Aldrich Lucanas RN, CPC, CPMA, CCS, CIC

Experience

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  IMS Health

  Jun 2013 - Oct 2014

  Production Analyst
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  UnitedHealth Group

  Sept 2018 - Sept 2020

  Assistant Manager, Coding Quality

  Develop strategies and objectives for provider coding audit programs to ensure alignment with organizational goals and regulatory requirements.Lead a team of provider coding auditors (Inpatient, Observation, Ambulatory Surgery), providing guidance, mentorship, and support to ensure high performance and adherence to quality standards.Oversee the workflow of coding audits, including assignment of audits, prioritization of tasks, and coordination of resources to meet deadlines and productivity targets.Design audit protocols, methodologies, and tools for conducting comprehensive reviews of provider coding accuracy, documentation, and compliance with coding guidelines.Provide training and ongoing education to coding auditors on coding guidelines, regulations, documentation requirements, and audit methodologies to enhanceskills and knowledge. Conduct regular performance evaluations of coding auditors, providing feedback on strengths, areas for improvement, and development opportunities.Conduct second level audits for complex coding cases and provide coding education whenever required. Show less

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  Optum Global Solutions International B.V.

  Sept 2020 - now

  Training Manager

  Develop and implement training programs for new and existing medical coders ensuring proficiency in ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding systems.Create effective training materials, presentations, modules, process knowledge tests to support ongoing training needs, updates, and development.Collaborate with operations to identify training needs and areas of improvement in accuracy, true positive rate (TPR), and errors.Provide quality one-on-one coaching to trainers and frontline staff to identify skill gaps, search for solutions, and evaluate outcomes.Serve as resource for coding trainers, coding staff, resolve coding-related issues and provide guidance on complex cases.Foster a culture of continuous learning and professional development among trainers and coding staff.Evaluate the effectiveness of training programs through feedback surveys, skip meetings, performance metrics, and outcome analysis to drive continuous improvement initiatives.Keep trainers and learners engaged throughout their learning experience by creating a conducive learning environment. Show less