amy young

Management of HCC coding projects. Provide training, education and feedback to coders and auditors on all CMS-HCC and commercial (HHS-HCC) projects. Responsible for the day-to-day oversight, scheduling, and management of 72 auditors and 243 coders including full-time, part-time and seasonal. Project management of four major projects including deadlines, client support, guidelines review and QA review for all coders and auditors. Client liaison and support for all major clients including coding reviews, audit rebuttals, client/project specific guidelines creation, and system improvements for clients and staff. ICD-10 education for all staff including 243 coders and 72 auditors. Training of all internal and vendor staff on project specific guidelines and coding system.

Medical bill review of Workman's Compensation claims. Review CPT and ICD-9 coding on submitted claim bills to ensure accuracy in Work Comp payments. Training of medical bill review analysts. Handle provider inquiries and billing issues.

Specialize in CMS - Centers for Medicare and Medicaid coding and supervision. Provide hierarchal condition categories (HCC) coding of medical records, remotely and onsite. Complete code capture (CCC) coding and quality assurance auditing (QA) for CCC projects. Provide training, education and feedback to coders. Responsible for the day-to-day oversight, scheduling, management and CEU/credential verification of 21 full time employees and 73 part time employees. Project management of largest in-house client including deadlines, client support, guidelines review and QA review for all coders.

Created entire coding department from the ground up. Contracted IVA entity for the Centers for Medicare and Medicaid Services pilot year Initial Validation Audit. Create documents, guidelines and reference materials. Liaise with client daily for 6 months to ensure proper set up of project. Weekly meetings with CMS for all new aspects of project, expectations, timing, rules and regulations and downloading all new materials from RegTap. Created training program, recorded overview training on WebEx, and one-on-one training with all coders. Management of all clients (11) to ensure timely completion of projects with both primary and senior coding. Review InterRater Reliability (IRR) reports from primary coders to ensure 95% accuracy report for CMS.