Richelle Adkins
Richmond,Texas
Summary
HCC Coding and Quality Assurance Assistant with expertise in ensuring coding accuracy and compliance. Proficient in adapting to evolving coding guidelines and procedures. Strong collaborative skills and ability to learn quickly in dynamic environments.
Overview
12
12
years of professional experience
Work History
HCC Coding and Quality Assurance Assistant
Kelsey Seybold
Pearland, TX
04.2022 - Current
- Capture prospective HCC codes for Medicare Advantage and Commercial Plans in compliance with CMS, AHA Coding Clinic, and Official Coding Guidelines.
- Review outpatient medical records to ensure accurate HCC diagnosis coding and documentation integrity for the following specialties: Family/Internal Medicine, Cardiology, Pulmonology, Neurology, Urology, Rheumatology, Hematology/Oncology.
- Validate diagnoses using MEAT criteria to maintain high standards of coding accuracy.
- Identify suspected, undocumented or under-documented conditions, submitting clarifications when necessary.
- Achieve productivity and accuracy standards consistently during coding tasks.
- HEDIS experience, including fracture and hypertension reviews.
Billing Intern
Kay's Billing
Sugarland, TX
11.2021 - 04.2022
- Processed billing information in internal software systems to ensure accurate invoicing.
- Assisted in reconciling client accounts and resolving discrepancies to maintain financial accuracy.
Licensed Physical Therapist Assistant
Weston Group
01.2021 - 04.2022
- Provided physical therapy treatment to geriatric patients, adhering to treatment plans across skilled nursing, assisted living, rehabilitation hospitals, and home settings to enhance patient recovery and well-being
- Documented therapy sessions and coded medical records, ensuring accurate assignment of CPT codes to reflect skilled treatment and comply with coding guidelines, facilitating effective patient care tracking
- Reviewed and summarized medical records to understand each patient’s diagnoses
- Maintained productivity standards by coordinating with patients and managing tasks, ensuring over 85 percent of office time was dedicated to billable activities to support operational efficiency
Licensed Physical Therapist Assistant
Synergy Care, Inc.
01.2017 - 01.2020
- Educated patients on exercises and techniques to enhance rehabilitation outcomes.
- Monitored patient progress and adjusted therapies to optimize recovery.
- Documented patient responses to interventions accurately and timely.
- Trained new staff on therapeutic practices and safety protocols to ensure quality care.
- Recorded detailed patient notes in electronic health records for accurate tracking.
Licensed Physical Therapist Assistant
Premier Staffing/Memorial Hermann
01.2016 - 01.2017
Licensed Physical Therapist Assistant
HealthPRO Rehabilitation
01.2014 - 01.2016
Education
CRC, Certified Risk Adjustment Coder
AAPC
01-2024
CPB , Certified Professional Biller
AAPC
01-2022
CPC, Certified Professional Coder
AAPC
01-2021
Associate of Applied Science - Physical Therapist Assistant
Wharton County Junior College
Wharton, Texas05-2014
Skills
- ICD-10-CM
- HCPCS
- CPT
- Medical terminology
- Anatomy and physiology
- Coding Guidelines
- HIPAA policies
- Compliance
- Medicare Advantage
- Microsoft Office Suite
- EPIC
- HEDIS
- Apixio/Datavant projects
- Medical record review
- Coding accuracy
- Quality improvement processes
- Effective communication
- Time management
- Problem solving
- Team collaboration
Work Preference
Salary Range
$65000/yr - $200000/yrTimeline
HCC Coding and Quality Assurance Assistant
Kelsey Seybold
04.2022 - Current
Billing Intern
Kay's Billing
11.2021 - 04.2022
Licensed Physical Therapist Assistant
Weston Group
01.2021 - 04.2022
Licensed Physical Therapist Assistant
Synergy Care, Inc.
01.2017 - 01.2020
Licensed Physical Therapist Assistant
Premier Staffing/Memorial Hermann
01.2016 - 01.2017
Licensed Physical Therapist Assistant
HealthPRO Rehabilitation
01.2014 - 01.2016
CRC, Certified Risk Adjustment Coder
AAPC
CPB , Certified Professional Biller
AAPC
CPC, Certified Professional Coder
AAPC
Associate of Applied Science - Physical Therapist Assistant
Wharton County Junior College