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@britneytaylor2
Experienced SME in Risk Adjustment and team management.
I am an experienced Subject Matter Expert (SME) in Risk Adjustment, RADV, and IVA, with a proven track record of delivering high-quality results. My career has been defined by my ability to motivate teams and foster effective communication, ensuring that projects are completed on time and to the highest standards. I thrive in environments where I can make a positive impact and contribute to the growth of the organization.
Throughout my career, I have held various roles that have allowed me to develop a comprehensive skill set in risk adjustment coding and auditing. At Reveleer, I successfully managed coding and auditing projects, achieving a remarkable 95% quality turnaround under tight deadlines. My experience as a trainer and auditor at Ciox Healthcare further honed my leadership abilities, as I was responsible for onboarding new hires and creating training materials that enhanced the overall quality of our coding processes.
My commitment to excellence is evident in my work as a Provider Educator at Baylor Scott and White, where I ensured that HCC codes were accurately captured and documented. I have also supervised teams of auditors, analyzing reports to provide valuable insights to management and clients. I am eager to continue my professional journey, seeking opportunities that allow me to leverage my expertise while contributing to a collaborative and growth-oriented workplace.
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Work history, roles, and key accomplishments
Ciox Healthcare
Jan 2022 - Oct 2023 (1 year 9 months)
Trained new hires during onboarding and collaborated with clients to ensure effective training for onshore and offshore coder/auditors. Developed training materials, highlight documents, and recordings for clients, and identified improvement opportunities to increase overall quality.
Baylor Scott and White
Feb 2019 - Dec 2021 (2 years 10 months)
Verified that HCC codes were captured with adequate documentation and addressed HEDIS and IVD measures. Queried providers when necessary and created PowerPoints to educate them on proper documentation practices.
Change Healthcare
Mar 2016 - Feb 2019 (2 years 11 months)
Supervised a direct team of DVA/RADV auditors and analyzed daily reports to provide management and clients with updates on deadlines. Collaborated with clients to identify improvement opportunities and enhance overall quality.
United Health Group - Optum
Apr 2009 - Mar 2016 (6 years 11 months)
Audited special projects with sensitive deadlines and provided coder coaching and mentoring to domestic and overseas coders during the transition from I9 to I10. Traveled to Hyderabad, India, to train and mentor offshore coders.
Degrees, certifications, and relevant coursework
Certificate, Medical Coding
Grade: 3.8
Activities and societies: AAPC Certified CPC and CRC
Completed coursework in Anatomy & Physiology, Medical Terminology, HCSPCS, CPT, and ICD-9 Coding. Gained proficiency in CMS 1500, CMS 1450 (UB92) Claims Forms, Microsoft Excel, Word, and PowerPoint.
Software and tools used professionally
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