Robbie Jenkins
Dallas,TX
Summary
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) with 5+ years of experience in risk adjustment, revenue cycle, denials management, and clinical documentation. Proven leadership in cross-functional collaboration, provider education, and audit strategy. Skilled in leveraging data to improve HCC coding accuracy, reduce claim denials, and drive compliance with CMS and payer standards. Known for mentoring teams, implementing process improvements, and aligning operational goals with financial outcomes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Risk Adjustment Analyst
Strive Health
04.2023 - Current
- Directed initiatives to enhance risk adjustment precision and documentation quality by evaluating HCC coding patterns and instructing Nurse Practitioners (NPs) on clinical documentation and compliance.
- Functioned as subject matter authority on CMS HCC risk adjustment models, steering strategic audits and reviews to uncover revenue-impacting documentation gaps.
- Created and rolled out a provider education initiative that diminished unsubstantiated HCC codes by 22% within one quarter, strengthening compliance and financial outcomes.
- Partnered with departments including Clinical Documentation, Compliance, and RCM teams to reconcile audit outcomes, address denials, and develop uniform query practices.
- Investigated chart inconsistencies through root cause assessments and supplied structured provider feedback, leading to improved documentation accuracy.
- Authored SOPs and audit templates now used across the team to unify chart review processes and simplify peer reporting.
- Represented the RA team in interdisciplinary initiatives and briefed leadership on coding developments and areas needing enhancement.
HIM Coder
Artesia General Hospital
08.2022 - 08.2023
- Reviewed outpatient records and interpreted provider documentation to accurately assign ICD-10-CM codes.
- Ensured compliance with CMS billing regulations while enhancing EMR workflows and internal documentation standards.
- Contributed to HIM audits and collaborated on improvements to reduce documentation discrepancies.
Risk Adjustment Auditor
Change Healthcare
06.2022 - 06.2023
- Conducted retrospective risk adjustment audits with a 95%+ accuracy rate.
- Identified documentation inconsistencies and worked with internal teams to improve coding quality.
- Mentored new auditors and developed process documentation to streamline onboarding.
Outpatient Medical Coder
Advocate Aurora Health Care
11.2021 - 06.2022
- Assigned ICD-10-CM and CPT codes for outpatient encounters in compliance with official guidelines.
- Engaged providers to resolve discrepancies and enhance documentation specificity.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Profee Coder
Cleveland Clinic
04.2021 - 03.2022
- Coded outpatient services and collaborated with the revenue cycle team to resolve billing issues.
- Ensured regulatory compliance across multiple clinical departments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Denials Coordinator
Cardinal Health
09.2019 - 04.2021
- Investigated claim denials, performed root cause analysis, and implemented resolution strategies.
- Collaborated with payers and internal teams to reduce denial rates by 30%.
- Scanned hard copy medical records and correspondence to convert into electronic files.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UTSkills
- Medical Billing & Coding Risk Adjustment & HCC Coding Revenue Cycle Optimization Insurance Collections & AR Management Claims Denial Analysis RADV Audit Support EMR Optimization (Epic) Provider & Staff Education Clinical Documentation Improvement (CDI) KPI Monitoring Root Cause Analysis Compliance & HIPAA Stakeholder Engagement Cross-Functional Collaboration Excel & Data Visualization Strategic Leadership Team Mentorship Project Coordination
Accomplishments
- Improved HCC coding accuracy by 15% through monthly provider training and documentation coaching.
- Audited over 3,000 charts in two quarters, contributing to the closure of 90% of priority HCC gaps.
- Created a risk score monitoring report adopted by leadership to track patient coding trends and identify audit risks.
Certification
- Certified Professional Coder (CPC), AAPC
- Certified Risk Adjustment Coder (CRC), AAPC
- Healthcare Project Management – WGU
- Python for Students
- SQL for Non-Programmers
- Data Analytics for Students
Timeline
Senior Risk Adjustment Analyst
Strive Health
04.2023 - Current
HIM Coder
Artesia General Hospital
08.2022 - 08.2023
Risk Adjustment Auditor
Change Healthcare
06.2022 - 06.2023
Outpatient Medical Coder
Advocate Aurora Health Care
11.2021 - 06.2022
Profee Coder
Cleveland Clinic
04.2021 - 03.2022
Denials Coordinator
Cardinal Health
09.2019 - 04.2021
Bachelor of Science - Health Information Management
Western Governors University
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