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EVONY CALDWELL, MBA, RHIT
(312) 983-2160 (mobile) ▪ ecaldwell9@hotmail.com
https://www.linkedin.com/profile/view?id=50723966&trk=nav_responsive_tab_profile_pic
SUMMARY OF QUALIFICATIONS
▪ Strong working knowledge of medical terminology and transcription including billing and coding
(CPT, ICD-10 & ICD-9, & HCPS); demonstrated ability to comply with all OSHA and JCAHO
regulations.
▪ Possess applicable experience building pricing contracts in EPIC; strong communication skills
with experience working effectively in a team environment to accomplish operational goals.
▪ Software: EPIC (EMR), McKesson’s HealthQuest (zScope), Centricity, IDX, Cerner, PCG/Velocity,
E-Care Insurance Verification Portal, Windows XP - 8, All Scripts, IC-Chart software, Affinity,
Lotus, Word Perfect (5.0 – 5.2), Micro M.D., Common Access.
▪ Hardware: PC & MAC Operating Systems, Facsimile, Digital Camera, Medifax, Digital Scanner
Mainframe/Desktop Printers.
Core Competencies
RHIT Nt’l Certification, Revenue Cycle ◊ HIPPA Compliancy ◊ Leadership ◊ Managed Care ◊
Insurance Verification – Coordination of Benefits (COB) ◊ Explanation of Benefits (EOB) ◊ Auditing ◊
Compliancy, AP/AR, Interviewing & Employing ◊ Charge Entry ◊ Microsoft Office Suites
Project Management – Office Administration – Account Reconciliation
EDUCATION
Master of Business Administration (MBA), Health Services Management
Keller Graduate School of Management – DeVry University, Chicago, IL (8/2014)
Malcolm X Community College
Advance Coding Certificate Program – Chicago, IL (exp completion: December/2017)
Registered Health Information Technologist) AHIT Associate Degree Program
DeVry University, Chicago, IL (12/2015)
Bachelor of Science in Business Administration (BSBA), Health Service Management
DeVry University, Milwaukee, WI (10/2006)
SELECTED COURSEWORK
ICD-10 Advance Training, Billing & Coding, Informational Governance, HIPPA Compliance, Advanced PC
Applications, Database Essentials, Healthcare Rights, Financial Accounting, Professional Writing, Healthcare
Policy, Managerial Accounting, Internet Marketing, Health Service Finance, Project Management, Business Law,
Managed Care & Health Insurance
EVONY CALDWELL (312) 983-2160 (mobile) ▪ ecaldwell9@hotmail.com Page 2
Continued from page one
PROFESSIONAL EXPERIENCE
University of IL Chicago (UIC) Chicago, IL
Business Analysis/Revenue Cycle Feb/2016 – Present
Duties: Audit unpaid claims that are aging/outstanding accounts, verify accuracy of charges (per
negotiated pricing contracts), assess clinical documentation to assure that it supports ICD-10 Billing;
work various reports (i.e. Encounter Error Report, Denial Management Report, Credit/Debit Balance
Report, Reconciliation Report), Audit Tracking/Recording & Reporting of activities that effect the
Revenue Cycling Dept, Billing Adjustments, charge reversals, assist in engineering new Departmental
Policies & Procedures & Key Metrics of Benchmark Performances.
Advocate Trinity Hospital Chicago, IL
RHIT, Practicum Externship Nov/2015 – Nov/2015
Performances: Revenue Cycle, Shadow Coding, Participated
w/CDI Task Force Team, Chart Review, Validation;
Quality Control of tangible chart to EMR, scanning, Chart Prep,
HIPPA support, DNV (Det Norske Veritas) Accreditation support.
Rush Medical Center Chicago, IL
Patient Care Access (Access Center, Pilot Program) 1/2014 to 6/2015
• Responsible for supporting day-to-day administrative activities in a healthcare office
environment and use EPIC on a daily basis; schedule patient clinic appointments, & tests.
