Patti V Burton-britt

Risk Adjustment Coder

Aledade, Inc.

Apr 2023 - Jan 2025 (1 year 10 months)

Clinical Documentation Integrity Specialist

Aledade, Inc.

Mar 2023 - Jan 2025 (1 year 11 months)

Managed Care Associate

United Health Centers of the San Joaquin Valley

Nov 2020 - Mar 2023 (2 years 5 months)

Maximize Risk Adjustment (RAF) scores with chart review, applying appropriate ICD 10 codes (upcoding) if documented appropriately; working collaboratively with Providers, Billing, site staff; promote daily huddle sheets to capture missing diagnoses. Provider education on HCC/RAF; create provider resources/tools to assure completeness of documentation. Work closely with Quality team for HEDIS gaps in care.

Quality Improvement Specialist

Kova Healthcare

Jun 2018 - Nov 2020 (2 years 6 months)

Quality improvement efforts: promoting annual wellness visits and coordination of exam to improve HEDIS scores, reducing gaps in care, improving RAF/HCC scores. Member engagement for necessary appointments and customer service. Provider and office staff education. Created PowerPoint presentation and presenter/trainer on value-based care and it’s effect on HEDIS and HCC/RAF. Population: Managed Care, Medicare/Medicare Advantage. Work closely with health plans to report back rate of completion with members, improving from 63% to 80% of completed annual wellness exams. Create policies and procedures for quality improvement team. Show less

Care Navigator

SynerMed

Dec 2016 - Mar 2018 (1 year 4 months)

Provider (physician group) outreach and education on HEDIS Quality Measures, to identify and help close "Gaps in Care." Deliver Gap lists and teach appropriate ICD-10 and CPT codes. Claims and medical record retrieval/review with supplemental data entry as needed. Also provide outreach to member/patients on good preventative care and encourage a proactive approach to better health, including assistance with scheduling appointments through coordination with the Provider offices. Research health topics and create effective educational tools for members. Participate in community activities that promote better health and wellness. Data entry and reporting on Quality Measures, showing improvements over time (Gap closures) and reporting this back

Health Educator

Health Net

Mar 2016 - Mar 2017 (1 year 1 month)

Participate in community events to increase awareness and promote health habits that included blood pressure, BMI and Diabetes screenings. Database entry, resolution, query & reporting to support Health Education Department and Corporate Work Plan and Year-End Reports. Health Educator on all topics available: Nutrition & Weight Management, Oral Health, Diabetes Basics, Asthma Basics, Health Plans, Healthy Heart in Fresno, Madera and Kings Counties.

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Resident Services Coordinator

be.group (Operating as HumanGood)

Mar 2016 - Dec 2016 (10 months)

Research and coordinate needs assessment on 130 residents of two low-income, independent living communities. Provide resources and activities including educational topics that affect aging adults, such as in-home assistance, creating a living-will, health and wellness topics and others. Also act as resident's advocate with other agencies regarding health care needs and medical insurance coverage. Resources include a monthly food distribution, transportation assistance, low-income utilities assistance programs, among many others. Visit hospitalized residents and assist with post hospital and post-rehabilitation needs, including potential need to transfer to a higher level of care. Also assist families with resources related to aging parents.

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Respiratory Consultant / Health Educator

Health Net of California Inc

Mar 2014 - Dec 2015 (1 year 10 months)

Support and update asthma curriculum to support Quality Improvement Project addressing low HEDIS scores. Trained entire Health Education Department team on newly approved curriculum, "Train the Trainer." Also contributed significant content to T2X.me, a mobile application for the Asthma topic. Health Educator on all topics available: Nutrition & Weight Management, Oral Health, Diabetes Basics, Asthma Basics, Health Plans, Healthy Heart in Fresno, Madera and Kings Counties. Participate in community events to increase awareness and promote health habits that included blood pressure, BMI and Diabetes screenings. Database entry, resolution, query & reporting to support Health Education Department and Corporate Work Plan and Year-End Rep

Respiratory Care Case Manager/Educator

Community Medical Centers

Jun 1992 - Jun 2012 (20 years 1 month)

Grant Program Coordinator, Patient and Family Education, Professional Training (Resident/Intern Doctors, RNs and RTs), Community Outreach & Education, Chronic Disease Management Multidisciplinary Team, Paper and Electronic Medical Record Review and Utilization Review reporting on reductions in emergency room and hospitalization visits. Database input, tracking and reporting.

Patti V Burton-britt

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