Sandra Troade

Background

About Sandra Troade

Good knowledge, understanding and experience on clinical documentation, experienced with important medical principles and standards particularly those related to the creation and management of medical records and documents. Experience on quality reporting and compliance submissions, including CMS Medicare and Medicaid Plan Quality, HEDIS and STARS. Improvement Specialist, HCC Reviewer Diverse set of concurrent medical records review skills, clinical knowledge, and knowledge of coding and reimbursement regulations. Educate physicians how documentation affects diagnosis and RAF reimbursement. Ability to interpret medication administration record to look for query opportunities. Work with clinical team to develop provider educational materials on MRA and HEDIS Premier conduct coding and abstraction of HCC codes from all types of documentation includes impatient and outpatient charts as per CMS documentation guidelines. Review medical charts and codes them in accordance with current CPT-4, HCPCS, ICD-10, and third party payer (including Medicare and Medicaid) guidelines, rules and regulations. Assists in physician training by providing feedback to the Manager related to levels of service, procedure codes, chart documentation and Medicare Risk Adjustment education. Submits inaccurate codes to be removed through the appropriate use of the Condition and Code Error Report. Ability to perform within acceptable established quality standards HEDIS Medical Record Reviewer. To secure a challenging position the allied health field, where I can utilize my work experience, education and skills to develop a long-term career adding to the success and productivity of the company.