Amanda Ruth
Fork
Summary
Dynamic HCC Risk Adjustment Coder with proven expertise at Cigna/HCSC, excelling in ICD-10 coding and compliance. Recognized for leadership and self-motivation, I enhance documentation accuracy and support quality improvement initiatives. Proficient in multiple EMR systems, I drive efficiency in coding processes while ensuring adherence to HIPAA regulations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
HCC Risk Adjustment Coder
Cigna/HCSC
04.2015 - Current
Responsible for the review and coding Inpatient/Outpatient records for the purpose of reinbursement, research and compliance with federal regulations according to diagnosis, operation and procedure on a concurrent basis. I only capture HCC ICD-10 codes.
Assist with HEDIS measures, code CMCRs along with special projects.
Monitor compliance and accuracy of physician documentation and report back to external team concerning errors.
Maintain current knowledge of medical service coding and guidelines
Assist in the continuous quality improvement process to identify coding needs and assure timeliness of encounter completion.
HCC Risk Adjustment Coder
Health Management Solutions Inc.
03.2013 - 03.2015
I worked at first as a trainee and this is the company that helped me get my CCS AHIMA certification.
I coded Inpatient/Outpatient medical records only capturing HCC codes.
Education
Certified Coding Specialist
AHIMA
Fairmont, WV 07-2013
Licensed Property & Casualty Insurance Agent
Nationwide
06-2003
Associate of Science - Nursing
Fairmont State University
Fairmont, WV 05-2002
Skills
- Self-motivation and discipline
- ICD-10 proficiency
- Leadership qualities
- HIPAA compliance
- HCC
- Medical Transcriptionist of ESL doctors
- Excel
- Numerous EMR systems: Arcadia/Attest, OSCR, Appx, Episource, Hattiesburg, Vanderbilt, Novant and Lumeris
Certification
- CCS - Certified Coding Specialist
Timeline
HCC Risk Adjustment Coder
Cigna/HCSC
04.2015 - Current
HCC Risk Adjustment Coder
Health Management Solutions Inc.
03.2013 - 03.2015
Certified Coding Specialist
AHIMA
Licensed Property & Casualty Insurance Agent
Nationwide
Associate of Science - Nursing
Fairmont State University
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