Mindi-jo Young
Vincent,OH
Summary
Proven Revenue Integrity Analyst with a track record of enhancing financial health at Memorial Health System through meticulous data analysis and auditing techniques. Excelled in improving trending denials, coding accuracy and fostering team collaboration. Expert in claims processing and possesses exceptional problem-solving abilities, ensuring compliance and boosting revenue integrity.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Revenue Integrity Analyst
Memorial Health System
2021.08 - Current
- Conducted root cause analyses for identified issues, recommending appropriate actions for resolution and prevention of future occurrences.
- Managed data analysis for accurate charge capture and improved overall financial health of the organization.
- Streamlined revenue cycle processes by conducting thorough audits and implementing efficient workflows.
- Supported financial growth by analyzing reimbursement trends and making strategic recommendations based on findings.
- Delivered comprehensive training programs to new hires as well as refresher courses for existing staff members, promoting a culture of revenue integrity awareness.
- Evaluated the effectiveness of revenue integrity initiatives through regular reporting and analysis, identifying areas for improvement and driving continuous process enhancements.
- Enhanced revenue integrity by identifying billing errors and implementing corrective measures.
- Improved coding accuracy by conducting regular reviews, providing feedback, and offering targeted education to staff members.
- Monitored accounts receivable performance metrics regularly, taking action when necessary to improve collection rates or resolve outstanding issues promptly.
- Reduced revenue leakage by proactively identifying trends that led to underpayments or denials.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
Medical Coder
Memorial Health System
2014.08 - 2021.08
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Played key role in transition to ICD-10 coding system, leading training sessions and updating coding protocols.
- Ensured accuracy in high-volume coding environments, applying codes for over 200 patient records weekly without compromising detail or compliance.
Education
Bachelor Of Science -
University of Charleston
Charleston, WV06.2013
Skills
- Claims Processing
- Denial Management
- Auditing Techniques
- Data Validation
- Medical Coding
- Charge Capture
- Cash Flow analysis
- Data Interpretation
- Cost Analysis
- Auditing procedures
- Key Performance Indicators
- Variance Analysis
- Trend Analysis
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Multitasking
- Excellent Communication
- Organizational Skills
- Team Collaboration
- Active Listening
- Effective Communication
- Adaptability and Flexibility
- Professional Communication
- Paperwork and documentation
- Deadline-oriented
- Reporting skills
- Task Prioritization
- Work Planning and Prioritization
- Payment Transactions
- Self Motivation
- Account Reconciliation
- Billing statement review
- Payment Processing
- Continuous Improvement
- Records Research
- Data Analysis
Certification
CPC - Certified Professional Coder
CRCR - Certified Revenue Cycle Representative
Additional Information
Completed Projects;
Pharmacy Rebill and Recovery
Account Check/Clearing House Edit Development
System Wide Revenue Recovery
Post Payment Audits and Overpayments
Timeline
Revenue Integrity Analyst
Memorial Health System
2021.08 - Current
Medical Coder
Memorial Health System
2014.08 - 2021.08
Bachelor Of Science -
University of Charleston