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Wykena Hodges

@wykenahodges

I improve healthcare coding accuracy, compliance, and reimbursement through auditing and provider education.

United States
Message

What I'm looking for

I'm looking to improve coding accuracy, compliance, clinical documentation, and reimbursement through auditing, provider education, and revenue cycle process improvement.

I'm currently improving risk adjustment and quality documentation at Trinity Health, where I audit inpatient records, validate ICD-10 diagnoses and DRG assignments, and train providers on coding requirements. Across 13 years in medical coding, auditing, and compliance, I've helped reduce documentation errors to less than 5% and decreased denials by 70% through provider education.

I've also strengthened outpatient audit readiness at Performant Health Solution, supported Medicaid compliance at GHR Consultants, optimized HCC coding at Optum Healthcare, and identified revenue cycle opportunities at Salinas Hospital. I use coding trend analysis, internal audits, workflow improvements, and clear documentation guidance to improve clean claims, reimbursement, and productivity.

Experience

Work history, roles, and key accomplishments

TH
Current

Revenue Integrity Medical Auditor

Trinity Health

Jan 2022 - Present (4 years 8 months)

Drive implementation of resources and processes to meet risk adjustment and quality documentation objectives. Ensure accurate reporting of ICD-10 high-risk diagnoses in alignment with CMS guidelines.

Education

Degrees, certifications, and relevant coursework

Bryant & Stratton College logoBC

Bryant & Stratton College

Certificate, Medical Coding

2005 - 2006

Completed CPC certification coursework at Bryant & Stratton College from 2005 to 2006.

Tech stack

Software and tools used professionally

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