Hi, I’m
Kayla Young
Lisbon,Maine
Summary
Reliable individual bringing 15 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
2
years of professional experience
Work History
CSI University- RACTA
RISK ADJUSTMENT CODER (IN- TRAINING)
12.2023 - 02.2024
Job overview
- Coded at least 200 simulated charts with CSI Quick Code over the 4 Risk Adjustment Models given their Experience with CMS-HCC/RXHCC, HHS-HCC, CDPS, CAI/CCC models; including trumping
- Identified and captured HCC’S for Medicare Advantage and Other Risk-Based Reimbursement Models
- Spent No-Less Than 15 hours learning and obtaining skills rooted in the CRC Competencies
- Assigned Accurate Diagnosis Codes based on the Analysis of Patient Data
- Developed a detailed understanding of risk adjustment coding guidelines, policies, and standards.
Atrium Staffing
MEDICAL CODER/AUDITOR
03.2023 - 09.2023
Job overview
- Resolved medical coding rejects concerning code assignment
- Evaluated clinical documentation to complete diagnosis coding and meet specificity requirements, supporting clinical indicators
- Identified discrepancies between provider documentation and coded diagnosis and procedure combinations
- Conducted audits on coded medical records to identify potential coding errors or inaccuracies.
Insight Global
MEDICAL CODER
09.2022 - 03.2023
Job overview
- Reviewed reports containing medical adverse events and Applied MEDDRA codes to classify the event
- Performed clinical data coding for information contained in the adverse event description, lab test, and medical conditions within the coding tool using MEDDRA terms
- Ensured that the Selected Codes Accurately Reflect the term as provided by the reporter at the Low-Level Term (LLT)
- Worked in a High-Volume Medical Coding environment to Maintain Exceptional Standards of Excellence
- Performed Data Entry into Electronic Health Record Systems to document Patient Care Services Accurately.
Maine Health
Outpatient Coder 1
09.2021 - 04.2022
Job overview
- Maintained a working knowledge of Current ICD-10-CM Guidelines and CPT Code Sets
- Analyzed Medical Documents to Ensure Accuracy of Diagnosis and Procedure Codes, Modifiers, and Units
- Resolved Medical Coding Edits or Billing Item Rejects Concerning Code Assignment
- Worked In High-Volume Medical Coding and Collections Environment to Maintain Exceptional Standards of Excellence
- Queried provider regarding missing, unclear, or conflicting health record documentation using approved templates.
Education
CSI University - RACTA
Certificate from Risk Adjustment Coding
02.2024
University Overview
Relevant Coursework: AAPC'S CRC (Certified Risk Adjustment) Course Including Anatomy, Medical Terminology, Pharmacology, And Compliance.
Central Maine Community CollegeAuburn, Maine
Certificate from Medical Coding and EMR
12.2018
Central Maine Community CollegeAuburn, Maine
Associate in Applied Science (A.A.S.) from Medical Assisting
08.2010
Central Maine Community CollegeAuburn, Maine
Certificate from Medical Transcription
08.2005
Skills
- Conflict resolution techniques
- HIPAA Compliance
- Active listening abilities
- Process improvement strategies
- Quality Improvement
- Medicare Compliance
- Utilization Management
- Diagnostic Codes
- EMR Systems
- Telephone Etiquette
- Guidelines Understanding
- Insurance Billing
- Medical Billing and Coding
- 3M Encoder
- Medication Review
- Code Validation
- Coding Error Resolution
- Records Review
- Medical Billing Code Accuracy
- Electronic Filing System Organization
- Records Accuracy
- Patient Information Verification
Coding Certifications
- AAPC Certified Professional Coder, #01694023
- AAPC Certified Risk Adjustment Coder, #01694023
Affiliations
- AAPC
Languages
English
Native or Bilingual
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
- CRC - Certified Risk Adjustment Coder
- CPC - Certified Professional Coder
Work Preference
Work Type
Full TimePart TimeContract WorkWork Location
RemoteImportant To Me
Paid time offWork-life balanceCareer advancementHealthcare benefitsFlexible work hoursWork from home option401k matchTimeline
RISK ADJUSTMENT CODER (IN- TRAINING)
CSI University- RACTA
12.2023 - 02.2024
MEDICAL CODER/AUDITOR
Atrium Staffing
03.2023 - 09.2023
MEDICAL CODER
Insight Global
09.2022 - 03.2023
Outpatient Coder 1
Maine Health
09.2021 - 04.2022
CSI University - RACTA
Certificate from Risk Adjustment Coding
Central Maine Community College
Certificate from Medical Coding and EMR
Central Maine Community College
Associate in Applied Science (A.A.S.) from Medical Assisting
Central Maine Community College
Certificate from Medical Transcription
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