Marcie Dasher
Loganville
Summary
Results-driven Risk Adjustment Coding Lead with a solid background at Amergis, focusing on coder training and quality control initiatives. Adept in CMS/HHS compliance, implementing process enhancements that strengthen audit integrity. Dedicated to fostering coder development, leading to heightened accuracy and productivity outcomes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coding Lead / QC Auditor
Amergis
06.2024 - Current
- Promoted to coding lead in May 2025, overseeing onboarding and workflow orientation for IVA and MA RADV projects.
- Delivered one-on-one coaching with constructive feedback to improve coder understanding of audit standards.
- Conducted quality control reviews and audit validations to uphold coding integrity and compliance with CMS and HHS guidelines.
- Monitored coder performance metrics and accuracy rates to identify trends for ongoing improvement.
- Partnered with QA leadership to refine processes and clarify guidelines, enhancing audit consistency.
Risk Adjustment Coder
GeBBS Healthcare Solutions
01.2024 - 03.2024
- Conducted concurrent chart reviews to ensure accurate HCC coding prior to claim submission.
- Reviewed inpatient and outpatient records for documentation completeness and diagnostic specificity.
- Verified NLP/AI-generated codes, correcting discrepancies per Coding Clinic and client policies.
Auditor / Risk Adjustment Coder
Maxim Healthcare
07.2023 - 12.2023
- Conducted IVA audits, assigning and validating ICD-10-CM codes linked to HCCs.
- Ensured compliance with HHS audit standards through rigorous QC checks for ACA projects.
- Achieved high accuracy and productivity while meeting client turnaround objectives.
Risk Adjustment Coder
Virtix Health
03.2023 - 05.2023
- Validated diagnostic codes in retrospective HCC audits, enhancing data accuracy.
- Flagged documentation issues and worked with team leads for comprehensive data capture.
Risk Adjustment Auditor
Change Healthcare
12.2021 - 10.2022
- Conducted audits of retrospective CMS-HCC and ACA charts for multiple clients.
- Ensured compliance with CMS and payer-specific requirements through rigorous code validation.
- Collaborated with project leads to resolve audit discrepancies and enhance coder QA reviews.
Coding Specialist
Ciox Health
09.2017 - 04.2021
- • Executed concurrent and retrospective chart reviews for CMS-HCC and ACA-HHS initiatives.
- • Extracted diagnostic data, ensuring precise HCC capture through rigorous documentation validation.
- • Delivered peer feedback, upholding superior productivity and accuracy standards.
Clinical Investigator
Optum
03.2017 - 08.2017
- Conducted audits for potential fraud, waste, and abuse (FWA) cases to ensure compliance.
- Verified claims accuracy and recommended necessary coding adjustments.
- Investigated discrepancies in claims submissions to identify issues and mitigate risks.
Education
Diploma - Medical Coding And Billing
Penn Foster Career School
Scranton, PA11-2015
Associate of Applied Science - Business Administration And Management
Gwinnett Technical College
Lawrenceville, GA12-2004
Skills
- Risk adjustment auditing
- Coder training support
- Quality control reviews
- Chart documentation validation
- Process improvement audits
- Compliance standards for CMS/HHS
- Tracking performance metrics
- Coaching for coders
- NLP coding validation
Certification
- Certified Professional Coder (CPC), AAPC, #01385139
- Certified Risk Adjustment Coder (CRC), AAPC, #01385139
Timeline
Risk Adjustment Coding Lead / QC Auditor
Amergis
06.2024 - Current
Risk Adjustment Coder
GeBBS Healthcare Solutions
01.2024 - 03.2024
Auditor / Risk Adjustment Coder
Maxim Healthcare
07.2023 - 12.2023
Risk Adjustment Coder
Virtix Health
03.2023 - 05.2023
Risk Adjustment Auditor
Change Healthcare
12.2021 - 10.2022
Coding Specialist
Ciox Health
09.2017 - 04.2021
Clinical Investigator
Optum
03.2017 - 08.2017
Diploma - Medical Coding And Billing
Penn Foster Career School
Associate of Applied Science - Business Administration And Management
Gwinnett Technical College