.
ROI Specialist/Supervisor
MRO Corporation
1000 Madison Ave , Suite 100, PA
11.2013 - 01.2022
- Ensured compliance with all federal and state regulations for information release.
- Processed and scanned health records to ensure accurate and timely documentation.
- Processed legal and subpoena requests promptly and accurately.
- Directed workflow among employees to ensure maximum productivity.
- Conducted productivity and performance reviews to ensure optimal team efficiency.
- Trained all staff on new procedures to ensure consistent implementation.
- Ordered charts from off-site locations to process older requests efficiently.
Certified Nursing Assistant
Louisiana Continuing Care Hospital
Harvey, LA
02.2007 - 11.2013
- Monitored and recorded vital signs, ensuring accurate and timely documentation.
- Assisted patients with daily hygiene, including bathing and linen changes.
- Distributed drinking water and nourishment to residents.
- Looked for physical, emotional, and symptomatic changes in patient condition and obtained necessary care for medical concerns.
- Answered patient call signals and signal lights to determine patients' needs.
- Served meals to patients in their rooms and assisted with feeding when needed.
- Assisted nurses with wound care for pressure ulcers, bed sores and surgical site wounds.
- Turned and repositioned bedridden patients to prevent bedsores.
Certified Nursing Assistant
Medi lend Nursing Service
New Orleans, Louisiana
06.2002 - 02.2005
- Monitored and recorded patients' vital signs to ensure accurate and timely documentation.
- Provided daily care to patients in their homes, ensuring comfort and well-being.
- Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
- Participated in educational programs related to nursing assistant skills development.
- Reminded patients to take prescribed medications or nutritional supplements.
Education
Associate of Science - Health Information Management
Delgado Community College
New Orleans, LA12-2014
Skills
- Ethical conduct standards
- Medical terminology mastery
- Leadership qualities
- Risk adjustment principles
- Proficient in ICD-10-CM/PCS
- Electronic health records management
- Understanding of Epic Software
Timeline
Risk Adjustment Coder
CSI Companies
02.2023 - Current
Certified Nursing Assistant
Maxim Healthcare
02.2022 - 12.2022
ROI Specialist/Supervisor
MRO Corporation
11.2013 - 01.2022
Certified Nursing Assistant
Louisiana Continuing Care Hospital
02.2007 - 11.2013
Certified Nursing Assistant
Medi lend Nursing Service
06.2002 - 02.2005
Associate of Science - Health Information Management
Delgado Community College
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