Tamra Davis
Newberry,FL
Summary
Experienced OBGYN Coding Supervisor guaranteeing patients' medical records are coded and abstracted according to standard rules and regulations. Billing 60 million a year consisting of Prenatal visits and deliveries, Maternal Fetal Medicine, Urogynecology, Oncogynecology, Reproductive Endocrinology, Minimally Invasive and General Gynecology surgery. Supervising six full-time coders within the department. Efficiency-driven, highly accurate and well-organized with open and clear communication style and self-motivated approach.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Coding and Reimbursement Supervisor
UF Health OBGYN
Gainesville, FL
03.2014 - Current
- Developed processes to improve departmental efficiency in claim processing.
- Coordinated with other departments to ensure timely and accurate reimbursement of claims.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Communicated regularly with providers regarding documentation requirements for submission of claims.
- Recruited, interviewed and selected employees to fill vacant roles.
- Conducted training sessions for new staff members on appropriate coding principles and policies.
- Determined medical necessity, using individual insurance carrier regulations.
- Delegated work to staff, setting priorities and goals.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Reviewed employees' work to check adherence to quality standards and proper procedures.
- Maintained updated knowledge of healthcare regulations and industry trends.
- Discussed job performance problems with employees, identifying causes and issues to find solutions.
- Advised supervisors and clinicians of billing deficiencies to support charge capture.
- Researched rejections, investigating problems to appeal claims.
- Coded patient care records to provide accurate information for billing.
Coder
SIMED
Gainesville, FL
06.2008 - 12.2013
- Coordinated with other departments to ensure timely and accurate reimbursement of claims.
- Resolved customer complaints or answered customers' questions.
- Communicated regularly with providers regarding documentation requirements for submission of claims.
- Investigated discrepancies between expected payments versus actual payments received.
- Maintained updated knowledge of healthcare regulations and industry trends.
- Resolved customer complaints regarding claims reimbursements promptly.
- Completed day-to-day duties accurately and efficiently.
Education
Certificate - Medical Assistant
Webster College
Gainesville, FL03-1992
Skills
- Certified Professional Coder 08/2013
- Certified Obstetrics and Gynecology Coder 07/2017
- Certified Professional Medical Auditor 12/2023
- Medicaid Knowledge
- Medical Billing
- Procedure Implementation
- Insurance Verification
- HIPAA Compliance
- Claims Processing
- Revenue Cycle Management
- Policy Analysis
- Eligibility Verification
- Commercial Insurance
Certification
- Certified Professional Coder 08/2013
- Certified Obstetrics and Gynecology Coder 07/2017
- Certified Professional Medical Auditor 12/2023
References
References available upon request.
Timeline
Coding and Reimbursement Supervisor
UF Health OBGYN
03.2014 - Current
Coder
SIMED
06.2008 - 12.2013
Certificate - Medical Assistant
Webster College
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