• Process 200 calls/day (approx.) for multiple Practices with over 100 Physicians
• Collaborated on multiple events with various department personnel.
• Process referrals & audit link them to patient’s appointment via EPIC.
• Responsible for supporting day-to-day administrative activities in a healthcare office
University of Chicago Chicago, IL
Financial Business Representative 3/2013 to 11/2013
• Verified insurance coverage via e-care system or telephone
• Interpreted explanation of benefits (EOB), assessed coverage applicability, and managed
coordination of benefits (COB). Built insurance pricing accounts in EPIC (EMR) Software
• Collected professional fees, post deposits, and collect & post notation of co-pays
• Assisted patients with applying for Financial Assistance referrals (i.e. Charity Care, Medicare,
Medicaid options).
ADDITIONAL WORK EXPERIENCE
Progressive Community Health Centers Milwaukee, WI
Referral Specialist 9/2010 to 3/2012
Duties: Process Referrals for multiple Providers for → Tests, & Procedures. Obtain PA (Prior
Authorizations) for DME (Durable Medical Equipment), PA's for certain Prescriptions, assisted
Education Coordinator with modifying Clinical Policies & Procedures (Continuing Education).
Because of my clinical background, I simultaneously assisted in the clinic with: training, triage calls &
walk-ins, drafting appeal letters, obtain vital statistics on Patients, scheduling follow up appointments,
perform vision & hearing screenings, assist Provider w/ GYN exams, Phlebotomy, perform EKG's,
wound care, & assist with inventory control. We had an EMR System call EPIC where all transactions
(billing & coding, registration, scheduling, & health record) took place. Assist Providers with
transition from tangible charts to e-charts. So I'm very efficient with EPIC.
Anthem College Brookfield, WI
Medical Assistant Program Manager (PM) 11/2007 to 5/2008
Duties: As the PM of the MA Program. I was responsible for monitoring: PI, QC’s & QA of the
Medical Assistant Department. Anthem College is an Allied College for Adult students trying to get
their Diploma or Associates Degree in Medical Assisting, Surgical Technology, Billing & Coding, or
Massage Therapy. SOME of my duties included: managing & monitoring staff & students to achieve
clear & concise goals, continual update/modification of our MA Prg. Curriculum; interviewing &
employing staff, training new Instructors, allocate Capital Expenditures for our Dept., monitor
inventory (i.e. Books, medical supplies). There was some lecturing on ICD-9 –CM Coding, CPT, &
HCPS. I developed our first MSDS, & Exposure Control Policy. Networked with the WI State
Board, Corporate Office for various support work, & our Regional Accreditor (ABHES). Located
Extern site for our students, visited Extern sites, to monitor students progress in compliance with skill
check-off list. I taught various GE courses (in the absence of an Instructor), attended Graduation
Commencements.
On Assignment Healthcare Staffing West Allis, WI
Certified Medical Assistant 4/2006 to 9/2010
Aurora Sinai Medical Center Milwaukee, WI
Clinical Medical Assistant 4/2004 to 9/2005
Wheaton Franciscan Healthcare Milwaukee, WI
Certified Medical Assistant 5/2003 to 4/2004
CERTIFICATIONS
Certified Professional Coder (Hospital Outpatient (CPC-H)) – 2015 Candidate (AAPC)
Billing & Coding Certification (ICD-9 & ICD-10) – 2016 Candidate (AHIMA)
Hospital Outpatient Coding – 2016 Candidate (AHIMA)
National Career Readiness Certificate (NCRC) – Expires 2015 (ACT)
PROFESSIONAL AFFILIATIONS
American Health Information Management (AHIMA)
American Academy of Professional Coders (AAPC)
(Healthcare Information Management System Society (HIMSS)
Volunteer Efforts .
“Princess Within”
Accomplishments .
