EPIC
CANDY LANG, CPC CPMA CRC
Adrian,MO
Summary
Experienced medical coder with 15 years specializing in Medicare Risk Adjustment and 7 years in auditing. Skilled in accurate coding, compliance, and maintaining documentation integrity. In-depth knowledge of medical terminology, pharmacology, and disease processes. Seeking a position to leverage ICD-10/HCC coding and education skills for healthcare operations and regulatory compliance.
Overview
20
20
years of professional experience
3
3
Certifications
Work History
COMPLIANCE AUDITOR II
Mercy Hospital
01.2023 - 05.2025
- Conducted audits of medical records across various specialties to ensure E&M and Risk coding accuracy and compliance with current laws, CMS guidance and the OIG Workplan.
- Developed comprehensive audit reports for stakeholders and identified training opportunities.
- Led provider education initiatives, resulting in a 10%-20% improvement in follow-up audit scores.
- Achieved and maintained 98% auditing accuracy.
RISK CODING AUDITOR
Mercy Hospital
08.2017 - 12.2022
- Delivered quality assurance and training to ensure Risk Coders remained up to date with evolving CMS-HCC coding and risk adjustment guidelines.
- Shared findings with coding team Manager and Supervisor.
- Designed and implemented Excel audit workbook to systematically track audit findings, improving efficiency and accuracy in this newly established role.
- Developed a process for chart reviews.
HCC CODER
Insight Global/Optum
04.2017 - 08.2017
- Analyzed medical documentation to identify and submit accurate ICD-10 codes for payers, ensuring optimal risk adjustment compliance.
- Consistently maintained a 97% coding accuracy rate.
CADET LIAISON
Humana
Overland Park, KS
01.2016 - 06.2017
- Performed retrospective audits of medical records to verify ICD-10 coding accuracy, ensuring compliance with CMS-HCC guidelines.
- Traveled 80% of the time to multiple provider locations for onsite reviews and educational sessions.
- Guided providers in understanding the CMS-HCC Risk Adjustment program as a payment methodology, emphasizing the importance of precise chart documentation for regulatory compliance and optimized reimbursement.
AUDITING CODER SPECIALIST
Humana
Overland Park, KS
11.2011 - 12.2015
- Conducted documentation reviews to ensure accurate ICD-10 coding compliance with CMS-HCC guidelines.
- Efficiently reviewed and coded 150-200 charts per week, maintaining a 98% accuracy rate.
- Recognized with Shining Star Award 2013 and 2014 for Outstanding Work.
HCC MEDICAL INTAKE CODER
The CSI Companies/Optum
08.2010 - 11.2012
- Analyzed medical documentation to identify and submit accurate ICD-10 codes for payers, ensuring optimal risk adjustment compliance.
- Consistently maintained a 97% coding accuracy rate.
LEAD CODER | LEAD ANESTHESIA CODER | ANESTHESIA CODER | CHARGE ENTRY CLERK
CBIZ MMP NKA: ZOTEC PARTNERS
Leawood, KS
Education
A.A.S. - Office Technology (Info. Technology for Business emphasis)
Brown Mackie College
Medical Office Assistant Certificate -
Johnson County Community College
Professional Medical Billing Certificate -
Professional Career Development Institute
Skills
- Risk Adjustment Coding
- Auditing Medical Records
- Training and Mentoring
- Strong Computer Skills
- Continuous Learning Mindset
- Regulatory Guidelines
- Attention to Detail
- Workflow Prioritization
- Diagnostic Coding Accuracy
- EPIC, 3M Encoder, MDaudit
Certification
- CPC (Certified Professional Coder)
- CPMA (Certified Professional Medical Auditor)
- CRC (Certified Risk Adjustment Coder)
Timeline
COMPLIANCE AUDITOR II
Mercy Hospital
01.2023 - 05.2025
RISK CODING AUDITOR
Mercy Hospital
08.2017 - 12.2022
HCC CODER
Insight Global/Optum
04.2017 - 08.2017
CADET LIAISON
Humana
01.2016 - 06.2017
AUDITING CODER SPECIALIST
Humana
11.2011 - 12.2015
HCC MEDICAL INTAKE CODER
The CSI Companies/Optum
08.2010 - 11.2012
LEAD CODER | LEAD ANESTHESIA CODER | ANESTHESIA CODER | CHARGE ENTRY CLERK
CBIZ MMP NKA: ZOTEC PARTNERS
A.A.S. - Office Technology (Info. Technology for Business emphasis)
Brown Mackie College
Medical Office Assistant Certificate -
Johnson County Community College
Professional Medical Billing Certificate -
Professional Career Development Institute
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
- American Academy of Professional Coders
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work-life balanceCompany CultureFlexible work hoursPaid time offPaid sick leave401k matchHealthcare benefitsQuote
"Carpe Diem!"
Software
3M Encoder
MDaudit
Languages
English
Native language
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