Microsoft Excel
LeAnn Goedeken
Risk Adjustment Coder
Columbus, NE,NE
Summary
Medical Record Specialist with over 9 years of experience optimizing revenue and audit accuracy through analytical medical coding systems (ICD10 and HCC Models) and risk adjustment. Proficient in enhancing documentation quality and compliance, fostering teamwork with multidisciplinary teams to achieve clinical excellence. Committed to advancing data thoroughness and healthcare decision-making by implementing innovative documentation strategies and solutions.
Developed critical skills in accurate medical coding and data analysis in fast-paced healthcare environment. Proven ability to interpret complex medical records and ensure compliance with coding standards. Seeking to transition into new field where these analytical and organizational skills can drive efficiency and quality outcomes.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
10
10
years of professional experience
4
4
Certificates
Work History
Risk Adjustment Coder | HCC
Amergis Healthcare
09.2021 - Current
- Validate HCC codes and documentation, achieving 96% accuracy in medical record audits
- Safeguard patient data confidentiality while meeting production goals in chart audits
- Fostered teamwork by mentoring coders and facilitating peer reviews, enhancing coding accuracy and team productivity
- Conducted meticulous audits of clinical documentation, safeguarding data integrity and confidentiality in line with HIPAA regulations
- Promoted to 1 of 5 Lead positions out of 200 fellow chart reviewers by demonstrating the ability to lead
- Ensure documentation aligns with accurate code assignment and follow CMS’s coding guidelines for HCC risk adjustment coding
- Conduct in-depth reviews of clinical records, identifying areas for improvement and ensuring alignment with healthcare regulations
- Analyze medical records, NLP technology results, validate HCC, and ensure the clinical evidence meets the requirements for submission and documentation
- Foster teamwork with medical staff to refine documentation processes, promoting a culture of compliance and continuous improvement
- Implement strategic initiatives to elevate clinical documentation quality, achieving significant improvements in audit performance
- Develop and execute creative solutions for documentation challenges, driving advancements in data accuracy and healthcare decision-making
- Lead initiatives to transform coding practices, persuading stakeholders to adopt best practices and achieve measurable compliance gains
- Optimize HCC validation processes, enhancing compliance and data integrity while ensuring patient confidentiality through strategic audits
- Coordinate with healthcare teams to refine coding accuracy, fostering an environment of continuous improvement, implement feedback, and compliance excellence
- Skills: Medical Terminology, HCC, ICD10, Electronic Health Records, Key Metrics, Quality Reporting, Record Abstraction, NLP technology, Curation of Codes, Electronic Health Records systems, Associates in Science
Treatment Coordinator
Nebraska Oral & Facial Surgery
09.2023 - 03.2024
- Coordinate patient schedules, enhancing clinic efficiency and patient satisfaction
- Facilitate communication with patients and referring offices, ensuring seamless information flow
- Provide accurate cost estimates, improving patient financial planning and clinic revenue
- Manage doctor’s schedule, optimizing appointment slots and reducing wait times
- Greet patients warmly, fostering a welcoming and supportive clinic environment
- Skills: Medical Records, Continuous Quality Improvement, Clinical Knowledge, Patient Health Information, Electronic Health Records systems, EPIC
Clinical Documentation Improvement Specialist | Risk Adjustment | HCC Coder
CIOX Health & Centauri Health Solutions
02.2021 - 10.2021
- Reviewed clinical documentation for accurate HCC code assignment, ensuring compliance
- Assigned codes for HCC projects, achieving high precision in code capture
- Conducted audits on coding work, maintaining a quality accuracy rate of 94%
- Supported team in meeting production goals of 3-4 charts per hour efficiently
- Led comprehensive audits of coding accuracy, enhancing compliance with Risk Adjustment policies and improving overall team performance
- Streamlined coding processes for HCC projects, boosting productivity and ensuring timely completion of coding assignments
- Fostered teamwork by supporting coders in achieving high-quality standards, contributing to a cohesive and efficient work environment
- Ensured meticulous code assignment and documentation review, maintaining high accuracy levels while adhering to coding guidelines
- Provided constructive feedback to peers, facilitating skill development and promoting a culture of continuous improvement in coding accuracy
- Optimized data management systems, increasing coders' efficiency and reducing error rates, enhancing team productivity and workflow
- Skills: Medical Records, Electronic Health Records systems, Medical Terminology, HCC, ICD10, Electronic Health Records, Key Metrics, Quality Reporting, Record Abstraction, NLP technology, Curation of Codes, Electronic Health Records systems
Senior Medical Coder | Clinical Documentation Improvement Specialist
Insight Global for UHG | Optum
08.2015 - 02.2021
- Reviewed clinical documentation, ensuring accurate diagnosis coding and adherence to guidelines
- Achieved 94-96% quality accuracy while exceeding production goals of 3-4 charts per hour
- Conducted audits and provided feedback, enhancing team performance and coding accuracy
- Participated in conference calls, offering insights and fostering collaborative problem-solving
- Supported fellow coders in meeting targets, contributing to a high-performing team environment
- Skills: Medical Records, Electronic Health Records systems, Medical Terminology, HCC, ICD10, Electronic Health Records, Key Metrics, Quality Reporting, Record Abstraction, NLP technology, Curation of Codes, Electronic Health Records systems
Education
Associate of Science - Health Information Management
College of St. Mary
Omaha, NESkills
Electronic Health Records
Certification
Certified Professional Biller (CPB), 01422749
Accomplishments
Promoted to Lead Coder from a group of over 200 coders. Mentored team of 20 - 30 fellow coders, encouraging and educating them in whatever areas needed.
Consistently met or exceeded production of 3 - 4 charts per hour and quality requirements of 95%.
Affiliations
American Health Information Management
American Academy of Professional Coders
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeWork Location
RemoteImportant To Me
Flexible work hoursHealthcare benefitsWork from home option401k matchTeam Building / Company RetreatsSoftware
Microsoft word
Outlook
TEAMS
Electronic Health Records
Electronic Medical Records
Timeline
Treatment Coordinator
Nebraska Oral & Facial Surgery
09.2023 - 03.2024
Risk Adjustment Coder | HCC
Amergis Healthcare
09.2021 - Current
Clinical Documentation Improvement Specialist | Risk Adjustment | HCC Coder
CIOX Health & Centauri Health Solutions
02.2021 - 10.2021
Senior Medical Coder | Clinical Documentation Improvement Specialist
Insight Global for UHG | Optum
08.2015 - 02.2021
Associate of Science - Health Information Management
College of St. Mary
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