Wanda Evans
Houston,TX
Summary
Professional Coding Specialist skilled in medical coding, data analysis, and compliance with healthcare regulations. Strong focus on attention to detail. Proficient in ICD-10, CPT-4, and HCPCS coding, with keen eye for accuracy and efficiency.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Emergency Room Coding Specialist
Memorial Herman Healthcare System
08.2023 - Current
- Review EHR documentation to identify pertinent diagnosis and procedures for code assignment, and to ensure accuracy of coding for billing and documentation related to APC'S . .
- Validate charges through Charge Capture, Code Integration and TX Inquiry.
- Pay strong attention to details.
- Performs a comprehensive analysis and review of claim information and EHR to validate the billed procedure, service codes for accuracy and supporting documentation assigned for APC and outpatient payment.
- HCC
- Microsoft Windows applications environment.
- Effective oral and written communication skills.
- Strong knowledge of ICD-10 CM, HCPCS Level 11 codes, CPT-4 procedural codes.
- Works independently and remotely.
- Knowledge of Coding compliance policies, official coding guidelines regulatory requirements, and internal policies.
- Maintained 95-100% accuracy rate.
- Promote professional growth with continuing education and skills competency.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
- Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
- Adheres and abides by the standards of ethical coding set by AAPC.
- Strong knowledge of Medical Terminology. Anatomy Physiology and surgical terminology.
- Knowledge and skills in NCI, CCI and NCI edits.
- EPIC interfaced with 3M Encoder.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Collaborated with healthcare professionals to ensure proper documentation and coding practices.
Outpatient Coding Specialist
Maxim Healthcare Services
10.2021 - 01.2022
- Reviewed EHR documentation to identify pertinent diagnosis/procedures that required code assignment.
- Accurately assigned diagnosis and procedure codes using ICD-10 CM, HCPCS 11, CPT-4 procedural codes.
- Analytical skills.
- Strong knowledge in human anatomy, physiology, medical terminology and surgical terminology.
- Knowledge of coding compliance policies, official coding guidelines, regulatory requirements.
- Abide by the standards of Ethical Coding as set forth by AAPC.
- EPIC interfaced with 3M Encoder
- Physicians queried for unclear and ambiguous diagnosis.
- Other duties as assigned.
- Maintained 95 -100% accuracy and 100% production.
- Worked independently and remotely.
Sr. Outpatient Clinical Oncology Coding Specialist
MD Anderson Cancer Center
12.2015 - 05.2021
- Reviewed EHR documentation to identify pertinent diagnosis/procedures that required code assignment.
- Accurately assigned diagnosis and procedure codes using ICD-10 CM, HCPCS 11, CPT-4 procedural codes.
- Validated accuracy of coding, billing documentation related to APC'S, CPT'-4 , HCPC'S Level 11 Codes by TX Inquiry.
- Queried physicians when documentation was unclear and ambiguous.
- Trained new coders and was a resource to my peers
- EPIC interfaced with 3m Encoder.
- HCC
- Analytical Thinking, Problem Solving.
- Paid attention to detail.
- Addressed NCI/LCD edits, Modifiers.
Education
Human Services -
Springfield College in Illinois
Springfield, ILSkills
- ICD-10 CM and CPT Coding
- Effective communication skills
- Strong knowledge of ICD-10 CM, HCPCS, CPT-4 procedural codes
- Knowledge of Coding compliance policies, official coding guidelines regulatory requirements, and internal policies
- Promote professional growth with continuing education and skills competency
- Adheres and abides by the standards of ethical coding set by AAPC
- Strong knowledge of Medical Terminology Anatomy Physiology and surgical terminology
- Knowledge and skills in NCI, CCI and NCI edits
- EPIC interfaced with 3M Encoder
- Data verification
- Revenue cycle management
- Proficient in machine learning techniques
- HIPAA compliance
- Clinical documentation
- Proficiency and knowledge in MicroSoft Office Suite
Accomplishments
I have maintained 95 and above accuracy for the last two years.
Certification
AAPC-COC, formerly, CPC-H
Timeline
Emergency Room Coding Specialist
Memorial Herman Healthcare System
08.2023 - Current
Outpatient Coding Specialist
Maxim Healthcare Services
10.2021 - 01.2022
Sr. Outpatient Clinical Oncology Coding Specialist
MD Anderson Cancer Center
12.2015 - 05.2021
Human Services -
Springfield College in Illinois
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