Rhonda Fernandez
Chiefland
Summary
HEALTHCARE PROFESSIONAL I am seeking the position of Health Care Professional in a firm where I am able to make use of my sound expertise and multiple years of experience in healthcare administration, analyzing business strategies, functions, policy settings, documentation adherence, process improvements and medical-staff recruitment for the advancement of the company.
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
22
22
years of professional experience
Work History
Consultative Coder
MCCI/Conviva/Centerwell Primary Care
12.2016 - 03.2026
- Analyzed coding trends to identify areas for process improvement and accuracy enhancement.
- Resolved coding discrepancies by communicating with providers and administrative staff.
- Maintained up-to-date knowledge of industry standards and coding guidelines for accuracy.
- Reviewed medical records for coding accuracy and compliance with regulations.
- Collaborated with healthcare teams to clarify documentation and coding requirements.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
Owner – Auditor/Consultant
MEDICAL RECORD AUDITING, INC
01.2009 - 01.2016
- Managed comprehensive auditing processes for medical records and documentation.
- Coordinated with healthcare providers to resolve discrepancies in medical records.
- Implemented new technologies to enhance auditing efficiency and accuracy.
- Collaborated with external auditors during compliance evaluations and assessments.
- Supervised performance of workers with goals of improving productivity, efficiency and cost savings.
Compliance Coder/Auditor
NATIONAL PAIN INSTITUTE
01.2012 - 01.2014
- Collaborated with healthcare professionals to ensure proper documentation practices.
- Reviewed coding guidelines to maintain up-to-date knowledge of industry standards.
- Conducted audits of coded data to identify discrepancies and improve quality.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
Medicare Risk Adjustment Manager
VISTA HEALTH PLAN
01.2004 - 01.2009
- Assisted in implementing a new Medicare Risk Adjustment department in an established health plan.
- Trained staff on CMS guidelines for Risk Adjustment.
- Reviewed coders work to ensure accuracy.
- Trained staff on newly implemented HEDIS measures.
- Performed annual reviews for staff, conducted all initial interviews for department.
Education
Biochemistry
Lee University
Cleveland, TNSkills
- Medical coding
- EMR implementation
- Risk adjustment
- Data analysis
- Compliance auditing
- Revenue cycle management
- Training development
- Report generation
- Process improvement
- Quality assurance
- Effective communication
- Problem solving
- Oral and written communications
Training
2017, ION Health Risk Adjustment Training
Timeline
Consultative Coder
MCCI/Conviva/Centerwell Primary Care
12.2016 - 03.2026
Compliance Coder/Auditor
NATIONAL PAIN INSTITUTE
01.2012 - 01.2014
Owner – Auditor/Consultant
MEDICAL RECORD AUDITING, INC
01.2009 - 01.2016
Medicare Risk Adjustment Manager
VISTA HEALTH PLAN
01.2004 - 01.2009
Biochemistry
Lee University