This document is a resume for Evony Caldwell that provides her qualifications and experience for health information management roles. She has over 15 years of experience in medical billing, coding, transcription, and revenue cycle management. She has a Master's in Business Administration with a focus on health services management and several certifications in areas like medical coding. Her resume demonstrates strong skills with electronic medical record systems like EPIC and experience in various clinical settings.
Pengelolaan Sumberdaya Alam yang BertanggungjawabSiti Chaakimah
Slide ini merupakan hasil rangkuman dair materi pelatihan CSE mengenai Pengelolaan Sumberdaya Alam yang Bertanggungjawab. Pelatihan ini mempromosikan kolaborasi sebagai salah satu alternatif dalam mengelola sumberdaya alam yang bebas konflik dan menjamin kelestarian lingkungan. Diikuti oleh 23 peserta, yang berasal dari berbagai latarbelakang, seperti pemerintah, NGO, perusahaan, akademisi, dan masyarakat.
ТПЛМ 1051 Логістика і навколишнє середовище. О.М.Горяїнов (2009)Oleksiy Goryayinov
Презентація з дисципліни «Логістика» (для менеджерів). Наведено матеріал «5.1 Логістика і навколишнє середовище» (місія, мета логістики на фірмі, ланка логістичної системи та інше)
• Responsible for identifying the comprehensive legal patient medical record in paper and electronic systems in Health Information.
• Duties include assuring all patient records and loose documents are scanned and indexed into the EPF with the highest level of quality possible.
• Responsible for full range of tasks performed in health information department with regard to health information management and maintenance.
• Provides customer service support of the health information department and any other duties assigned.
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)