Vickie Devine
Altamonte Springs,FL
Summary
Currently, oversee the day-to-day operations of A New Thing Ministries, a non-profit organization. Seasoned business oriented collaborator experienced in improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills. Detail-focused Data Analyst with knowledge in data warehousing, process validation and business needs analysis. Proven to understand customer requirements and translate into actionable project plans. Personally, dedicated and hard-working with passion to engage, evangelize, enlighten, equip, encourage & empower others through sharing the gospel of Jesus Christ,as well as meeting the needs of individuals in the church and community.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Data Analyst II
Optum
04.2023 - Current
- Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving claims as well as recovery and resolution health plans and government entities
- Gather information on provider behavior by analyzing, identifying trends, and providing reports as necessary
- Review claim and case history and compare medical documentation against procedural codes billed
- Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
Medicare & Medicaid Care Special Investigative Unit Prepay
Optum
02.2018 - 04.2023
- Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving claims as well as recovery and resolution health plans and government entities
- Gather information on provider behavior by analyzing, identifying trends, and providing reports as necessary
- Review claim and case history and compare medical documentation against procedural codes billed
- Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.
Evangelistic Ministry Overseer
A New Thing Ministries
02.2021 - Current
- Expanded the ministry''s outreach by developing and implementing strategic evangelistic programs.
- Strengthened relationships with community members by organizing regular events and gatherings.
- Provided support to individuals in need through counseling, prayer, and guidance.
- Collaborated with other church leaders to develop programs that addressed the spiritual needs of the congregation.
- Developed a strong volunteer base by recruiting, training, and mentoring new ministry team members.
- Streamlined administrative processes for increased efficiency within the ministry operations.
- Fostered spiritual growth among congregation members through discipleship classes and small group meetings.
- Managed budgets and resources responsibly to ensure effective use of funds for ministry purposes.
- Facilitated open communication between clergy and lay leaders for better alignment of goals and objectives.
- Increased congregational involvement in outreach activities by promoting awareness of opportunities for service.
- Organized special events designed to attract new visitors to the church community, resulting in membership growth.
- Monitored progress towards ministry goals regularly; adjusting strategies as needed for optimal results.
- Created an environment conducive to spiritual growth through regular prayer meetings and Bible study sessions.
- Provided pastoral care to individuals experiencing crises or personal challenges.
- Oversaw the planning of annual retreats focused on deepening participants'' connections with God.
- Implemented systems that encouraged accountability among leadership teams leading to improved decision-making processes within ministry functions.
- Raised money for ministry through fundraising and sharing church vision with worshippers.
- Created inspiring worship to encourage people to serve in church and community.
- Analyzed revenue and program cost data to determine budget priorities.
- Trained and supervised religious education instructional staff.
HCC/Medicare Risk Adjustment Coder
Humana
05.2015 - 02.2018
- Strengthened interdepartmental relationships by participating in meetings, sharing insights from coding audits, and offering solutions for improved documentation practices.
- Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
- Increased overall team performance through active participation in peer review processes and sharing expertise with colleagues as needed.
- Established a reputation for excellence within the organization through consistent delivery of accurate code assignments that adhered to established timelines and quality standards.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Supported the onboarding of new team members by providing mentorship and guidance as they learned the intricacies of risk adjustment coding.
- Mitigated potential financial loss due to improper code assignments by staying informed on payer-specific requirements and trends in risk adjustment methodology.
- Contributed to ongoing process improvements within the department by identifying inefficiencies or inconsistencies in current workflows and suggesting practical solutions.
- Played an active role in professional development activities, including attending relevant webinars, workshops, and conferences to stay abreast of industry developments and best practices.
Outpatient Services
Medical Audit Resource Services, Inc
06.2011 - 10.2015
- Pre-bill auditing, (Physician Coding & Billing Specialties include Cardiology, Wound Care & E/M Charts)
- Review of ICD-10-CM diagnostic and procedural codes as well as CPT codes as appropriate, recommends the correct usage of these codes and/or performs primary coding for facilities.
- Participated in ongoing professional development opportunities related to outpatient care management best practices, continuously improving personal skillset as an Outpatient Service Specialist.
- Supported organizational goals by participating on committees focused on continuous improvement initiatives for outpatient care delivery processes.
- Increased staff engagement by providing training resources related to efficient workflow management within the outpatient services department.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Data Maintenance/Product & Pricing Administrator /Supplier Content Team
HD Supply
05.1996 - 08.2009
- Validated data and performed data import/export activities using various software programs
- Maintained customer and vendor files using an established filing method
- Performed product and price control with extreme accuracy
- Created and distributed daily matrix reports to company's management
- Participated in product data warehousing activities
- Served as program specialist for multiple systems
- Provided credit support to customers (notice to owner contract specialist).
- Streamlined the pricing process by developing and maintaining efficient tools and templates for regular price updates.
- Fostered strong relationships with key stakeholders including suppliers, customers, sales representatives, and internal departments to facilitate smooth communication throughout the pricing process.
- Resolved pricing discrepancies promptly and professionally by working closely with internal departments and external partners to investigate root causes and implement appropriate corrective actions.
Education
Master of Theological Studies -
Regent University
Virginia Beach, VA12.2023
Master of Business Administration - Health Services
Keller Graduate School
Orlando, Florida05.2016
Bachelor of Science - Computer Engineering Health Information Systems
DeVry University
Orlando, Florida01.2014
Associate of Science - - Health Information Technology
Central Florida College
Winter Park, Florida05.2011
Skills
- Operations Analysis
- Small Group Facilitation
- Discipleship Training
- Fundraising Expertise
- Pastoral Care
- Community Outreach
- Staff Supervision
- Administrative Leadership
Certification
- AAPC – CERTIFIED PROFESSIONAL CODER (CPC)
- AAPC – CERTIFIED OUPATIENT CODER (COC)
Affiliations
- America Academy of Professional Coders (AAPC)
- Delta Epsilon Iota Academic Honor Society (Atlanta, GA)
References
Provided upon request.
Timeline
Data Analyst II
Optum
04.2023 - Current
Evangelistic Ministry Overseer
A New Thing Ministries
02.2021 - Current
Medicare & Medicaid Care Special Investigative Unit Prepay
Optum
02.2018 - 04.2023
HCC/Medicare Risk Adjustment Coder
Humana
05.2015 - 02.2018
Outpatient Services
Medical Audit Resource Services, Inc
06.2011 - 10.2015
Data Maintenance/Product & Pricing Administrator /Supplier Content Team
HD Supply
05.1996 - 08.2009
Master of Theological Studies -
Regent University
Master of Business Administration - Health Services
Keller Graduate School
Bachelor of Science - Computer Engineering Health Information Systems
DeVry University
Associate of Science - - Health Information Technology
Central Florida College
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