Eva Yee Ng
Chicago,Il
Summary
To obtain a position in a stable progressive organization that provides challenging work and opportunities to employ my coding skills and background in health information management and experience in audit.
Overview
22
22
years of professional experience
Work History
DRG Coding Quality Auditor/ Recovery Resolution Senior Analyst
United Healthcare Optum / Change Healthcare
01.2015 - 06.2024
- Analyzed and audited claims based on ICD10-CM/PCS coding principles and coding guidelines to ensure proper Diagnostic Related Groupings (DRGs) assignment.
- Utilized audit tools and systems to make audit determinations and generate audit letters.
- Ensured claims payment accuracy
- Ensured achievement of applicable performance targets/metrics
- Ensured adherence to state and federal compliance policies, reimbursement policies and contract compliance
- Ensured timely completion of all assigned audits while maintaining a high level of detail and accuracy.
- Conducted contestable investigations to review medical history
- Examined, assessed and documented business operations and procedures to ensure data integrity, data security and process optimization
- Investigated, recovered and resolved claim issues
Manager of Coding and Data Research, ICD-10 Trainer
Mercy Hospital and Medical Center
01.2012 - 01.2015
- Monitored the total unbilled in the HIM department and planned and strategized to lower the total unbilled to meet the department's goal
- Managed both on site and remote outpatient/ inpatient coders
- Acted as the ICD-10 trainer for the hospital and coordinating education for coders and physicians
- Served on the ICD-10 Steering Committee as the ICD-10 trainer and Subject Matter Expert
- Provided education to coders and various departments with coding updates and information to improve work processes
- Worked closely with CDS on reviewing charts and query opportunities
- Monitored coders' productivity and conducted quality reviews
- Assisted in coding when backlogged during month end close
- Hired and trained new coders
- Monitored and streamlined the remote coding process
- Reviewed denied claims and proceed with the necessary action
- Developed new approach for research, billing and quality purposes
- Worked with other departments to resolve charge and coding issues
- Reviewed LMRP accounts and providing educations to physicians
- Worked closely with the Charge master and departments to review charges
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Inpatient Coder
Rush University Medical Center
01.2006 - 01.2012
- Assigned ICD-9-CM diagnostic and procedure codes with accuracy and attention to details
- Abstracted selected data items and entering in EPIC electronic medical record
- Identified conflicting documentation in patient records and entering in the Maxsys system
- Generated queries to physicians for specificity or clarifications
- Maintained a DRG accuracy rate of above 95%
- Participated in seminars to keep abreast of new coding guidelines and updates
- Coded rehabilitative accounts for IRF PAI and UB
- Coded interim billing accounts that are more than 30 days
Coding Consultant at Rush University Medical Center
KForce Professional Staffing
11.2003 - 01.2006
- Coded inpatient paper charts using the Quadramed encoder and assigned the appropriate codes according to coding guidelines
- Multitasked by reviewing documentation in different systems and entering the appropriate data in the correct field
HIM Inpatient Coding Specialist
Sinai Health System/ Mount Sinai Hospital
09.2002 - 10.2003
- Coded inpatient paper charts using Quadramed encoder to assign the appropriate codes
- Coded complicated trauma cases with attention to details
- Reviewed documentation in the Meditech system for accurate and specific coding
- Attended in-service education program on ICD-9CM coding and DRG Validation
- Participated in meetings involving the coding team and other departments
HIM Coding Specialist - Temporary
University of Illinois Medical Center
07.2002 - 09.2002
- Coded Emergency Room records
- Coded outpatient and clinic records
- Used Quadramed encoder to assign the appropriate codes
- Used the Gemini system to retrieve documentation for coding accurately
Education
Bachelor of Science - Health Information Management
University of Illinois At Chicago
Chicago, IL05.2002
Skills
- Experience with different hospital systems including EPIC, Cerner, 3M and Quadramed
- Knowledge of medical terminology, anatomy, pharmacology and medical abbreviations
- Multitasking and Organization
- Attention to Detail
- Research and analysis
- Fast Learner
- Team Collaboration
- Leadership Qualities
- Documentation And Reporting
- Project Coordination
- Active listening skills
Certifications/ Achievements
- Received RHIA (Registered Health Information Administrator) credential, 2003
- Received CCS (Certified Coding Specialist) credential, 2015
- AHIMA certified ICD-10 Trainer, 11/2012
- Recipient of the Rita M. Finnegan Academic Achievement Award, 05/2002
- Member of AHIMA
References
Available upon request
Timeline
DRG Coding Quality Auditor/ Recovery Resolution Senior Analyst
United Healthcare Optum / Change Healthcare
01.2015 - 06.2024
Manager of Coding and Data Research, ICD-10 Trainer
Mercy Hospital and Medical Center
01.2012 - 01.2015
Inpatient Coder
Rush University Medical Center
01.2006 - 01.2012
Coding Consultant at Rush University Medical Center
KForce Professional Staffing
11.2003 - 01.2006
HIM Inpatient Coding Specialist
Sinai Health System/ Mount Sinai Hospital
09.2002 - 10.2003
HIM Coding Specialist - Temporary
University of Illinois Medical Center
07.2002 - 09.2002
Bachelor of Science - Health Information Management
University of Illinois At Chicago
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