DeVry Wall Alumni Wall of Fame (April/2016)
Nominated for Outstanding Performance Achievement Award via DeVry University Alumni
Association (2014)

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E Caldwell Resume February 2017

  • 1. EVONY CALDWELL, MBA, RHIT (312) 983-2160 (mobile) ▪ ecaldwell9@hotmail.com https://www.linkedin.com/profile/view?id=50723966&trk=nav_responsive_tab_profile_pic SUMMARY OF QUALIFICATIONS ▪ Strong working knowledge of medical terminology and transcription including billing and coding (CPT, ICD-10 & ICD-9, & HCPS); demonstrated ability to comply with all OSHA and JCAHO regulations. ▪ Possess applicable experience building pricing contracts in EPIC; strong communication skills with experience working effectively in a team environment to accomplish operational goals. ▪ Software: EPIC (EMR), McKesson’s HealthQuest (zScope), Centricity, IDX, Cerner, PCG/Velocity, E-Care Insurance Verification Portal, Windows XP - 8, All Scripts, IC-Chart software, Affinity, Lotus, Word Perfect (5.0 – 5.2), Micro M.D., Common Access. ▪ Hardware: PC & MAC Operating Systems, Facsimile, Digital Camera, Medifax, Digital Scanner Mainframe/Desktop Printers. Core Competencies RHIT Nt’l Certification, Revenue Cycle ◊ HIPPA Compliancy ◊ Leadership ◊ Managed Care ◊ Insurance Verification – Coordination of Benefits (COB) ◊ Explanation of Benefits (EOB) ◊ Auditing ◊ Compliancy, AP/AR, Interviewing & Employing ◊ Charge Entry ◊ Microsoft Office Suites Project Management – Office Administration – Account Reconciliation EDUCATION Master of Business Administration (MBA), Health Services Management Keller Graduate School of Management – DeVry University, Chicago, IL (8/2014) Malcolm X Community College Advance Coding Certificate Program – Chicago, IL (exp completion: December/2017) Registered Health Information Technologist) AHIT Associate Degree Program DeVry University, Chicago, IL (12/2015) Bachelor of Science in Business Administration (BSBA), Health Service Management DeVry University, Milwaukee, WI (10/2006) SELECTED COURSEWORK ICD-10 Advance Training, Billing & Coding, Informational Governance, HIPPA Compliance, Advanced PC Applications, Database Essentials, Healthcare Rights, Financial Accounting, Professional Writing, Healthcare Policy, Managerial Accounting, Internet Marketing, Health Service Finance, Project Management, Business Law, Managed Care & Health Insurance
  • 2. EVONY CALDWELL (312) 983-2160 (mobile) ▪ ecaldwell9@hotmail.com Page 2 Continued from page one PROFESSIONAL EXPERIENCE University of IL Chicago (UIC) Chicago, IL Business Analysis/Revenue Cycle Feb/2016 – Present Duties: Audit unpaid claims that are aging/outstanding accounts, verify accuracy of charges (per negotiated pricing contracts), assess clinical documentation to assure that it supports ICD-10 Billing; work various reports (i.e. Encounter Error Report, Denial Management Report, Credit/Debit Balance Report, Reconciliation Report), Audit Tracking/Recording & Reporting of activities that effect the Revenue Cycling Dept, Billing Adjustments, charge reversals, assist in engineering new Departmental Policies & Procedures & Key Metrics of Benchmark Performances. Advocate Trinity Hospital Chicago, IL RHIT, Practicum Externship Nov/2015 – Nov/2015 Performances: Revenue Cycle, Shadow Coding, Participated w/CDI Task Force Team, Chart Review, Validation; Quality Control of tangible chart to EMR, scanning, Chart Prep, HIPPA support, DNV (Det Norske Veritas) Accreditation support. Rush Medical Center Chicago, IL Patient Care Access (Access Center, Pilot Program) 1/2014 to 6/2015 • Responsible for supporting day-to-day administrative activities in a healthcare office environment and use EPIC on a daily basis; schedule patient clinic appointments, & tests. • Process 200 calls/day (approx.) for multiple Practices with over 100 Physicians • Collaborated on multiple events with various department personnel. • Process referrals & audit link them to patient’s appointment via EPIC. • Responsible for supporting day-to-day administrative activities in a healthcare office University of Chicago Chicago, IL Financial Business Representative 3/2013 to 11/2013 • Verified insurance coverage via e-care system or telephone • Interpreted explanation of benefits (EOB), assessed coverage applicability, and managed coordination of benefits (COB). Built insurance pricing accounts in EPIC (EMR) Software • Collected professional fees, post deposits, and collect & post notation of co-pays • Assisted patients with applying for Financial Assistance referrals (i.e. Charity Care, Medicare, Medicaid options).
