Patricia Girardin

I'm currently auditing professional-fee and HCC coding at IKS/AQuity Solutions, conducting monthly, pre-bill, and focused audits against CPT, ICD-10, and HCPCS standards. I deliver detailed reports, identify improvement opportunities, and provide education for coders scoring below 95%.

At UnitedHealth Group/Optum, I supervised 40 risk adjustment coders, managed productivity and operational metrics, and supported onboarding cohorts of 10–15 coders at a time. As the only coding-certified supervisor on the management team, I provided HCC education, documentation guidance, performance evaluations, staffing support, and workflow oversight across multiple initiatives.

I've also investigated potential fraud, waste, and abuse in SIU roles, reviewing complex medical records and billed charges across laboratory, DME, pathology, E/M, surgical, chiropractic, PT, and acupuncture services. My work emphasizes regulatory compliance, reimbursement policies, and thorough documentation review.

Across more than 10 years in coding, auditing, compliance, and leadership, I've maintained 95%+ audit and exam accuracy while working with 3M, IDX, Cerner, EPIC, and client-specific applications. I'm a CPC with experience in HCC coding, risk adjustment, quality assurance, coder training, and performance optimization.