
Wykena Hodges
@wykenahodges
I improve healthcare coding accuracy, compliance, and reimbursement through auditing and provider education.
What I'm looking for
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
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
Certificate, Medical Coding
2005 - 2006
Completed CPC certification coursework at Bryant & Stratton College from 2005 to 2006.
Availability
Location
Authorized to work in
Salary expectations
Job categories
Skills
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