Evelyn Jeffers
Cambridge,WI
Summary
Highly skilled, self-motivated, Certified Professional Coder, offering 12 years experience in Multi-specialty Outpatient coding. Proficient in coding guidelines, medical terminology ICD-10-CM, CPT and E/M coding. 3 years analyzing claims for HCC/Risk coding, ensuring the most accurate diagnosis codes are captured for each patient encounter. Maintain all expectations of coding accuracy and productivity, consistently reaching 95% or higher coding accuracy.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Certified Risk Coder
UnityPoint Health - Meriter
03.2021 - Current
- Review provider documentation from medical records to assign ICD-10-CM, CPT and HCPCS codes, with emphasis on HCC/Risk diagnosis codes.
- Perform chart review to update patient problems lists, increasing accuracy of diagnosis codes assigned to each patient.
- Multi-specialty Outpatient Coding, including, Internal Medicine, Pulmonology, Cardiology, Pediatrics, and Nephrology.
- Clarify ambiguous patient care statements by contacting providers and writing appropriate, non-leading queries. This increases accuracy of patient documentation and coding.
- Train new risk coders to support growth and development and apply high-quality coding practices.
Certified Professional Coder II
UnityPoint Health - Meriter
07.2012 - 03.2021
- Reviewed clinical data from medical records to assign ICD-10-CM, CPT and HCPCS codes..
- Accurately assigned codes using approved coding books.
- Utilized EPIC EMR for accessing patient insurance information, claim information and visit documentation.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Outpatient coding for multiple specialties, including, primary care, internal medicine, pediatrics, ENT, audiology, and behavioral health.
Certified Ophthalmic Technician
Dean Medical Center
06.2006 - 05.2010
- Enhanced patient care by performing accurate and efficient diagnostic testing in ophthalmology procedures.
- Assisted with complex surgical procedures, ensuring timely completion and minimizing post-operative complications.
- Prioritized patient privacy and confidentiality, consistently following HIPAA regulations in all aspects of work.
- Utilized EPIC EMR for patient scheduling, gathering of history and vitals, examination elements and coding of procedures.
- Provided compassionate care to patients while keeping patient flow manageable, typically to 20-30 patients daily.
- Educated patients on proper contact lens insertion and care techniques, resulting in improved overall ocular health outcomes.
Education
Technical Diploma - Medical Coding Specialist
Madison Area Technical College
Madison, WI05.2013
Skills
- Detail oriented
- Positive attitude
- Ability to prioritize
- Proficient in ICD-10-CM, CPT and E/M
- HIPAA privacy and confidentiality
- Optum Encoder Pro knowledge
- Insurance Billing and Claim experience
- EPIC EMR Proficient
- Clinical, patient care background
Certification
- CPC - Certified Professional Coder -2012
- CRC - Certified Risk Adjustment Coder -2020
Additional Information
Owner of Cambridge Vision Clinic, LLC - June 2003 - July 2006
Office Management, Insurance Billing, Accounts Receivable/Payable, and Sales and Marketing. Excellent patient care and customer service skills.
Timeline
Certified Risk Coder
UnityPoint Health - Meriter
03.2021 - Current
Certified Professional Coder II
UnityPoint Health - Meriter
07.2012 - 03.2021
Certified Ophthalmic Technician
Dean Medical Center
06.2006 - 05.2010
Technical Diploma - Medical Coding Specialist
Madison Area Technical College
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