Amber Harris
Director Risk Adjustment @Medigold
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WORK HISTORY
Director Risk Adjustment @Medigold
EDUCATION
Columbus State Community College
Associate of Science (AS), Business Administration and Management, General
Franklin University
Bachelor's degree, Business Administration and Management, General
Hondros College of Nursing
Associate's degree, Registered Nursing/Registered Nurse
Franklin University
Bachelor of Science (BS), Business Administration and Management, General
ABOUT AMBER HARRIS
Strategic and results-driven healthcare leader with 15+ years of progressive experience in Medicare Advantage risk adjustment, medical coding, and health plan operations across Medicare and Medicaid lines of business. Registered Nurse (RN) with active licensure and deep expertise in HCC risk adjustment, CMS RAPS/EDS submissions, RADV mitigation, vendor oversight, and regulatory compliance. Proven success building and scaling enterprise risk adjustment programs, optimizing risk revenue, and exceeding performance benchmarks. Adept at cross-functional leadership across compliance, quality, case management, provider services, and network teams. CPC and CRC certified, combining clinical and payer-side expertise to advance healthcare quality, documentation accuracy, and compliant revenue capture.
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