Tammy Harris
Expert
Coding, Auditing
Career Highlights
- Collected more than $20 million dollars in expected reimbursement for underpaid commercial and workman’s compensation claims
- Successfully assisted in increasing risk adjustment scores for one of the largest corporations by providing coding and documentation education for providers and coders
- Developed and implemented an outpatient clinical documentation improvement (CDI) program for providers of patients in long term institutional skilled nursing facility programs as well as providers rendering care during transitions from one care level to another
- Developed and presented risk adjustment and coding education for new hire providers at one of the largest health insurance companies
- Managed coding staff and received 100% ratings on employee engagement surveys from the staff 5 years in a row
Tammy Harris is a Coding/Auditing expert at SunHawk Consulting, LLC. Ms. Harris is a CPC and CRC through the American Academy of Professional Coders. She served as an associate director with Optum Health where she managed quality programs associated with CPT, modifiers, and ICD-10-CM coding. Previously at Optum, she served as a manager and coding analyst for Optum Health/UHG for which her focus was ICD Coding and Clinical Documentation Improvement initiatives as well as staff management and oversight. She completed numerous tasks including E/M coding, performing HCC risk adjustment coding and validation as well as completing monthly quality review audits.
Ms. Harris has served as an account reimbursement specialist for Vanderbilt Medical Group. She was responsible for CPT and ICD-9 medical documentation review to verify coding in relation to denied claim and reimbursement issues. She has also done coding and reimbursement work on Workman’s Compensation cases. Additionally, she was formerly a Coding Analyst for AIM Healthcare now known as Optum/UHG. In the role, she reviewed medical records via HIPAA Compliant servers and abstract HCC codes. Ms. Harris was a billing coordinator for Vanderbilt Medical Group for six years where she audited charts for compliance issue, completed CPT and ICD-9 coding for Otolaryngology Practice of three physicians and verified insurance benefits.
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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SunHawk Consulting specializes in professional consulting services and has a team of highly skilled subject matter experts with substantial backgrounds in:
* Healthcare Compliance: Statistical Sampling, Medical Coding Audits, Healthcare Compliance Programs, Evaluation of Compliance Programs and Risk Assessments, HIPAA Compliance Risk Assessments & Training, Corporate Integrity Agreement (CIA) Board Advisor, Independent Review Organization (IRO) Services, Interim Healthcare Compliance Support, Physical Security Assessment, Design and Implementation of Sunshine Act Compliance Programs, Enterprise Risk Management Optimization, Governance, Risk and Compliance (GRC) System Support, Electronic Health Record (EHR) System Implementation, Outsourced Audit Function Support, Medical Risk Adjustment Compliance (Medicare, Medicaid, Commercial), Policy, Procedure, Internal Control Development and Evaluation, FedRAMP Compliance;
* Corporate Investigations: Fraud Investigations and Forensic Accounting, Anti-money Laundering (AML), Bank Secrecy Act (BSA), Know Your Customer (KYC), Foreign Corrupt Practices Act, Third-party Due Diligence;
* Corporate Compliance: Evaluation and Design of Corporate Compliance Programs, Interim Compliance Support, Compliance Risk Assessments, Physical Security Assessment, Enterprise Risk Management, Private Equity Governance, GRC System Support, Audit Function Support, Fraud Risk Assessments, Investigations Program Assessment and Enhancements, Qui Tam Investigations, Hot Line Support;
* Litigation Disputes: Complex Litigation and Disputes, Mergers and Acquisitions: Regulatory Due Diligence, Expert Witness, Statistical Analysis, Healthcare Payment Disputes, Litigation Support, Physical Security Assessment, Neutral Party Data Analysis.