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Alliance Coding Work Group, October 2019: Health Alliance Plan
Event Date: 10/10/2019
Event Overview
Thursday, October 10, 2019
1:00 p.m. CT – 2:30 p.m. CT (90 minutes)
Hosted by: Health Alliance Plan
This event is hosted in our ReadyTalk platform.
The Alliance Coding Work Group brings together individuals within Alliance member health plans, health systems or provider groups who have responsibility for coding, documentation or other activities related to RADV audits for Medicare Advantage and Commercial/Exchange products. Each call is hosted by a health plan that will share a selection of medical charts with the group for feedback on risk adjustment coding best practices.
The medical charts are shared at least two weeks in advance of each call. Participants should review the charts, complete the pre-work questions and come prepared to share how they would code each chart and supporting documentation source(s), if applicable.
Remaining time will be used for open discussion.
Audience
Certified coders and managers with responsibility for the oversight of coders, as well as plan staff with responsibility for physician training around accurate and specific documentation related to coding.
AAPC and AHIMA CEUs
CEUs are currently pending approval from AAPC and AHIMA.
AAPC: This event has been approved by the AAPC for 1.5 CEUs.
AHIMA: The program has been approved for 1.5 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
Sponsors
Ask your peers a question or share a resource anytime through the Alliance discussion forum
You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so you question is private and secure. When submitting a question, you can select which topics your question is related to, such as "risk adjustment" or "coding". Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.
Post a question | Learn more about the discussion forum
Upcoming risk adjustment/coding events
Sponsors
Attendees
Below is a list of all delegates registered to date for this event

- Lisa Alexander
- ALLIANCE MEMBER
- Point of Service Coding Analyst at Health Alliance Medical Plans

- Kieley Arakelian
- ALLIANCE MEMBER
- Director - Quality Management at University of Michigan Health Plan

- Amy Atkins
- ALLIANCE MEMBER
- Program Manager II, Quality Data Operations at Community Health Plan of Washington

- Julie Bartels
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Quartz Health Solutions

- Veronica Bickford CPC, CPMA, CRC
- ALLIANCE MEMBER
- Risk Adjustment Code Reviewer at Presbyterian Health Plan

- Kranthi Biragoni
- ALLIANCE MEMBER
- Coding Quality Auditor at Providence Health Plan

- Cassandra Blunck
- ALLIANCE MEMBER
- Clinical Transformation Educator Senior at Geisinger Health Plan

- Rosa Bolen
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at MediGold

- Pamela Bower
- ALLIANCE MEMBER
- Manager, Risk Adjustment at Presbyterian Health Plan

- Sibyl Boyd
- ALLIANCE MEMBER
- Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans

- DeeEl Brovetto
- ALLIANCE MEMBER
- Risk Adjustment Auditor II at Baylor Scott and White Health Plan

- Sarah Burke
- ALLIANCE MEMBER
- Lead Quality Auditor at Health First Health Plans

- Kristin Calkins
- ALLIANCE MEMBER
- SIU Investigator at Quartz Health Solutions

- Heidi Campbell
- ALLIANCE MEMBER
- OPCDI Specialist at Health Alliance Plan (HAP)

- Charniece Carter
- ALLIANCE MEMBER
- Risk Adjustment Operations Supervisor at Health First Health Plans

- Kayleigh Cavano
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor at MediGold

- Kelly Chan
- ALLIANCE MEMBER
- Supervisor, Risk Adjustment Coding at Presbyterian Health Plan

- Mai Chang
- ALLIANCE MEMBER
- Director, Quality and Process Improvement at Santa Clara Family Health Plan

- Jackie Chu Shing
- ALLIANCE MEMBER
- Risk Adustment Coding Auditor at Select Health

- Morgan Church
- ALLIANCE MEMBER
- Risk Adjustment Coding Supervisor at Select Health

- Tina Chyko
- ALLIANCE MEMBER
- Supervisor - Risk Adjustment at Geisinger Health Plan

