Brandee Raaz

Experience

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  North County Health Services

  Dec 2005 - Mar 2007

  Medical Record Manager

  December 2005 to March 2007 North County Health ServicesMedical Record Manager Acted as direct supervisor for 18 employees in the San Marcoslocation, medical records dept and related areas.

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  Southern California Permanente Medical Group

  Mar 2007 - Feb 2010

  Compliance Auditor

  Kaiser Permanente / EncounterCoding Systems-Compliance Auditor Audited patient health information for compliance with ICD-9,CPT-4 and HCPCS coding guidelines, CMS reimbursementguidelines, and facility policies. Delivered resulting feedback tophysicians.

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  Kaiser Foundation Hospital- San Diego

  Feb 2010 - Sept 2011

  ED Coding Supervisor/ Professional Coding Supervisor

  Kaiser Permanente /Revenue Cycle- Supervisor of Emergency Department (ED)coding and Professional Services Coding (PSC) Direct supervisor for 5 ED coders, 4 PSC coders, and 3 PSCcoders specializing in workers compensation coding. UpheldLabor Management Partnership. Responsible for completing facility coding within 5 days for EDvisits, and completing from date of service to claim for all codingwithin 22 days. Performed functions such as training, auditing, coaching, andresearching to achieve a greater than 95% coding accuracy rate. Show less

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  Southern California Permanente Medical Group

  Oct 2011 - Aug 2016

  Responsible for creating, reviewing and presenting educationalmaterials on documentation and coding to physicians and codingauditing staff. Assigned to special projects tracking provider education andfeedback database design assessing trends for providers and codingauditing staff. Perform QA of Coding Auditors and resulting reports. Research and respond to coding questions from Coding auditingstaff and physicians through the CDAO Mailbox. Educate providers on documentation and coding issues inindividual and and group settings in a wide variety of settings(Inpatient, ED, Ambulatory, SNF, etc.) for all specialties. Show less Kaiser Permanente / ClinicalDocumentation and Audit Operations- CDAO - Data QualityManager, San Diego Direct supervisor for 13-15 FTE, and up to 8 temporarystaff. Responsible for facilitating evaluation documentation andreporting of chronic conditions in the San Diego Medicare Part C,CalPERs, and Health Insurance Exchange membership. Scopeincludes 78,000 members and 180,000 diagnoses to be evaluatedunder the risk adjusted model. Led training of physicians and other qualified staff performing“Health Connect” EPIC diagnosis, order entry, and EM codingcalculation in all professional settings including clinic, hospital,dialysis centers, skilled nursing facilities, and ED Acted as a liaison between the regional CDAO department and KPphysicians and leaders. Represent high compliance standardsregarding documentation and coding while achieving goals. Partnered with HIM and for joint performance improvement inthe acute care documentation and coding setting. Specificallypartnered with attention to RAC focus areas and integration ofquality of care, quality of documentation and resulting coding anddata. Developed with staff innovative electronic tools adopted byregion regarding database tracking of population, reportingdocuments, chart reviews to increase severity scores, outreachprocesses, and staff management comprehensive database. Each ofthese demonstrated higher performance and increased efficiency todeal with the annual 20% increase in net work over each of the last5 years. Show less

  • Data Quality Manager

    Jan 2016 - Aug 2016

  • Data Quality Manager

    Oct 2011 - Jan 2016
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  University of California, San Diego

  Aug 2016 - now

  Coding Compliance Manager

  Working with a wonderful group of Coders here at UCSD. 7 Inpatient Coders, 7 ED Coders, 3 Ambulatory (Same Day Surgery) coders a team of Second Level Reviewers and looking forward to bridging with the Professional Coding staff as well.I have openings on both sides of the hose HB/ PB so please contact me if you are interestedhttps://health.ucsd.edu/careers______________________________________________________________________________Responsible for management, organizing, directing, coordinating and implementing all day-to-day activities for HealthInformation Services (HIS) for the coding Unit. Responsible for leading a customer focused HIS team, whose creativity,vision and multi-functional capabilities contributes to reaching the organizational goals. Responsible for supervising dailywork assignments and preparing daily productivity reports. Responsible for training and evaluating new staff members.Responsible for conducting quality monitoring of staff and/or vendor performance and preparing summary reports for management. Responsible for arranging staff in-service and conducting "just in time" in-services when indicated.Responsible for assisting in the evaluation and implementation of health information systems and software applications.Maintains solid working relationships with all key users and managers of the medical Center and Medical Group.Supervises, screens interview and hires new employees. Conducts performance appraisal, counsels and takes disciplinary action in consultation with department Director, Human Resources and Labor relations. Ensure staff competency and compliance with job functions and regulatory requirements. Develops, plans and modifies area policies and procedures as necessary. Functions effectively in a constantly changing and demanding environment. Show less