Derek Wong

Director at University Health Partners of Hawaii (also known as UCERA)
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Contact Information
us****@****om
(386) 825-5501
Location
Honolulu, Hawaii, United States, US

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Credentials

  • Certified Obstetrics Gynecology Coder (COBGC)
    AAPC
  • Certified Professional Coder (CPC)
    AAPC

Experience

    • Director
      • May 2012 - Present

      • Responsible for the appropriate coding and submission of approximate $43M in charges annually• Responsible for the annual posting and working of $20M in payments, including accounts receivable • Monitor revenue cycle through dashboards, standard reports, and creating ad-hoc reports to identify reimbursement trends and insurance/coding issues. Works in conjunction with compliance on potential revenue and compliance issues such as documentation, systemic incorrect billings, and inappropriate billings processes. • Manage 30+ billing office staff. Coordinate training for all new staff, including overseeing training, testing, and preparation for ICD-10 across the organization• Primary liaison with different insurance companies on the various issues, including resolving systemic incorrect processing of denials, inaccurate provider enrollment/credentialing, and incomplete adjudication• Primary coordinator for the implementation of EPIC practice management/billing across multiple departments including surgery, family medicine, infectious disease, geriatrics, telemedicine, and hyperbaric• Continually communicate and work with the EPIC team, coders, providers, and support staff in training and developing solutions to billing and clinic issues. Create EPIC edits and processes to maximize revenues and minimize loss and risk. • Manage the UHP Health Information office, including developing processes to intake and validate medical records requests. Educate both staff and patients on best HIM practices. • Oversee the student immunization records at JABSOM (200+ active students), including developing intake and communication processes, developing outreach to students and facilities, and answering questions. Created website, presentations, and videos to help educate JABSOM students on vaccination requirements such as TB, TDAP, and COVID. Show less

    • Revenue Cycle Manager at Department of Ob/Gyn and Women's Health
      • Mar 2009 - May 2012

      Supervise revenue cycle for the Department of Ob/Gyn and Women's Health. Duties includes performing payor/payment analysis, educating physicians and staff of coding changes, code difficult OBGYN charges, serve as liason between coders and physicians, monitor fee-for-service activities.

    • Assistant Manager of Quality Improvement at Central Business Office
      • Jan 2008 - Feb 2009

    • Data Analyst at Department of Ob/Gyn and Women's Health
      • Mar 2007 - Jan 2008

      Designing and running reports to show the efficiency of the revenue cycle.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Clinical Research Assistant Junior
      • Jan 2005 - May 2009

      Research assistant on various Kaiser-funded studies such as DECIDE and Symptoms (Decision making among different demographic groups), and Health Literacy (health literacy among different demographic groups) Research assistant on various Kaiser-funded studies such as DECIDE and Symptoms (Decision making among different demographic groups), and Health Literacy (health literacy among different demographic groups)

    • United States
    • Higher Education
    • 700 & Above Employee
    • Biology Advisor, Junior Specialist
      • Aug 2003 - Sep 2006

      Served as guidance/college counselor to more than 600 biology and potential biology majors. Assisted in curriculum development, evaluation, and implementation for collegiate level biology courses Served as guidance/college counselor to more than 600 biology and potential biology majors. Assisted in curriculum development, evaluation, and implementation for collegiate level biology courses

Education

  • University of Hawai‘i - Shidler College of Business
    Master of Business Administration, Healthcare
    2006 - 2008
  • University of Hawaii John A. Burns School of Medicine
    Master of Public Health, Social and Behavioral Health Sciences
    2003 - 2005
  • University of Hawaii at Manoa
    Bachelor of Science - BS, Biology
    1999 - 2003

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