Uploaded File
add photo
Angeli
angelimcmillan@bellsouth.net
850-293-5344
1909 Abercrombie Rd.
Gulf Breeze, FL 32563
Risk Adjustment/HCC and HEDIS coder
9 years experience W2
0
Recommendations
Average rating
98
Profile views
Summary

  • Over 8 years of extensive experience in HCC/Risk Adjustment coding and over 8 years of experience with HEDIS abstraction.
  • Strong experience in provider education.

Software experience: Allscripts, Navinet, Oasis, Epic, Odis, Baptist Health Systems Portal, HIS, Health View, Greenway, MediSoft, Availity, and NextGen systems.

Experience
HCC/Risk Adjustment Coder
Healthcare
May 2017 - Apr 2020
  • HCC/Risk Adjustment remote contingent. Production was 6.25 charts per hour.
  • HEDIS Abstraction.
  • HCC coding for various Apixio projects. A production rate of 12/charts per hour.
Risk Adjustment Medicare HCC Coding HEDIS Outpatient Coding Cardiology Compliance Trauma Center
Remove Skill
ACA auditing and physician education
Medical Devices
Feb 2019 - May 2019
  • ACA auditing and physician education. Production rate of 8/charts per hour.
Children Audit Provider education ACA
Remove Skill
HCC/Risk Adjustment coder
Healthcare
Feb 2016 - May 2017
  • HCC/Risk Adjustment coding for Medicare Advantage.
HEDIS Children Medicare Risk Adjustment HCC Coding
Remove Skill
Risk Adjustment coder
Healthcare
Aug 2015 - Jan 2016
  • HCC/Risk Adjustment coding. Production demands were 5.5 charts/hour.
  • HEDIS Abstraction.
Risk Adjustment HEDIS HCC Coding Medicare
Remove Skill
HCC/Risk Adjustment and HEDIS coder
Healthcare
Apr 2015 - Aug 2015
  • HCC/Risk Adjustment and HEDIS coding.
  • Minimum volume of 35 charts/day. These charts were mainly ensuring coding compliance issues had been met on 360s and HMRs.
Compliance HEDIS Risk Adjustment HCC Coding
Remove Skill
HEDIS, Risk Adjustment & HCC coder
Healthcare
Oct 2014 - Apr 2015
  • HEDIS, Risk Adjustment, and HCC coding.
HCC Coding HEDIS Risk Adjustment
Remove Skill
Inpatient & Outpatient Coder
Healthcare
Oct 2013 - May 2014
  • Inpatient & Outpatient coding, cardiology surgery, and Trauma Center coding.
Outpatient Coding Cardiology Trauma Center Inpatient Coding
Remove Skill
Claims Adjudicator
Healthcare
Jul 2012 - Dec 2012
Pensacola, FL
  • Worked at a Customer Service Call Center as a Claims Adjudicator for Children's Medical Services in the State of Florida.
Children Customer Service Claim Medical Services
Remove Skill
Edit Skills
Non-cloudteam Skill
Education
Associate's in Healthcare Reimbursement
Virginia College, 2010 - 2012

Graduated Magna Cum Laude & Dean's List/President's List

Certifications
CPC
2012
ICD-10
AAPC
Skills
CDI Coding
2020
1
HCC Coding
2020
5
HEDIS
2020
5
Risk Adjustment
2020
5
Medicare
2020
4
Cardiology
2020
3
Compliance
2020
3
Outpatient Coding
2020
3
Trauma Center
2020
3
Children
2019
1
ACA
2019
1
Audit
2019
1
Claim
2012
1
Customer Service
2012
1
Inpatient Coding
2014
1
Medical Services
2012
1
Optum
2015
1
Provider education
2019
1