  • 3. ADDITIONAL WORK EXPERIENCE Progressive Community Health Centers Milwaukee, WI Referral Specialist 9/2010 to 3/2012 Duties: Process Referrals for multiple Providers for → Tests, & Procedures. Obtain PA (Prior Authorizations) for DME (Durable Medical Equipment), PA's for certain Prescriptions, assisted Education Coordinator with modifying Clinical Policies & Procedures (Continuing Education). Because of my clinical background, I simultaneously assisted in the clinic with: training, triage calls & walk-ins, drafting appeal letters, obtain vital statistics on Patients, scheduling follow up appointments, perform vision & hearing screenings, assist Provider w/ GYN exams, Phlebotomy, perform EKG's, wound care, & assist with inventory control. We had an EMR System call EPIC where all transactions (billing & coding, registration, scheduling, & health record) took place. Assist Providers with transition from tangible charts to e-charts. So I'm very efficient with EPIC. Anthem College Brookfield, WI Medical Assistant Program Manager (PM) 11/2007 to 5/2008 Duties: As the PM of the MA Program. I was responsible for monitoring: PI, QC’s & QA of the Medical Assistant Department. Anthem College is an Allied College for Adult students trying to get their Diploma or Associates Degree in Medical Assisting, Surgical Technology, Billing & Coding, or Massage Therapy. SOME of my duties included: managing & monitoring staff & students to achieve clear & concise goals, continual update/modification of our MA Prg. Curriculum; interviewing & employing staff, training new Instructors, allocate Capital Expenditures for our Dept., monitor inventory (i.e. Books, medical supplies). There was some lecturing on ICD-9 –CM Coding, CPT, & HCPS. I developed our first MSDS, & Exposure Control Policy. Networked with the WI State Board, Corporate Office for various support work, & our Regional Accreditor (ABHES). Located Extern site for our students, visited Extern sites, to monitor students progress in compliance with skill check-off list. I taught various GE courses (in the absence of an Instructor), attended Graduation Commencements. On Assignment Healthcare Staffing West Allis, WI Certified Medical Assistant 4/2006 to 9/2010 Aurora Sinai Medical Center Milwaukee, WI Clinical Medical Assistant 4/2004 to 9/2005 Wheaton Franciscan Healthcare Milwaukee, WI Certified Medical Assistant 5/2003 to 4/2004 CERTIFICATIONS Certified Professional Coder (Hospital Outpatient (CPC-H)) – 2015 Candidate (AAPC) Billing & Coding Certification (ICD-9 & ICD-10) – 2016 Candidate (AHIMA) Hospital Outpatient Coding – 2016 Candidate (AHIMA)
  • 4. National Career Readiness Certificate (NCRC) – Expires 2015 (ACT) PROFESSIONAL AFFILIATIONS American Health Information Management (AHIMA) American Academy of Professional Coders (AAPC) (Healthcare Information Management System Society (HIMSS) Volunteer Efforts . “Princess Within” Accomplishments . DeVry Wall Alumni Wall of Fame (April/2016) Nominated for Outstanding Performance Achievement Award via DeVry University Alumni Association (2014)