- Jennifer Cones
- ALLIANCE MEMBER
- Manager, Outpatient CDI at Health Alliance Plan (HAP)

- Anna Cordon
- ALLIANCE MEMBER
- Manager of HEDIS Quality Operations at Health First Health Plans

- Deb Curry
- ALLIANCE MEMBER
- Mgr, Risk Adjustment Coding Quality & Operations at Medical Mutual

- Colleen Degenhardt
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions

- Crystal Djordjevic
- ALLIANCE MEMBER
- Point of Service Auditor/Educator at Health Alliance Medical Plans

- Rudy Dominguez
- ALLIANCE MEMBER
- Population Health Managment Process Specialist at Community Health Plan of Washington

- Michelle Dunning
- ALLIANCE MEMBER
- Configuration Coordinator at Presbyterian Health Plan

- Doris Ewing
- ALLIANCE MEMBER
- Coding Analyst at Health Alliance Medical Plans

- Jennifer Ferguson-Berringer
- ALLIANCE MEMBER
- Provider Education Coordinator at Henry Ford Health System

- Kristine Forrest
- ALLIANCE MEMBER
- Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)

- Lisa Garrett
- ALLIANCE MEMBER
- Director, Revenue Management at Sentara Health Plans

- Amber Harris
- ALLIANCE MEMBER
- Director Risk Adjustment at MediGold

- Jenny Hudson
- ALLIANCE MEMBER
- OP CDI SPECIALIST at Health Alliance Plan (HAP)

- Amy Jack
- ALLIANCE MEMBER
- Director of Risk Adjustment at Select Health

- Karen Jensen
- ALLIANCE MEMBER
- Manager, Risk Adjustment and SIU at Quartz Health Solutions

- Rita Johnson
- ALLIANCE MEMBER
- Coding Compliance Specialist / Educator at Presbyterian Health Plan

- Erin Kalagher
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at Health New England

- Shannon Kast
- ALLIANCE MEMBER
- PIU Analyst at Prominence Health Plan

- Kaesie Kettinger
- ALLIANCE MEMBER
- Senior Risk Adjustment Auditor at Medical Mutual

- Ashley Kim
- ALLIANCE MEMBER
- assistant compliance counsel at Central Health Plan of California

- Kaitlin Knapik
- ALLIANCE MEMBER
- Program Manager, Risk Adjustment at MediGold

- Kathy Koontz
- ALLIANCE MEMBER
- Risk Adjustment Auditor at Health First Health Plans

- Sarah Larence
- ALLIANCE MEMBER
- Benefit Configuration Sr. Analyst at Presbyterian Health Plan

- Anji Lefler
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor at Select Health

- Adam Letherby
- ALLIANCE MEMBER
- Quality CHA Supervisor at Health First Health Plans

- Melanie Lewis
- ALLIANCE MEMBER
- Risk Adjustment Coder at Health Alliance Plan (HAP)

- Rhonda Long
- ALLIANCE MEMBER
- Value Based Coding Educator at Health Alliance Medical Plans

- Stephanie Long
- ALLIANCE MEMBER
- Health Risk Coding & Education Specialist Lead at Health Alliance Plan (HAP)

- Kathy Mantell
- ALLIANCE MEMBER
- Configuration Analyst at SummaCare

- Glenda McClung
- ALLIANCE MEMBER
- Risk Adjustment Coder at Medical Mutual

- Sandra McCormack
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at MediGold

- Maria Menendez
- ALLIANCE MEMBER
- RN/CPC/CRC/CPMA -clinical reviewer at AvMed

- Tammy Miller
- ALLIANCE MEMBER
- Business Analyst at Baylor Scott and White Health Plan

- Julie Miller
- ALLIANCE MEMBER
- coding analyst at Health Alliance Medical Plans

- Meghan Miller
- ALLIANCE MEMBER
- Risk adjustment auditor at Baylor Scott and White Health Plan

- Jaquelynn Mokry
- ALLIANCE MEMBER
- Physician Compliance Auditor at Baylor Scott and White Health Plan

- Jade Moore
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at Medical Mutual

