Nancy HORN
Henderson
Summary
Dynamic Risk Adjustment Specialist with extensive experience at Porter, adept in ICD-10 proficiency and healthcare data management. Successfully reduced financial losses through innovative risk adjustment strategies and ensured compliance with HIPAA regulations. Proven collaborator, enhancing team performance and operational efficiency while training new staff on best practices.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Risk Adjustment Specialist
Contracted
12.2020 - Current
- Assisted in the design of risk adjustment training programs to foster organizational understanding of best practices in the field.
- Reduced financial losses by implementing efficient risk adjustment methodologies and strategies.
- Ensured compliance with regulatory requirements through meticulous monitoring, auditing, and reporting procedures.
- Collaborated with interdisciplinary teams to develop effective risk mitigation plans and initiatives.
- I often work part-time with several companies as a contract coder
Risk Adjustment Specialist
Porter
02.2025 - 12.2025
- Analyzed risk adjustment data to ensure compliance with regulatory standards.
- Assisted in identifying and resolving discrepancies in patient records.
- Collaborated with healthcare providers to gather accurate documentation for coding purposes.
- Supported the implementation of quality improvement initiatives within the department.
Risk Adjustment Specialist
Agilon Health
10.2022 - 03.2025
- Maintained up-to-date knowledge of risk adjustment methodologies and guidelines.
- Conducted research on industry best practices to enhance operational efficiency.
- Reviewed medical charts for completeness and accuracy during audits.
- Provided training support to new team members on risk adjustment processes.
Education
Master of Science - Pharmacy
University of North Carolina At Chapel Hill
Chapel Hill, NC12-1983
Skills
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Healthcare data management
- HCC coding experience
Certification
I currently have up to date CPC and CRC. I am registered with AAPC under license 01962786
Languages
English
Native or Bilingual
Timeline
Risk Adjustment Specialist
Porter
02.2025 - 12.2025
Risk Adjustment Specialist
Agilon Health
10.2022 - 03.2025
Risk Adjustment Specialist
Contracted
12.2020 - Current
Master of Science - Pharmacy
University of North Carolina At Chapel Hill