JoAnnEdwards
Guest
- Messages
- 2
- Best answers
- 0
Resume
JOANN THOMAS, COC (01183196)
2122 Hwy 47 E, Dickson TN 37055 I C: 615-330-1655 I jthomas1869@gmail.com
SUMMARY
Experienced and professional HCC (Hierarchical Condition Category) remote coder for CMS Risk Adjustment.
HIGHLIGHTS
· Certified AAPC COC Facility Outpatient Coder
· Certificate of completion AAPC Medical Terminology and Anatomy
· Ensure HCC and Non HCC code accuracy
· Utilize MEAT criteria to ensure supporting documentation for all HCC and Non HCC codes indicated
· Proficient in Microsoft Office, EPass, SharePoint, Lumeris
EXPERIENCE
04/2014 to 03/02/20 Remote HCC Medical Coder
Complex Care Solutions/Inovalon – Nashville, TN
· Maintain 95% or higher on monthly coding audits
· Meet productivity-average per month
· Experience in EMR and AHA (Annual Health Assessment) coding
· Complete Clinical Resource (Provider) audits in a production environment
· Perform monthly IRR for HCC coding and CR audits
· Participate on weekly coding conference calls, additional training, Clinical Resource
education, etc.
03/2011 to 04/2014 Behavioral Health Case Specialist
Amerigroup Community Care – Nashville, TN
· Resolved claim issues via reviewing claims, authorizations, CPT, HCPCs and ICD 9 codes
· Reduced liquidated damages for the state by adhering to state contractual requirement
(Contractor Risk Agreement) pertaining to Utilization Management.
· Improved Quality Improvement through increased HEDIS measures and NCQA
re-accreditation
07/1999 to 03/2011 Executive Administrative Assistant
· Administrative Support to Executive Teams-COO and CCO
· Main Responsibilities: Calendar schedule, travel arrangements, expense reports, meeting
preparation in and out of the office, various reports, and all other duties as assigned
EDUCATION
2012 Certified Professional Coder (ICD 9 and ICD 10): Outpatient
AAPC – Salt Lake City, UT
· Maintain 36 CEUs per certification requirement
2011 Bachelors of Science: Healthcare Management Services
Bellevue University – Bellevue, NE
· Dean’s List
1994 Associates of Applied Science: Administrative Office Technology
Fayetteville Technical Community College – Fayetteville, NC
LEADERSHIP
2015 Vice President, AAPC Local Chapter
Dickson, TN
JOANN THOMAS, COC (01183196)
2122 Hwy 47 E, Dickson TN 37055 I C: 615-330-1655 I jthomas1869@gmail.com
SUMMARY
Experienced and professional HCC (Hierarchical Condition Category) remote coder for CMS Risk Adjustment.
HIGHLIGHTS
· Certified AAPC COC Facility Outpatient Coder
· Certificate of completion AAPC Medical Terminology and Anatomy
· Ensure HCC and Non HCC code accuracy
· Utilize MEAT criteria to ensure supporting documentation for all HCC and Non HCC codes indicated
· Proficient in Microsoft Office, EPass, SharePoint, Lumeris
EXPERIENCE
04/2014 to 03/02/20 Remote HCC Medical Coder
Complex Care Solutions/Inovalon – Nashville, TN
· Maintain 95% or higher on monthly coding audits
· Meet productivity-average per month
· Experience in EMR and AHA (Annual Health Assessment) coding
· Complete Clinical Resource (Provider) audits in a production environment
· Perform monthly IRR for HCC coding and CR audits
· Participate on weekly coding conference calls, additional training, Clinical Resource
education, etc.
03/2011 to 04/2014 Behavioral Health Case Specialist
Amerigroup Community Care – Nashville, TN
· Resolved claim issues via reviewing claims, authorizations, CPT, HCPCs and ICD 9 codes
· Reduced liquidated damages for the state by adhering to state contractual requirement
(Contractor Risk Agreement) pertaining to Utilization Management.
· Improved Quality Improvement through increased HEDIS measures and NCQA
re-accreditation
07/1999 to 03/2011 Executive Administrative Assistant
· Administrative Support to Executive Teams-COO and CCO
· Main Responsibilities: Calendar schedule, travel arrangements, expense reports, meeting
preparation in and out of the office, various reports, and all other duties as assigned
EDUCATION
2012 Certified Professional Coder (ICD 9 and ICD 10): Outpatient
AAPC – Salt Lake City, UT
· Maintain 36 CEUs per certification requirement
2011 Bachelors of Science: Healthcare Management Services
Bellevue University – Bellevue, NE
· Dean’s List
1994 Associates of Applied Science: Administrative Office Technology
Fayetteville Technical Community College – Fayetteville, NC
LEADERSHIP
2015 Vice President, AAPC Local Chapter
Dickson, TN