- Stephne Morgan
- ALLIANCE MEMBER
- Risk Adjustment Program Manager at Health New England

- Le'Audry Moultree
- ALLIANCE MEMBER
- Outpatient CDI Specialist at Health Alliance Plan (HAP)

- Deana Myers-Voyk
- ALLIANCE MEMBER
- Coding Auditor at SummaCare

- Cathy Nagy
- ALLIANCE MEMBER
- Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)

- Donna Norero
- ALLIANCE MEMBER
- Clinical Coding Reviewer at Presbyterian Health Plan

- Jaylene Olson
- ALLIANCE MEMBER
- Point of Service Coding Analyst at Health Alliance Medical Plans
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- MELISSA Orgitano
- ALLIANCE MEMBER
- CODER 4 at Geisinger Health Plan

- Michelle Osborne
- ALLIANCE MEMBER
- Outpatient Clinical Documentation Specialist at Health Alliance Plan (HAP)

- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans

- candi pegan-crawmer
- ALLIANCE MEMBER
- supervisor coding and auditing at MediGold

- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Select Health

- Jessica Phillips
- ALLIANCE MEMBER
- Quality Improvement Specialist at Health New England

- Sonia Pi Fane
- ALLIANCE MEMBER
- RN at AvMed

- Lisa Potter
- ALLIANCE MEMBER
- Risk Adjustment coder/ Educator/MA Abstract Analyst II at Health Alliance Plan (HAP)

- Alix Putnam
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor Supervisor at Select Health

- Kylie Rasmussen
- ALLIANCE MEMBER
- HCC Coding Analyst III at Select Health

- Viktoriya Rebrik
- ALLIANCE MEMBER
- Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington

- Monday Reynolds
- ALLIANCE MEMBER
- CRC at Santa Clara Family Health Plan

- Noreen Rhoades
- ALLIANCE MEMBER
- Program Integrity Manager at Community Health Plan of Washington

- Heather Richardson
- ALLIANCE MEMBER
- Sr. Medicare Compliance Analyst at University of Michigan Health Plan

- Patricia Rivera
- ALLIANCE MEMBER
- System Configuration Analyst - CPC at Presbyterian Health Plan

- Lorie Rothermel
- ALLIANCE MEMBER
- Risk Adj Coder III at Geisinger Health Plan

- Sher Rulloda
- ALLIANCE MEMBER
- Senior Coder at Prominence Health Plan

- Kristy Russell
- ALLIANCE MEMBER
- HCC Coding Analyst Supervisor at Select Health

- Ivis Salgado
- ALLIANCE MEMBER
- RN,CPMA,CDEO,CRC,Clinical Reviewer at AvMed

- Stefanie Shelton
- ALLIANCE MEMBER
- Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington

- Liz Shubitowski
- ALLIANCE MEMBER
- Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
- Rochelle Smith
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor I at Select Health

- Valerie Steen
- ALLIANCE MEMBER
- Sr. Claims Reimbursement and Coding Specialist at Community Health Plan of Washington
- Ashley Stipanovich
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor II at Select Health

- Betsy Thompson
- ALLIANCE MEMBER
- Senior Configuration Analyst - CPC at Presbyterian Health Plan

- Laurie Tucker
- ALLIANCE MEMBER
- Risk Adjustment Coding Specialist at MediGold

- Tana Turner
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor lll at Select Health
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- Barbara Tyson
- ALLIANCE MEMBER
- OP CDI Specialist at Health Alliance Plan (HAP)

- Desiree Walke
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions

- Kimberly Watkins
- ALLIANCE MEMBER
- Risk Adjustment Coding Auditor Supervisor at Select Health

- Mandy Whitley
- ALLIANCE MEMBER
- Point of Service Coding Analyst at Health Alliance Medical Plans

- Tanya Williams
- ALLIANCE MEMBER
- Point of service Coding Analyst at Health Alliance Medical Plans

- Julie Yohe
- ALLIANCE MEMBER
- Coder at Geisinger Health Plan
