Andrea Wright Email & Phone Number

Lafayette, Colorado, United States

 Excel in evaluating, analyzing, and implementing CPT, HCPCS, CDT BH, and ICD-10 Codes, including additions, changes, and/or deletions for key integration into the organization’s product and analytic suite. Deliver support for unit and dollar values for codes, current and future releases; provide clinical guidance, support, and education to individuals and groups; and participate in analytics regarding payment models. Coordinate comprehensive coding operations to manage coding functions in compliance with established guidelines. Manage coding staff and plan and prioritize scheduling in an inpatient/outpatient office. Promptly respond to and resolve highly complex coding discrepancies. Write coding rules with the RCx rule engine, as well as HCC diagnosis coding rules. Recruit, hire, develop, and train Coding staff and support NextGen provider training. Collaborate with a Clinical Documentation Improvement (CDI) team to create EHR templates.

 Spearheaded compliance auditing and coding initiatives, including preparing medical records for review and conducting analysis of documentation, coding, and charges for variances and appropriateness. Conducted continuous audits based on pre-determined schedules for anesthesia documentation, billing, and coding according to defined criteria. Analyzed, prepared, and presented audit reports. Upheld up-to-date knowledge of current laws, regulations, and guidance applicable to anesthesia coding, billing, and medical documentation. Transmitted documentation, coding, and charge errors and trends. Co-developed and presented communications, training, and educational programs for providers resulting from provider audit findings, including billing, coding, and medical record documentation. Prepared external audits and coordinated information requests. Coached and mentored staff in educational programs and training meetings. Tracked deliverables by external auditors to facilitate the timely completion of audits. Supported Chief Compliance Officer and Director of Compliance in audit planning activities.

Aurora, Colorado, United States

 Led detail-focused CPT and ICD-10 coding of medical records per prescribed directives. Coded surgery, ancillary, behavioral health, and infusions. Utilized a predictive analysis software tool for RAF score. Utilized multiple office automation software to produce a wide range of documents and formats. Ran reports for preparation. Reported most used codes. Verified errors and identified systematic errors. Performed reviews of health record documentation. Validated diagnosis using risk adjustment data validation. Comprehensively collected data and analyzed and created reports. Provided technical support for medical staff in identifying codes that yielded key information. Developed training and education programs (e.g., seminars, workshops, informational briefings

Golden, Colorado, United States

 Leveraged broad scope of industry knowledge toward coding emergency E&M, code infusion, emergency room, observation, and OB / GYN / MFM. Coded major and minor surgeries for orthopedic and ER. Led training of new employees on Epic, 3M, and Centricity systems. Developed and implemented an active training and education program. Performed accuracy-centric audits on coders and ran missing charges reports. Wrote a comprehensive new policy for coding and educated providers and coders as required.

Englewood, Colorado, United States

 Expertly evaluated, coded, and monitored physicians’ professional coding of E&M, operative reports, and other CPT, HCPCS, Modifier, and ICD-10 procedural codes for accuracy. Coded Trauma 1 inpatients. Applied correct coding principles as defined by regulatory agencies and standards of ethical coding. Communicated coding changes to providers. Collaborated in quality management activities. Successfully collected data and analyzed and created reports. Interpreted and analyzed OP reports and medical record documentation. Identified clinical and surgical documentation improvement opportunities. Trained, coached, and mentored employees on Aprima system and AdvantX. Delivered coding education to providers and staff, including CPT and medical policy updates.

Golden, Colorado, United States

 Contributed talent in coding physician E & M levels outpatient and inpatient for 19 providers, as well as daily surgeries for outpatient and inpatient. Coded physical therapy outpatient chart. Assigned codes for surgery. Employed Navicure system for denials and DME coding. Trained new coders on the NextGen system as a NextGen Super User.

Englewood, Colorado, United States

 Demonstrated experience in accurately coding for behavioral health, OB, neurosurgery, and orthopedic inpatient and outpatient, as well as family medicine charge entry to align with on-time goals and objectives. Trained new contractors on the effective use of Epic.

Fort Carson

 Succeeded in serving as an Ambulatory Surgical Coder tasked with accurately abstracting notes from operative report’s code using ICD9, CPT4, and HCPCS for multiple specialties for efficient system input. Skillfully assigned ICD-9 and CPT codes for midwife outpatient clinic abstracts from delivery notes and assigned codes, code evaluation, and management coding. Researched and/or reprocessed claims. Verified members’ other coverage; called insurance companies, provider offices, and patients; and scheduled patient appointments. Communicated with providers about claims recovery and adjustment. Searched and recovered funds for providers due to overpayment from insurance. Ran detailed reports, handled bank deposits, and educated providers on coding material. Developed presentations on coding materials monthly and assisted with employee training.

Greater Denver Area

Served as chart abstracter and inpatient and outpatient specialty coder for OB/GYN/ CNM, and MFM. Assigned CPT, ICD-9 codes for emergency department encounters using external coding conventions as well as internal policies. Wrote physician documentation deficiencies as required. Utilized critical thinking skills as needed. Collaborated in the quality review process. Attended monthly coding meetings. Trained employees on Epic go live as a superuser for Epic and trained on MEDITECH. Abstracted E & M codes from handwritten doctor’s notes from charts. Assigned ICD-9, CPT codes for inpatient, and outpatient encounters. Orientated new physicians and trained on how to write sufficient documentation notes.

Associate Of Science - As, General Studies, 3.0

Associate Of Arts And Sciences (A.A.S.), Health Information/Medical Records Technology/Technician

Certificate, Medical Insurance Specialist/Medical Biller/ Coding

Bachelor Of Science - Bs, Health Services Administration