Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tammie Washington

Dimmitt,Texas

Summary

Seeking a challenging position as a Healthcare administrator of Claims Revenue Cycle Management or Accounting. I am a detailed oriented Certified Medical coder and billing specialist with a proven track record in leadership and employee motivation. Excellent Knowledge and skills using ICD-10CM, ICD-9CM, HCPCS, CPT, CPT-4 coding NCCI Edits, Accounts receivable, Medicare Collections, Medicare Appeals, claims submission and auditing. Self-starter and team player with the ability to consistently provide high levels of performance, excellent communication, negotiation and trouble shooting skills with the ability to prioritize and multitask. Proficiencies: Greenway; MS Excel; MS Word; 20+ yrs in A/R, A/P, Collections, contract billing; Typing Speed: 45 WPM. Skills: Written and verbal communication; Attention to detail; Data entry (experience using 10-key number pad); Organized; Able to work independently.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Business System Analyst

Care first /FEPOC
06.2023 - 11.2023
  • Support application development projects that impact health insurance enrollment for customers.
  • Performs and guides others through the business requirements gathering process.
  • Work closely with Subject Matter Experts (SMEs) on understanding how systems work and translating this information into reference documentation.

Business System Analyst

Kaeppel Consulting, LLC
05.2022 - 06.2023
  • Performs and guides others through the business requirements gathering process.
  • Analyzes benchmarking data, reports, processes, and measurements.
  • Develops and documents business, analysis and reporting requirements.
  • Translate business requirements into product-specific designs and configuration, detailed requirement specifications and use cases.
  • Coordinates a variety of projects/requests simultaneously and ensures timely completion in accordance with business initiatives.
  • Transforms data into meaningful, professional, and easy to understand formats for leadership review. Develops recommendations and reviews findings with peers and leaders.
  • Collaborates with relevant stakeholders to develop, execute and monitor project plans, and performance improvement plans.
  • Works closely with Sr. Business Analysts, Project Managers, and SME teams to ensure requirements are captured and documented correctly.
  • Utilize stakeholder feedback and/or process performance information to identify potential continuous improvement opportunities.
  • Provides information and participates in meetings as requested.

HIM Coder

Boston Medical Health
03.2020 - 05.2022
  • Worked on analyzing business requirements at all stages of Software development office cycle SDLC.
  • Interacted with the client and the Technical Team for requirement gathering and translation of Business requirements to technical specifications.
  • Conducted interviews, meetings, and JAD sessions during the process of Requirement Gathering.
  • Analyzed and translated business requirements into system specifications utilizing UML and RUP methodology.
  • Performed Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
  • Managed and analyzed data communication channels to ensure compliance with security requirements in accordance with ISO, HIPAA, and PCI guidelines.
  • Coordinated with Project Managers to resolve risk issues and ensure compliance of the Security System related to the HIPAA.
  • Involved in requirement gathering phase (Provider, Claim components, and HIPAA). Utilized Rational Unified Process (RUP) to configure and develop processes, standards, and procedures.
  • Managed and lead day-to-day operations of system upgrade to comply with new federal reporting requirements and security protocols including HIPAA.
  • Involved in all steps of Software Development Life Cycle (SDLC).
  • Skilled in gathering business and application requirements, Business Processes, identifying risks, impact analysis, UML modeling, and Sequence and Activity Diagrams using Rational Rose and Microsoft Visio in Clinical and Health Information Management (HIM) processes.
  • Developed and implemented new filing system for medical records to improve efficiency.

HIM Coder

WellBridge Healthcare
07.2019 - 03.2020
  • Created Business Process Mapping Diagrams and Documentation for the process improvement recommendations.
  • Used MS Visio for flowcharting, Use Case process model, and architectural design of the application.
  • Implemented the RUP methodology guidelines with its various workflows and artifacts in Requirements Management and Development.
  • Gathered and documented functional requirements and use cases for automation of operational and administrative business processes.
  • Provided overall project management of multiple projects; successfully completed on-schedule and on-budget.

Education

Diploma - Medical Billing and Coding

Ultimate Medical Academy
Clearwater, FL
11.2025

Medical Billing And Coding

Fortis Institute
Grand Prairie, TX
01.2012

Bachelor of Arts And General Studies - General Studies

Lubbock Christian University
Lubbock, TX
01.1985

Skills

  • Medical Terminology
  • Anatomy & Physiology
  • HIPAA Compliance
  • Medical Coding (ICD-10-CM
  • HCPCS
  • CPT)
  • Electronic Health Records (EHR)
  • Electronic Medical Records (EMR)
  • Managed Care (HMO
  • PPO
  • POS)
  • Workers Compensation
  • Insurance Verification
  • Insurance Claim Processing
  • CMS 1500
  • CMS 1450 (UB-04)
  • Front Office Operations
  • Medical Office Procedures
  • Scheduling

Certification

  • AHIMA CEU 2016 – Chicago, IL
  • ICD-10 Trained (AHIMA) CEU 2016
  • Class to update on any changes in coding and medical field.
  • National Association for Health Professionals – Gardner, KS
  • National Registered Certified Coding Specialist

Timeline

Business System Analyst

Care first /FEPOC
06.2023 - 11.2023

Business System Analyst

Kaeppel Consulting, LLC
05.2022 - 06.2023

HIM Coder

Boston Medical Health
03.2020 - 05.2022

HIM Coder

WellBridge Healthcare
07.2019 - 03.2020

Diploma - Medical Billing and Coding

Ultimate Medical Academy

Medical Billing And Coding

Fortis Institute

Bachelor of Arts And General Studies - General Studies

Lubbock Christian University