Sharonda Collins

• Enhance patient care by developing and implementing comprehensive care plans.
• Review and document in patient EHR
• RPM/CCM
• Improve communication among healthcare providers, streamlining the coordination of services for patients.
• Assess patient needs and connect them with appropriate resources to ensure optimal health outcomes.
• Manage patient caseloads effectively, ensuring timely follow-up and appropriate interventions.

• Coordinated Medicaid/HMO services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
• Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
• Developed and implemented safety plans for clients at risk of harm to provide protection.
• Collaborated with an interdisciplinary team to determine timely delivery of services.
• Developed and implemented comprehensive case management plans to address client needs and goals.

To determine the appropriateness of patient charges and Charge Description Master (CDM) assigned HCPCS/CPTs by reviewing the medical record, facility protocol and other applicable documentation

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analyzes and resolves billing edits that are holding patient claims from billing by reviewing medical records and other applicable documentation

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Makes necessary adjustments to patient account charges based on regulatory and payor guidelines

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Determine the appropriateness of patient charges by verifying billing data for accuracy and completeness and by following regulatory requirements to resolve edits or exceptions

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Apply modifiers when appropriate or make necessary adjustments to patient account charges and/or balances

• Enhance patient care by developing and implementing comprehensive care plans.
• Review and document in patient EHR
• RPM/CCM
• Improve communication among healthcare providers, streamlining the coordination of services for patients.
• Assess patient needs and connect them with appropriate resources to ensure optimal health outcomes.
• Manage patient caseloads effectively, ensuring timely follow-up and appropriate interventions.