Megan McQuiston, RHIA, CRC

• Project management of multiple coding and retrieval vendors • Reviews coding patterns/trends and provides ongoing consultation to providers and vendor partners regarding coding and documentation issues • Proactively identifies and communicates problems and opportunities; and actively recommends and implements solutions or process improvements

• Conducts coding reviews for vendor quality and risk mitigation • Instrumental in managing two CMS Risk Adjustment Data Validation (RADV) audits, with responsibility for maintaining up to four contractors per audit • Knowledge of state and federal regulations, organizational policies and compliance requirements related to medical coding • Knowledge of medical terminology, International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding • Conducts training sessions for record retrieval and correct risk adjustment coding documentation to optimize revenue for retrospective chart retrieval • Involvement in automating risk adjustment chart retrieval out of Epic

• Knowledge of multiple electronic health record systems, medical terminology, and coding concepts • Competency in the use of a variety of computer hardware and software systems • Analyzes electronic health records for completion in accordance with risk adjustment policies, procedures, and regulatory standards • Educates and acts as a consultant to physicians regarding documentation requirements and EHR navigation for Risk Adjustment purposes