Network Health Plan
Pamela Banker, CPC, CRC, is an accomplished Risk Adjustment Auditor with extensive experience in healthcare coding and compliance. Since April 2015, Pamela has worked at Network Health WI, progressing from a Risk Adjustment Coding Specialist/Reviewer to a Senior Risk Adjustment Coder and currently serving as a Risk Adjustment Auditor. Responsibilities include reviewing ICD-10 codes, assessing provider documentation, preparing data validation audit reports for CMS and HHS, and training new employees. Prior experience at Apixio as a Quality Analysis Specialist involved auditing production coding and ensuring adherence to risk adjustment policies. Beginning their career as a Medical Coder at Hand to Shoulder Center of WI, Pamela developed coding expertise and provided training on CPT and ICD guidelines. Pamela holds an Associate’s degree in Health Information/Medical Records Technology from Northeast Wisconsin Technical College.