DeInda Davis CMC

Texarkana, Texas ***** – 903-***-****

ad1y4b@r.postjobfree.com

Summary

Performance oriented individual with passion for all facets of coding and education with a proven track record of managing high-volume workloads for a Revenue Cycle Management organization. Dedicated to supporting clients with ongoing training regarding payer guidelines, E/M coding changes and updates, extensive chart audits, along with general client coding support as we continuously develop medical coding, provider, billing, and process training manuals for our client for the greatest success for each team member. Collaborate with the individual teams within the Revenue Cycle Management to identify and resolve any coding or billing related issues to ensure highest accuracy and efficiency to obtain highest first pass reimbursement.

Skills

Certified Medical Coder CMC, Certified Medical Compliance Officer CMCO expected completion date May 1, 2024 Expert – CPT, ICD-10, HCPCS, CCI Edits, NDC, DMEPOS, Coding Guidelines, 2021/2023 E/M Outpatient Guidelines, Extensive Payer Guidelines, eCW, Novitas Fee Schedule and LCD and NCD, DMEPOS Proficient – Experity, Kareo, Trimmed, Multiple MAC Knowledge, Excel, Word Professional History

HealthCare Express

Director of Education

October 2022 – Current

• Develop and deliver 2021 and 2023 E/M coding guidance for over 120 physicians to ensure that all claims are coded and paid at the highest level of specificity.

• Assisted in implementing a Centralized Billing Office software system that included claim rule design and workflow.

• Developed claim management tips and tricks for Insurance follow up team members.

• Developed and delivered training manual for the coding department to encompass all Payer Specific Guidelines, Coding Guidelines, Client Guidelines, Tips and Tricks, and all necessary websites to effectively do the coders job.

• Developed auditing process for continuing education and tracking for providers and coders to ensure national benchmarks and quality assurance markers are consistently being met.

• Developed a claim management tool that is utilized between multiple Revenue Cycle areas to speed up claim resolution efforts and avoid claim congestion that result in timely denials, lost claims, inappropriate claim adjustment, less touches, and negative reimbursement.

• Developed and deliver weekly and bi-weekly educational sessions to keep coding and follow up departments cohesive with continual insurance updates, coding updates, and general continuing education.

• Developed and deliver a multitude of training educational tools for providers based on auditing trends to increase documentation accuracy ensuring that we are within national quality assurance standards. Medical Practice Success

Director of Coding

July 2018 – October 22

• Onboarding over 14 clients from multiple different states/regions along with different MAC’s and various payers.

• COVID-19 task force deployment to educate all clients on ongoing updates related to PHE, payer guidelines, denials, etc.

• Onboarding two different offshore vendors to augment coding resources within the organization to include integration training and daily workflow monitoring.

• Develop and deliver 2021 E/M coding guidance for over 560 physicians to ensure that all claims are coded and paid at the highest level of specificity.

• Assisted in implemented a Centralized Billing Office software system that included extensive claim rule design and workflow.

• Developed denial management tips and tricks for Insurance follow-up team members.

• Developed a claim management tool that is utilized between multiple Revenue Cycle areas to speed up claim resolution efforts and avoid claim congestion that result in timely denials, lost claims, and inappropriate claim adjustments, less touches and negative reimbursement. Practice Management Institute (PMI)

Instructor

June 2023 – Current

Instructor of Certified Coding Curriculum. Responsible for teaching ICD-10 CM Guidelines, CPT Guidelines, HCPCS Guidelines, which includes a preparatory course in Anatomy and Physiology. Prep students to be prepared to test and pass the course and become Certified Medical Coders. Collum & Carney Clinic

Certified Medical Coder

September 2004 – July 2018

Held various positions for this large multi-specialty organization. Started career with this organization as a front desk receptionist then progressively moved into higher level positions such as the role of specialized claim analyst, Hospital census auditor, and finally ended up as a Certified Medical Coder where I truly found my passion. Spent eight years coding both in-patient and out-patient claims as well as learning how the entire coding process affects the reimbursement of organizations.

References Available Upon Request