LM logoLeslie Millan
Risk adjustment coding · Audit · Clinical review

Risk adjustment accuracy, reviewed with clinical judgment.

Registered nurse, international medical graduate and AAPC-certified coder (CPC, CRC) providing HCC coding, coding audits, RADV/IVA validation and clinical documentation validation.

Leslie Millan, RN, CPC, CRC

Leslie Millan, RN, CPC, CRC

Healthcare Coding Pro Solutions · Las Vegas, NV
RNIMGCPCCRC
96%+coding accuracy sustained
100%+productivity benchmark
13 yearsphysician-level clinical practice
NV & CTactive RN licenses
Who I work with

Built for organizations where documentation drives risk and revenue

Medicare Advantage plans

Chart review and audit support for risk adjustment programs.

Provider groups & IPAs

Documentation validation and HCC accuracy for value-based contracts.

Coding & audit vendors

Experienced capacity for peak volume and QA needs.

Clinics & practices

Coding support and staff coaching without adding headcount.

Services

Coding, audit and clinical review

HCC risk adjustment coding

ICD-10-CM and HCC capture from medical records, supported by the documentation behind every diagnosis.

Coding audits

Independent accuracy audits that identify error patterns, documentation gaps and compliance risk.

RADV / IVA validation

Record review and diagnosis validation to support audit readiness.

Clinical documentation validation

Clinical review of whether the record truly supports each reported condition.

RN quality review

Registered nurse quality review and audit analysis for plans and coding teams.

Coaching & consulting

Feedback, mentoring and training grounded in real chart examples.

Why clinical review matters

A coder who reads the chart like a clinician

Thirteen years of physician-level practice in infectious disease, hospital epidemiology and general medicine, plus an active nursing license, mean I can judge whether a diagnosis is clinically supported, not just whether a code matches the text.

The result is fewer unsupported codes, clearer feedback for providers and records that stand up to review.

How it works

A simple, low-risk way to start

Scope

We define volume, record types, guidelines and a BAA where PHI is involved.

Pilot sample

A small batch to confirm accuracy and fit before scaling.

Review & report

Findings, error trends and recommendations delivered clearly.

Ongoing QA

Regular check-ins to keep quality consistent over time.

About

Leslie Millan, RN, CPC, CRC

Based in Las Vegas, Nevada, working remotely. MD from Havana, Cuba and Mexico City, RN licensed in Nevada and Connecticut, CPC (2023) and CRC (2024) through AAPC. Spanish (native), English (professional), French (intermediate).

Quality Review & Audit Analyst, RNHealthcare Coding Pro Solutions, RADV/IVA project, 2026 – present
HCC AuditorThe Judge Group, 2024 – 2026
HCC Medical CoderThe Judge Group, 2023 – 2024
Microbiology Professor / TutorIncluding College of Southern Nevada, 2016 – 2024
Chair, Microbiology DepartmentICCCV, Havana, 2009 – 2015
FAQ

Common questions

Do you handle protected health information?

Yes, under a signed Business Associate Agreement. Please do not send PHI by regular email.

Which standards do you follow?

ICD-10-CM Official Guidelines, CMS risk adjustment requirements and AAPC coding standards.

Do you work remotely?

Yes. All services are delivered remotely from Las Vegas, Nevada.

Can you start with a small project?

Yes. A pilot sample is the usual first step, so you can evaluate quality before committing.

Let's talk about your coding or audit needs

Tell me about your organization and what needs review. I reply within one to two business days.

Emailcontact@lmhcpsolutions.com
Phone(702) 444-9613
LocationLas Vegas, NV · Remote

Information on this site is general and is not medical, legal or compliance advice. © 2026 Leslie Millan · Healthcare Coding Pro Solutions

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