Lashornda Hughes
Villa Rica
Summary
Detail-oriented Coder with extensive on job training. Seeking to work in a competitive and challenging environment where I can establish growth and gain new skills.
Experienced with medical coding and risk adjustment, ensuring precise and compliant coding practices. Utilizes advanced knowledge of medical terminology and coding software to enhance accuracy and efficiency. Track record of fostering teamwork and delivering consistent, high-quality results.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
CSI Companies/Optum
Jacksonville, FL
02.2022 - Current
- Contracted with Optum worked several projects UHC Medicaid, Medicare, ACA, Aetna and Audit Validation project following HCC guidelines
- Conducted comprehensive risk adjustment coding to enhance accuracy of patient data.
- Collaborated with clinical teams to ensure adherence to compliance standards and guidelines.
- Consistently maintain 95% accuracy, meet productivity requirements on projects
- Knowledge of Medical Terminology, Anatomy and Physiology
- Accurately assign diagnosis codes to outpatient records
- Maintain current knowledge of ICD-10-CM
- Conducted regular audits to ensure compliance with applicable laws and regulations related to risk adjustment coding.
ROI Specialist / Supervisor
MRO Corporation
Philadelphia, PA
11.2013 - 01.2022
- Supervised health information release operations, ensuring compliance with HIPAA and state regulations.
- Trained and directed staff, improving accuracy and workflow efficiency.
- Managed legal and payer requests, ensuring timely and accurate information release.
- Worked hands on with Legal Department for court documents
- Answered 40-50 calls for request, enter data in Epic
Certified Nursing Assistant
Louisiana Continuing Care
Harvey, LA
02.2007 - 11.2013
- Assisted patients with personal hygiene tasks, such as bathing and dressing, while maintaining respect for patient privacy and dignity.
- Chart vital signs, I+O every four hours
- Check for physical and emotional signs to report to charge nurse
- Reposition bedridden patients to prevent bedsores
- Completed daily documentation and charts regarding patient care and input reports into practice databases.
Education
Associate of Science - Health Information Management
Delgado Community College
LA12-2014
Skills
- Healthcare compliance and HIPPA
- Skilled in Epic and Cerner EMR Systems
- Self-motivation and discipline
- Strong work ethics
- Microsoft Office, Excel PowerPoint
- Analytical thinking
- Great Communication skills
- Customer service
- ICD-10 proficiency
Certification
Registered Health Information Technician
Timeline
Risk Adjustment Coder
CSI Companies/Optum
02.2022 - Current
ROI Specialist / Supervisor
MRO Corporation
11.2013 - 01.2022
Certified Nursing Assistant
Louisiana Continuing Care
02.2007 - 11.2013
Associate of Science - Health Information Management
Delgado Community College