Allysia Robinson
Milton,Florida
Summary
Experienced coding leader with a solid background in risk adjustment and team management. Skilled at delivering high-quality scores and prioritizing collaboration and adaptability to meet evolving project requirements. Recognized for creating a results-driven environment emphasizing reliability and flexibility. Proficient in team building, project management, and optimizing coding/auditing workflows.
Overview
8
8
years of professional experience
Work History
Coding Manager of Operations
Virtix Health
Phoenix, AZ
03.2024 - Current
- Oversight of Coding Operations: Manage daily coding operations, ensuring compliance with risk adjustment models and accuracy in coding practices
- Team Leadership: Supervise and mentor coding staff, providing training and support to enhance their skills and knowledge of risk adjustment methodologies
- Quality Assurance: Implement and oversee quality control measures to ensure coding accuracy and adherence to regulatory requirements
- Data Analysis: Analyze coding data to identify trends, discrepancies, and areas for improvement
- Use findings to inform training and operational strategies
- Collaboration with Clinical Teams: Work closely with clinical staff to ensure accurate documentation and coding, facilitating a comprehensive understanding of patient risk factors
- Policy Development: Develop and update coding policies and procedures to align with industry standards and regulatory changes
- Performance Metrics: Establish key performance indicators (KPIs) to measure the effectiveness of coding operations and implement improvement strategies as needed
- Education and Training: Conduct ongoing education sessions for coding staff and other relevant personnel on best practices in risk adjustment coding
- Regulatory Compliance: Stay updated on changes in healthcare regulations, coding guidelines, and risk adjustment policies, ensuring the organization's compliance
- Interdepartmental Communication: Facilitate communication between coding, finance, and clinical teams to ensure alignment and efficient operations
- Reporting: Prepare and present reports on coding operations, trends, and compliance issues to senior management
- Strategic Planning: Contribute to strategic planning for risk adjustment initiatives, including budgeting and resource allocation
HCC auditor/Educator
Cotiviti
Milton, FL
04.2022 - 03.2024
- Identified, collected, assessed, monitored and documented claims and encountered coding information as it pertained to Clinical Condition Categories
- Verified and ensured the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
- Reviewed medical record information to identify all appropriate coding based on CMS HCC categories
HCC Coder/Auditor
Apixio
Remote
10.2021 - 04.2022
Remote HCC Coder
CIOX Health
Remote
06.2021 - 12.2021
Remote HCC Coder
Coding Clarified
04.2017 - 04.2021
Education
Associate of Arts - General Studies
Pensacola State College
Pensacola, FL01-2013
Skills
- Performance Optimization
- Medical Terminology
- Knowledgeable in Excel and Microsoft
- Team Building
- HCC Quality
- Risk Adjustment
Timeline
Coding Manager of Operations
Virtix Health
03.2024 - Current
HCC auditor/Educator
Cotiviti
04.2022 - 03.2024
HCC Coder/Auditor
Apixio
10.2021 - 04.2022
Remote HCC Coder
CIOX Health
06.2021 - 12.2021
Remote HCC Coder
Coding Clarified
04.2017 - 04.2021
Associate of Arts - General Studies
Pensacola State College